Mustang I'd like to know how does your insurance determine that is was puberty gyno so they will cover it? I'm asking because I have had puberty gyno my whole life and would love to get it taken care of but would like to know how do they determine it is indeed puberty gyno, and not gyno had by using gear? I want to get the surgery done, but don't know how to proceed. Thank you for any info and good luck on your recovery!