gyno surgery advice.. please respond. (or if you know a lot.. Ulter?Macro?)

[ericahls]

you guys that have had the surgery.... did your insurance pay for it?

Most insurance companies won't pay for it. Some Bro's were lucky enough but it all depends on your insurance. Things that can help get the insurance company to pay for it are to say you’re in great pain. Insist you are very concerned that it is cancerous and that cancer runs in the family. They will try to pay just for a biopsy. Let them biopsy after it's removed.

The one caveat is that it is very difficult to get an insurance company to pay for a plastic surgeon. Chances are you will be stuck using a general surgeon and they aren't going to be your best bet for preserving the ascetics of your chest. I have seen some real botch jobs and that really sucks because the only way to fix that is to get a qualified plastic surgeon and your now back to having to pay for it.

 

[ericahls]

I keep using the word cure because that's the word the doctors use in describing their patients. I don't know if you just want to believe whatever you believe and disregard the clinical proof or if you just don't understand this. There are plenty of people who want to keep their opinions regardless of the facts.

Bro I am not sure if you have had gyno but it sucks. I am not discounting Nolva or Ferma. I use both. Nolva for my PCT and small doses of Ferma during my cycle. There are many factors that cause one to get gyno. Once your gland has been inflamed and begins to grow you are now more susceptible to the other influences. Nolva did work for me. I went 3 years no juice and no lump. It just came back. I am not the only one that this has happened to. Nolva does work and works great to prevent gyno from estrogen sources from starting in the first place. Once however your gland is inflamed especially when there is a noticeable lump like AAP's friend had, then you have it. Nolva may work great for some to really suppress the estrogen related gyno but the slightest influence from another source will cause re-growth.

 

[DIVISION]

AAP, I never got to your post. Sorry
If what you're describing is the onset of fibrosis then it's too late to help him with Nolva. Once the hyperplasia of the duct is replaced with fibrosis he's toast.

That sounds nasty.......fibrious tissue taking over the whole gland.....just the sound of it makes me want to have surgery......

What a nightmare......


DIV

 

[Ulter]

Is there any way to determing if it is fibrosis? I mean, it feels really solid. Not lumpy or putty feeling.

Then it probably is. But the first line treatment should be Nolva anyways. Just to be sure.

 

[ceo]

Bro,

I am truly sorry to hear about what you went through that really sucks. My plastic surgeon told my that he uses a technique where “fat flaps’ are used to contour and shape the chest instead of the gland. Unfortunately many surgeons use pieces of the gland to keep the chest, especially under the nipple region, from sinking in. This is problematic because the gland pieces left behind can still be stimulated and re-grow. I bet that if you ask your surgeon that he will tell you he did just that. Which unfortunately goes back to my original point. The gland is still there and since you obviously have a condition that continues to stimulate the gland you continued to have re-growth.

Using drugs like Nolva and Ferma are great for preventing the onset of gyno but once you get it, you got it especially once it becomes fibrous.

It's not always as easy as that. Here is what your own Dr. Bermant says about possible regrowth of tissue:

Gynecomastia can return. Male breasts can consist of excess fat, gland, and skin. Liposuction and fat sculpture can remove fat cells. However, remaining fat cells can put on more fat.

Using my Dynamic Technique, I target gland first. The problem is that for many men, fingers of gland dissect between fingers of fat. You can see a drawing here showing how gland can extend well into the fat and chest. Even with my technique or radical cancer surgery, shreds of gland can remain behind. These gland remnants are typically inconsequential, but they can regrow. Although it is very uncommon for my patients, breast regrowth can occur.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia and Chest Sculpture

post where he said this:
http://www.expertpcsupport.com/forum/showpost.php?p=4282761&postcount=8

thread where he said this:
http://www.expertpcsupport.com/forum/showthread.php?t=337311&highlight=gynecomastia

I figure you'll listen to him...since you seem to believe that surgery is an absolute cure-all, end-all.

 

[ceo]

you guys that have had the surgery.... did your insurance pay for it?

Yes. Both times. You will most likely have to get a referral from your PCP first. You have to tell the physician that it is painful and causing a great deal of discomfort.
It can't be about how it looks (cosmetic), it has to be that it is painful and every touch or even stretching movements hurt it.

 

[ceo]

Then it probably is. But the first line treatment should be Nolva anyways. Just to be sure.

mine was solid. hard as a rock each time.

 

[DIVISION]

Yes. Both times. You will most likely have to get a referral from your PCP first. You have to tell the physician that it is painful and causing a great deal of discomfort.
It can't be about how it looks (cosmetic), it has to be that it is painful and every touch or even stretching movements hurt it.

I would have to think you are the exception, as most insurance companies would go broke paying for gyno surgery......elective or otherwise. In a realworld scenario I can see someone complaining about the discomfort and pain of the gyno to their doctor all they want, and the insurance company still denying coverage.



DIV

 

[ericahls]

It's not always as easy as that. Here is what your own Dr. Bermant says about possible regrowth of tissue:



post where he said this:
http://www.expertpcsupport.com/forum/showpost.php?p=4282761&postcount=8

thread where he said this:
http://www.expertpcsupport.com/forum/showthread.php?t=337311&highlight=gynecomastia

I figure you'll listen to him...since you seem to believe that surgery is an absolute cure-all, end-all.

Surgery is not an absolute cure all. You’re an example of that. And yes I was informed that it was possible for me to have my gyno return. Now if the possibility exists that my gyno can return with most of my gland removed what do you think the chances are for someone who leaves their gland intact and just treats it with Nolva or Ferma is going to be?

That’s why I said that gyno is a bitch. My point was that throwing Nolva or Ferma at it after the fact will NOT CURE it. At that point surgery will give you a better shot at beating it than Nolva of Ferma will.

Dr. Bermant does point out that his technique does greatly minimize the chances of it returning.

 

[Ulter]

You continue to say that no one is cured by Nolva. Even though there are thousands of men who were cured by Nolva around the world over the last several years. What's wrong with you? Are you pissed that you might not have had to spend the $5000 so you're in denial? In the first study posted up there it resolved the lump for 30 patients. In the second it cured 33 of 37.
No one knows exactly why men get gyno. Or more exactly why some get it and some don't. Beyond genetics.
If you get cancer and beat it there is always a chance you can get it again. That doesn't mean you weren't cured the first time of your cancer.