Please Scroll Down to See Forums Below
dumb gyno question
- Thread starter crazyivan
- Start date
blackpanther
New member
Nothing tastes BETTER than getting rid of that no-good gynecomastia!!! 
I have been on Letrozole for 1 week so far now @ 2.5 mg/day and I think I am already seeing some subtle changes.. I don't know 100% for sure if this is simply due to retaining less water OR if it is actual breast glandular tissue being shrunk. Something certainly feels different when I feel around for bumps in there... It's like things feel a bit more broken up and slightly softer. I hope this is a sign of progress and not just in my head!!
I know one thing for sure... My libido is killed. At least I know my Femera - letrozole - is legit.
I have been on Letrozole for 1 week so far now @ 2.5 mg/day and I think I am already seeing some subtle changes.. I don't know 100% for sure if this is simply due to retaining less water OR if it is actual breast glandular tissue being shrunk. Something certainly feels different when I feel around for bumps in there... It's like things feel a bit more broken up and slightly softer. I hope this is a sign of progress and not just in my head!!
I know one thing for sure... My libido is killed. At least I know my Femera - letrozole - is legit.
Question for Dr Bermant
Dr. Bermant:
I have spoke to a number of doctors who make a distinction between true gynecomastia (meaning excessive development of and the ongoing presence of excessove glandular breast tissue) and Pseudo-gynecomastia (meaning fat deposits in the breast area of men)
In your practice, do you make this distinction? From the break down of the actual roots of the words that come together to make up the term gynecomastia, the presence of actual abnormal breast tissue development is required to be consistent with the term gynecomastia.
I know this may be splitting hairs, but I have read several medical articles and journals as well as talked to a few very distinguished doctors who consistently say that true gynecomastia requires glandular development similar to that which occurs in women as they enter puberty. These doctors use another term --something to do with adipose(will have to look it up later) to differentiate between fat deposits in the male breast area and the presence of actual abnormal male glandular development.
This brings me to my next question: Aside from surgery, can glandular gynecomastia be eliminated or reversed without surgery?
A certain member of EF and I have had this debate, and I wanted to get an MD's opinon on the question of resolving glandular gynecomastia
Welcome to EF and thanks for your contribution
Dr. Bermant:
I have spoke to a number of doctors who make a distinction between true gynecomastia (meaning excessive development of and the ongoing presence of excessove glandular breast tissue) and Pseudo-gynecomastia (meaning fat deposits in the breast area of men)
In your practice, do you make this distinction? From the break down of the actual roots of the words that come together to make up the term gynecomastia, the presence of actual abnormal breast tissue development is required to be consistent with the term gynecomastia.
I know this may be splitting hairs, but I have read several medical articles and journals as well as talked to a few very distinguished doctors who consistently say that true gynecomastia requires glandular development similar to that which occurs in women as they enter puberty. These doctors use another term --something to do with adipose(will have to look it up later) to differentiate between fat deposits in the male breast area and the presence of actual abnormal male glandular development.
This brings me to my next question: Aside from surgery, can glandular gynecomastia be eliminated or reversed without surgery?
A certain member of EF and I have had this debate, and I wanted to get an MD's opinon on the question of resolving glandular gynecomastia
Welcome to EF and thanks for your contribution
Re: Question for Dr Bermant
Unfortunately, it can be difficult to distinguish just what is causing the problem. Gynecomastia male breasts can be fat, gland, or most commonly a combination of both. Sometimes skin and sagging tissues can be a factor. Pseudo Gynecomastia is supposed to be fat only gynecomastia. The problem with that "classification" is that in almost every case of gynecomastia I have seen there is some component of gland. This gland can be very small, but it is present almost all the time. So do you have Pseudo gynecomastia when there is a 1%, 10%, 50%, or 90% deformity from fat? Reality just does not work that way.
Defining the problem with photographs sometimes can help. However, it is impossible to tell from photographs if the deformity is from fat or gland. The dynamic images, of my standard set of images can show a region that compresses differently. Even clinical examination differentiation can be difficult.
Fat tends to be soft, gland tends to be firm. Fingers of gland often dissect between fingers of fat. Look at this drawing and move your mouse over the arrows. However, gland can be soft and fat firm confusing the picture. Gland tends to be located under the nipple and pinching pressure can sometimes tether to the nipple pulling it in.
Men with excessive fat do tend to have certain contour issues. Check out this link about Sumo Wrestlers. Men tend to carry excessive weight in their chest and stomach.
Losing weight first, to something you are comfortable with and can maintain is typically a much better option. Weight loss is a coarse tool. Unfortunately, you cannot pick where weight comes from - nor can you pick where weight goes back on to. Gland that contributes to the breast shape is not helped with weight loss. Fingers of fat in the gland can become smaller, but the contour problem from gland does not go away. After losing weight plastic surgery can help with localized fat, gland, and extra skin. After surgery remaining fat cells can put on more weight.
Breast gland under stimulation tend to be tender and grow. Remove that stimulation and growth typically stops and sometimes there is some regression. However, what gland has grown usually remains. There are some medical studies out there but they just do not do a very good job of showing just how much the gland regressed. As a surgeon who defers the medical treatment to the endocrinologists, I do not see the medical treatment successes. I get many patients who have tried the medical methods and then need surgery for the final sculpture.
Hope this helps,
Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture
5150guy said:
Unfortunately, it can be difficult to distinguish just what is causing the problem. Gynecomastia male breasts can be fat, gland, or most commonly a combination of both. Sometimes skin and sagging tissues can be a factor. Pseudo Gynecomastia is supposed to be fat only gynecomastia. The problem with that "classification" is that in almost every case of gynecomastia I have seen there is some component of gland. This gland can be very small, but it is present almost all the time. So do you have Pseudo gynecomastia when there is a 1%, 10%, 50%, or 90% deformity from fat? Reality just does not work that way.
Defining the problem with photographs sometimes can help. However, it is impossible to tell from photographs if the deformity is from fat or gland. The dynamic images, of my standard set of images can show a region that compresses differently. Even clinical examination differentiation can be difficult.
Fat tends to be soft, gland tends to be firm. Fingers of gland often dissect between fingers of fat. Look at this drawing and move your mouse over the arrows. However, gland can be soft and fat firm confusing the picture. Gland tends to be located under the nipple and pinching pressure can sometimes tether to the nipple pulling it in.
Men with excessive fat do tend to have certain contour issues. Check out this link about Sumo Wrestlers. Men tend to carry excessive weight in their chest and stomach.
Losing weight first, to something you are comfortable with and can maintain is typically a much better option. Weight loss is a coarse tool. Unfortunately, you cannot pick where weight comes from - nor can you pick where weight goes back on to. Gland that contributes to the breast shape is not helped with weight loss. Fingers of fat in the gland can become smaller, but the contour problem from gland does not go away. After losing weight plastic surgery can help with localized fat, gland, and extra skin. After surgery remaining fat cells can put on more weight.
Breast gland under stimulation tend to be tender and grow. Remove that stimulation and growth typically stops and sometimes there is some regression. However, what gland has grown usually remains. There are some medical studies out there but they just do not do a very good job of showing just how much the gland regressed. As a surgeon who defers the medical treatment to the endocrinologists, I do not see the medical treatment successes. I get many patients who have tried the medical methods and then need surgery for the final sculpture.
Hope this helps,
Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture
Similar threads
