Nipple pain

So I'm currently on a slow but definite progressive path with TRT.

I'm on 100mg / week of Test C. I split this into two doses.
I'm working with my GP, because during this season of life I'm simply unable to afford Defy.
My GP is very very open to everything I've suggested thus far.
My last checkup he said he would look into HGC and an anti estrogen but as of right now he said I should be okay.

Problem is, the past couple days my nipples have hurt a bit and seem to puff out slightly.
When I grab them there seem to be ball like masses and when I try to foam roll my chest it hurts.

Is this Gyno in the early stages?

Until my i get in to see my doctor again is there something I should be doing?
I can get Clomid, Nolva, and Aromasin in liquid if that would help until i see him??

Thanks guys.

What do you mean when you write "ball-like masses"? Nipple sensitivity in the initial stages of TRT is common and typically indicates higher hormonal levels in your blood. Monitor your estradiol with the sensitive lab test at the six week mark of stable therapy.

By the way, Clomid is never taken with TRT.

Get yourself a test while staying steady with this protocol, use discounted labs if need be. Then make a choice for E management.

How long have you been on the current protocol, 50mg every 3.5 days?

Vince Carter said:

Get yourself a test while staying steady with this protocol, use discounted labs if need be. Then make a choice for E management.

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Okay I'll try that, thanks.

CoastWatcher said:

How long have you been on the current protocol, 50mg every 3.5 days?

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I a week.
before I was on 200mg per month.

And my nipples arent sensitive, when I grab behind my nipple there is a ball like mass that hurts. I would use the word painful instead of sensitive for what they feel like. I cant foam roll my chest due to the pain. Only hurts when grabbed or rolled on though.

Joe Martin said:

I a week.
before I was on 200mg per month.

And my nipples arent sensitive, when I grab behind my nipple there is a ball like mass that hurts. I would use the word painful instead of sensitive for what they feel like. I cant foam roll my chest due to the pain. Only hurts when grabbed or rolled on though.

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I think that that's not a good sign, test sooner rather than later.

Joe Martin said:

I a week.
before I was on 200mg per month.

And my nipples arent sensitive, when I grab behind my nipple there is a ball like mass that hurts. I would use the word painful instead of sensitive for what they feel like. I cant foam roll my chest due to the pain. Only hurts when grabbed or rolled on though.

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What is "I a week." mean?

Sounds like you need a test now. That's pretty much symptoms of gyno.

johndoesmith said:

What is "I a week." mean?

Sounds like you need a test now. That's pretty much symptoms of gyno.

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Sorry, 1 week is the time ive been on this current protocol.

Yeah I'll go ahead and order it.


What exactly should I get tested just to be sure i do the right one?

Joe Martin said:

Sorry, 1 week is the time ive been on this current protocol.

Yeah I'll go ahead and order it.


What exactly should I get tested just to be sure i do the right one?

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Wait, you've been on TRT for only 1 week?

johndoesmith said:

Wait, you've been on TRT for only 1 week?

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200mg per month for 2 months.
100mg per week this last week.

Joe Martin said:

200mg per month for 2 months.
100mg per week this last week.

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Wait what. 200mg per month? Ouch.

Gyno doesn't develop in a week, although it can flare up due to increasing hormones to a normal level. The physical tissue behind the nipples is concerning, because if it was just slight sensitivity, I'd say don't worry about it, but the masses means you gotta get tested.

I am no expert on gyno, so if someone else here has better information, listen to them, but Test, sensitive E2, prolactin, and IGF-1 are what I know can cause gyno.

johndoesmith said:

Wait what. 200mg per month? Ouch.

Gyno doesn't develop in a week, although it can flare up due to increasing hormones to a normal level. The physical tissue behind the nipples is concerning, because if it was just slight sensitivity, I'd say don't worry about it, but the masses means you gotta get tested.

I am no expert on gyno, so if someone else here has better information, listen to them, but Test, sensitive E2, prolactin, and IGF-1 are what I know can cause gyno.

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Yeah, I know, terrible protocol. Took convincing to get the 100mg a week.

Alright, I'll hang around to see if anyone comes by with anything different, otherwise I'll do that

Joe Martin said:

Yeah, I know, terrible protocol. Took convincing to get the 100mg a week.

Alright, I'll hang around to see if anyone comes by with anything different, otherwise I'll do that

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I am hurting just looking at that, 200mg a month. You're a tough dude to live through that lol.

Have you searched this board for gyno info? I've learned a LOT from reading every one of Dr. Sayas posts here.

Your protocols, current and former, don't suggest that gynecomastia should be developing, but what you describe is certainly cause for some concern, certainly not panic. Run your blood work and then see what that tells you.

Joe

Your previous TRT dose made you hypogonadal (low T) so your T to E2 ratio may have been low. Men with low T and relatively high E2 have a higher incidence of gynecomastia. See if your improved TRT dose will help.

CoastWatcher said:

Your protocols, current and former, don't suggest that gynecomastia should be developing, but what you describe is certainly cause for some concern, certainly not panic. Run your blood work and then see what that tells you.

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Agreed, Thank you, as usual for your input! I appreciate you.

Nelson Vergel said:

Joe

Your previous TRT dose made you hypogonadal (low T) so your T to E2 ratio may have been low. Men with low T and relatively high E2 have a higher incidence of gynecomastia. See if your improved TRT dose will help.

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Thanks for chiming in Vince,

I will give this new protocol a few months and hope that my nipples return to normal.
Thank you man.

Joe, sorry to hear about your nipple pain. After starting TRT I finally have some nipples, I really like having them. They are still somewhat on the small side and I have no nipple sensitivity.

Vince said:

Joe, sorry to hear about your nipple pain. After starting TRT I finally have some nipples, I really like having them. They are still somewhat on the small side and I have no nipple sensitivity.

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Really? That's awesome man. I wouldn't mind some growth, just as long as the pain goes away, i'll be a happy camper.