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gyno surgery question

calveless wonder

New member
Has anyone here had severe gyno and had the surgery? if so how did it come out?

Mine is pretty bad from puberty and my cycles havent helped

It seems mostly glandular.... however it seems like a pretty big gland. it peaks at the nipple(the hardest most solid part) and extends and spreads kind of like fingers around my pec (towards my armpit) and to about an inch and a half above my nipple. The areas not directly around the nipple are not as solid or thick as the nipple itself but they still don't feel like normal muscle or fat tissue.

Has anyone had similar gyno and were they able to remove all the gland?
i'm having the procedure done soon but i'd like to know realistically what to expect.
 
try tamoxifen (Nolvadex) therapy first.
Tamoxifen 20 mgs. t.i.d., p.o. (every 6-7 hours). Continue this for up to 3-4 months. After symptoms have subsided (could be as early as 4 weeks), you can go to 40 mgs daily in divided doses every 6-7 hours.

If you don't see any reduction with this after 2 months then I would look into surgery.

If you have any more Q's, let me know.
 
ceo said:
try tamoxifen (Nolvadex) therapy first.
Tamoxifen 20 mgs. t.i.d., p.o. (every 6-7 hours). Continue this for up to 3-4 months. After symptoms have subsided (could be as early as 4 weeks), you can go to 40 mgs daily in divided doses every 6-7 hours.

If you don't see any reduction with this after 2 months then I would look into surgery.

If you have any more Q's, let me know.


i did just what u said in one post u made a looooong time ago and it totally worked


i owe u big time
;)
 
tiger88 said:
i did just what u said in one post u made a looooong time ago and it totally worked


i owe u big time
;)


My thanks to CEO as well! Several cycles ago i developed a gyno lump which he described in several PM's how to attack it. I did follow his advice and two months later no lump at all. Without his knowledge and help i would have been through surgery im sure by now. Since than i have helped and directed several bros on here to CEO for guidance. Before CEO open posted his battle with gyno everyone on here preached once you have the lump the ONLY option is surgery. Now more people are learning the LAST option should be surgery! My thanks.
 
ya me as well


i did my first cycle and i had well post cylce went bad (bunk clomid i think...:(


took nolvadex justas he said and BING NO little lump and the tab of puffyness was gone :D
 
Ive had the surgery twice, cant telll... make sure you get a doc that knows what he's doing, the first doc wanted to cut a 4 inch gash under each of my pecs and pull it out, what a f'n ass! ... The second doc was an actual plastic surgeon, cut 1/2 circle around the nipple cant even tell.... now that i see nolva can help.... im gonna give that a try. Best of luck.
 
I would try to use Liquidex and then use Bromo in my opinion. I had the same thing when I was younger and it satyed with me for awhile. I had the surgery, but it comes back on the other side from time to time. Once I used the Arimidex and then the Brom, it was instantly gone.

Also, I have a small indent under the right nipple from the surgery. You can't notice unless you flex your chest. If at possible try to spend some money and try these other things first,as they do work.

I know some people say Bromo wprks for things like Fina only, but if you have had it since puberty, like I did, it may work well for you. PM me and I will give you more info. if you need.

Surgery works, but it sucks for the first few days.

Just my opinion.

Macster
 
Tamoxifen treatment for pubertal gynecomastia.

Derman O, Kanbur NO, Kutluk T.

Section of Adolescent Medicine, Department of Pediatrics, Hacettepe University Faculty of Medicine, 06100 Ankara-Turkey. [email protected]

We evaluated the efficacy of the tamoxifen treatment in 37 patients with pubertal gynecomastia. All had distinct, easily palpable breast swellings with a diameter of over three cm. Pain, tenderness, and swelling associated with gynecomastia were reported by six patients. Eight of the patients were obese. One patient also suffered from varicocele. Pain and size reduction was seen in all patients with tamoxifen treatment. No long-term side effects of tamoxifen were observed. The dose of tamoxifen was increased in three patients due to poor response. Two of the treatment group had recurrence problem at follow-up. We did not need to refer any patient to surgery. Tamoxifen treatment is relatively non-toxic, may be beneficial and we think it should be considered for pubertal gynecomastia.

PMID: 14719418 [PubMed - indexed for MEDLINE]
 
tiger88 and bigmk, Im glad I could help you guys, and more importantly Im glad to hear your treatment of the gynecomastia was successful!

I have also had 2 surgeries bigtom. Twice on the left breast. It came back again a third time and I went the tamoxifen route and have had no recurrence of gynecomastia since (and it has been over a year since the last time).
 
ceo said:
Tamoxifen treatment for pubertal gynecomastia.

Derman O, Kanbur NO, Kutluk T.

Section of Adolescent Medicine, Department of Pediatrics, Hacettepe University Faculty of Medicine, 06100 Ankara-Turkey. [email protected]

We evaluated the efficacy of the tamoxifen treatment in 37 patients with pubertal gynecomastia. All had distinct, easily palpable breast swellings with a diameter of over three cm. Pain, tenderness, and swelling associated with gynecomastia were reported by six patients. Eight of the patients were obese. One patient also suffered from varicocele. Pain and size reduction was seen in all patients with tamoxifen treatment. No long-term side effects of tamoxifen were observed. The dose of tamoxifen was increased in three patients due to poor response. Two of the treatment group had recurrence problem at follow-up. We did not need to refer any patient to surgery. Tamoxifen treatment is relatively non-toxic, may be beneficial and we think it should be considered for pubertal gynecomastia.

PMID: 14719418 [PubMed - indexed for MEDLINE]



is there anywhere I can find that full study? i can only find the abstract and
not the full text.


I get the feeling the study was done on patients while they were still going through puberty and gyno was still developing. I'm talking about gyno that never went away and puberty is over.
 
Last edited:
DrBermant said:
Gynecomastia surgery can help when gland and fat will not go away with conservative treatment. Even a small amount of gland can really disturb the cut look in a bodybulider. Bigger collections of fat and gland can distort the chest more..

The gland mainly collects under the nipple but can spread finger like through the fat. No surgery removes all gland. Even radical mastectomy used in male breast cancer surgery leaves some gland behind. Remaining gland can regrow. Remaining fat cells can put on more fat. Surgery does not stop breast regrowth.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia


didn't know you posted here Dr bermant :)

I've seen your site before.

I do realize that some gland is left (as to not indent the nipple) but can all the gland that is causing the distortion be removed?
 
ChewYxRage said:
is there anywhere I can find that full study? i can only find the abstract and
not the full text.


I get the feeling the study was done on patients while they were still going through puberty and gyno was still developing. I'm talking about gyno that never went away and puberty is over.
 
I found only the abstract online. However, I have found other abstracts as well. The point is it is effective...but not for everyone. You may be one of those that require surgery. In either case, having had a small gynecomastia lump myself from puberty that enlarged around the age of 20, I had it removed. About 3 years later it grew back, and I had it removed again. About 4 years after that it grew back again and I went the tamoxifen route...I have been lump free and pain free since with no recurrence even after having been off tamoxifen for many months.
 
ceo said:
try tamoxifen (Nolvadex) therapy first.
Tamoxifen 20 mgs. t.i.d., p.o. (every 6-7 hours). Continue this for up to 3-4 months. After symptoms have subsided (could be as early as 4 weeks), you can go to 40 mgs daily in divided doses every 6-7 hours.

If you don't see any reduction with this after 2 months then I would look into surgery.

If you have any more Q's, let me know.
What does t.i.d and p.o mean? Sorry Im still tryin to pick up on the acronyms.
 
ceo said:
try tamoxifen (Nolvadex) therapy first.
Tamoxifen 20 mgs. t.i.d., p.o. (every 6-7 hours). Continue this for up to 3-4 months. After symptoms have subsided (could be as early as 4 weeks), you can go to 40 mgs daily in divided doses every 6-7 hours.

If you don't see any reduction with this after 2 months then I would look into surgery.

If you have any more Q's, let me know.

what kind of symptoms are we talking about?
is Tamoxifen a controled substance?
what does t.i.d., p.o. mean?
are u saying 20mg per day divided in tree times a day or 20mg tree times a day making it 60 mg per day? sorry mi english is a little ruf
would u happened to know how to ask for it in Mexico(im mexican)?

thanx for all the help
 
Last edited:
rom_mem said:
what kind of symptoms are we talking about?
is Tamoxifen a controled substance?
what does t.i.d., p.o. mean?
are u saying 20mg per day divided in tree times a day or 20mg tree times a day making it 60 mg per day? sorry mi english is a little ruf
would u happened to know how to ask for it in Mexico(im mexican)?

thanx for all the help

as the good Dr. Bermant has already explained what t.i.d. and p.o. are, I will address the other Q's.

off the top of my head Id say tamoxifen is probably a schedule IV or V drug. It is a prescription medicine. But, if you're in Mexico you shouldn't have to worry about a prescription.

Im saying a total of 60mg a day (20mg three times a day).

in Mexico the generic is tamoxifeno. it is fairly inexpensive. there is a popular Mexican generics company (Victory Enterprises) that makes a 10mg pill available in bottles of 50 or 100 (white bottle/label with dark green writing) they call it "Tamoxate".

good luck.
 
ceo said:
as the good Dr. Bermant has already explained what t.i.d. and p.o. are, I will address the other Q's.

off the top of my head Id say tamoxifen is probably a schedule IV or V drug. It is a prescription medicine. But, if you're in Mexico you shouldn't have to worry about a prescription.

Im saying a total of 60mg a day (20mg three times a day).

in Mexico the generic is tamoxifeno. it is fairly inexpensive. there is a popular Mexican generics company (Victory Enterprises) that makes a 10mg pill available in bottles of 50 or 100 (white bottle/label with dark green writing) they call it "Tamoxate".

good luck.


:) u r the MAN thanx for the info
 
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ceo said:
as the good Dr. Bermant has already explained what t.i.d. and p.o. are, I will address the other Q's.

off the top of my head Id say tamoxifen is probably a schedule IV or V drug. It is a prescription medicine. But, if you're in Mexico you shouldn't have to worry about a prescription.

Im saying a total of 60mg a day (20mg three times a day).

in Mexico the generic is tamoxifeno. it is fairly inexpensive. there is a popular Mexican generics company (Victory Enterprises) that makes a 10mg pill available in bottles of 50 or 100 (white bottle/label with dark green writing) they call it "Tamoxate".

good luck.

just bout it, asked for Tamoxate didnt have it asked for the active ingredient tamoxifeno, and they gave me Nolvadex thanx for all the help
 
Wouldn't something that existed since puberty be an actual lump and not just swelling? I can't see how tamoxifen would help break up a lump. I mean prevent one, but actually break one up?

There was a post in the past about a gyno killer cycle that involved injecting something (??) directly into the lump.
 
AAP said:
Wouldn't something that existed since puberty be an actual lump and not just swelling? I can't see how tamoxifen would help break up a lump. I mean prevent one, but actually break one up?

There was a post in the past about a gyno killer cycle that involved injecting something (??) directly into the lump.



i kinda do remember that

shit me not but was predinsone (anti inflammtory steroid) ?

is that even an injectable ?

also so posts here about some type of gyno gel cream also
 
AAP said:
Wouldn't something that existed since puberty be an actual lump and not just swelling? I can't see how tamoxifen would help break up a lump. I mean prevent one, but actually break one up?

There was a post in the past about a gyno killer cycle that involved injecting something (??) directly into the lump.

Gynecomastia is a lump. Look at the links to Dr. Bermant's site. Tamoxifen may reduce the lump and prevent further growth.
 
that site, while EXTREMELY informative is a bit cluttered and difficult to navigate. I didn't / couldn't find the part about nolva doing that.
 
AAP said:
that site, while EXTREMELY informative is a bit cluttered and difficult to navigate. I didn't / couldn't find the part about nolva doing that.

sorry, I didnt mean to suggest that his site had info about tamoxifen treatments for gynecomastia. I just referred to it for the "lump" part of your post (there are pics of removed "lumps").

As Dr. Bermant has said, being a plastic surgeon, he is cutting into people. He sees the cases where tamoxifen didnt work completely. He's where the physician would send you if the tamoxifen didnt work.
 
will nolvadex hinder the effects of a var/masteron cycle? I ran out of nolva and the puffyness is returning to my nips, I didn't treat it long enough, but the nolva was definately taking care of it.
 
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its commonly believed that tamoxifen will limit gains to a certain degree (I have no proof for or against that theory), but I have found that even "10 mgs a day helps keep the gyno away". And, I am very prone to gyno.

Of course that was without pre-existing gyno (thanks to tamoxifen).

So, while it may limit gains to some degree, I think you'll still gain...and you wont have those nice female breasts...or would that be a bad thing?

I'd stay on the tamoxifen, at least 10-20mgs/day.
 
eviction said:
will nolvadex hinder the effects of a var/masteron cycle? I ran out of nolva and the puffyness is returning to my nips, I didn't treat it long enough, but the nolva was definately taking care of it.



it was taking care of the gyno you had from puberty?

or new gyno you got while on cycle?
 
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ChewYxRage said:
it was taking care of the gyno you had from puberty?

or new gyno you got while on cycle?

old gyno, but 2 months after my last cycle my right nipple started swelling again, so i got the nolva for it. getting more asap to finish the job
 
I am going in for my second surgery in a few weeks from now. It works, but dont think it wont come back because it can!!! I learned the hard way!!
 
eviction said:
old gyno, but 2 months after my last cycle my right nipple started swelling again, so i got the nolva for it. getting more asap to finish the job


sorry, what I meant was, was the nolva helping with the gyno you got from puberty at all? or just the "new" gyno from your cycle?
 
DrBermant said:
Gynecomastia surgery does not prevent regrowth of gland or breast size increase from weight gain.

Secondary gynecomastia chest sculpture can sometimes help. It depends on the original problem, what was done, and how the patient healed. Good primary surgery and prevention are often better choices than relying on secondary sculpture.

Sometimes a crater deformity can be so extensive, that I know of no reasonable reconstructive options that would look good at rest and on animation. At other times there are enough adjacent tissues for a chest sculpture. Such issues are best explored during an in office evaluation with a doctor skilled in revision gynecomastia surgery.

Hope this helps,

Michael Bermant, MD
Gynecomastia and Chest Sculpture

I went to a general surgeon the last time and he told me it would not come back,,, lol,,, wrong!!! Going to a plastic surgeon this time and I have it scheduled for the 21st of next month. He is going to remove the mass and perform lipo. I had no lipo the last time..
 
ChewYxRage said:
sorry, what I meant was, was the nolva helping with the gyno you got from puberty at all? or just the "new" gyno from your cycle?

it was helping everything. The puffiness was almost nonexistent the day i ran out. gotta hurry up and get more :P
 
ceo said:
try tamoxifen (Nolvadex) therapy first.
Tamoxifen 20 mgs. t.i.d., p.o. (every 6-7 hours). Continue this for up to 3-4 months. After symptoms have subsided (could be as early as 4 weeks), you can go to 40 mgs daily in divided doses every 6-7 hours.

If you don't see any reduction with this after 2 months then I would look into surgery.

If you have any more Q's, let me know.

can you illucidate t.i.d , p.o.

thx
 
gamorrah said:
can you illucidate t.i.d , p.o.

thx
t.i.d. = three times per day
p.o. = by mouth

So basically he's telling you to take 60mg per day split into 3 doses until the symptoms subside and then take 40mg per day for the remainder of the 3 to 4 months.
 
I think that ive had gyno since puberty but i only have the pain in my right side not my left but there is unwanted size in both and in the right its not that painful unless i really really push on it, i have an appointment to meet with a plastic surgeon next week about liposuction so could i go that way along with nolvadex after lipo., because there is no pain in my left at all and very little in my right and no itching but the nipps are puffed. Just wanted to throw that idea out there because 5000 for gyno surgery is to expensive for me right now, and when i get a pump its not noticable so i was hoping to try that route for a while. Lipo plus nolva and maybe some winny with Y ES from af store could this help, any feedback much appreciated.
 
Gents what about using arimadex instead of Nolvadex?

Would the results be the same? Since arimadex is (from what I understand - I may be mistaken) a more effective anti-E with fewer sides, might this be better?

Nuk
 
flyin j said:
I think that ive had gyno since puberty but i only have the pain in my right side not my left but there is unwanted size in both and in the right its not that painful unless i really really push on it, i have an appointment to meet with a plastic surgeon next week about liposuction so could i go that way along with nolvadex after lipo., because there is no pain in my left at all and very little in my right and no itching but the nipps are puffed. Just wanted to throw that idea out there because 5000 for gyno surgery is to expensive for me right now, and when i get a pump its not noticable so i was hoping to try that route for a while. Lipo plus nolva and maybe some winny with Y ES from af store could this help, any feedback much appreciated.

See what tamoxifen would do first.
 
nukdae said:
Gents what about using arimadex instead of Nolvadex?

Would the results be the same? Since arimadex is (from what I understand - I may be mistaken) a more effective anti-E with fewer sides, might this be better?

Nuk

First off, is it existing gyno or are you wanting to use something to prevent the occurrence of gyno?
If it is already existing, then use Nolvadex (tamoxifen), as I have outlined.
Also, Nolvadex is cheaper.
 
FreakMonster said:
Ok I have a nice sized hard nugget in my chest. Do you think 60 mgs of nolva per day will make that go away?


Definitely worth a try before you try the surgery route. Wouldn't you agree?
 
how did the starting dose come up to be 60 mg ed for a few weeks.. would 80 mg ed be worth it? or is 60 mg is about high as you want go using nolvadex. ?
 
tiger88 said:
i kinda do remember that

shit me not but was predinsone (anti inflammtory steroid) ?

is that even an injectable ?

also so posts here about some type of gyno gel cream also

I remember that treatement from a few years back, I think it was posted on the now-defunct Underground. It involved site injection of (gimmee a minute)........methyprednisolone acetate. Find the center of the fibrous mass, pump in a cc or so of this aqueous suspension into the lump, and make sure you've got a bullet handy to bite on. (FU@#$@* OUCH!) :lightning I did it, it worked well and no surgery was required.
The trade name was Depo-Medrol (40 mg/ml) made by Upjohn Belguim.
 
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