That's pretty much what I thought I just wanted to ask and learn as much as I can. However, in my case I'm probably going to go with Letro because my gyno issues are from puberty and from what I've read exemestane and other suicidal AIs don't do anything to deal with existing gyno. Just preventing future estrogen conversion. Or am I wrong?
In that case, yes go with Letro, I thought that you were talking about lowering Estradiol be cause of libido problems.
For anti-gyno cycle I would run this:
Letrozole: start from 0.25-0.5 mgs and taper dose slowly up to 2-2.5 mgs and keep it there until your gyno is gone. Letro has pretty long half life, but I would still take it ED at least until you get to 2-2.5 mgs, then you can switch to EOD dosing.
Nolva: 20 mgs ED. Stop it at the same time with Letro.
Exemestane: start this few days before you drop Letro and Nolva to keep Estrogen rebound from them in control. Run it at 12.5 mgs EOD/E3D for 3-4 weeks. You can also run Formestane instead if you want.
You will also feel a lot better and have at least some libido while on Letro if you add Hcgenerate ES and Unleashed, Letro extremely strong and IME makes you feel like crap. N2Guard wouldn't be a bad addition either since Letro can be pretty harsh.
I excluded Caber/Prami, since Prolactin doesn't seem to have anything to do with your gyno problem. However, I suggest that you run bloods before beginning to treat your gyno, just to make sure that everything has been taken in to consideration.
Good luck bro, and feel free to PM me if you need more information, and I'll do my best to help out.