Commence TRT before/after Gyno Surgery?

[JetBlack]

Hey Guys!

I had gyno 10 years ago due to shady nutritional supplements. I'm having the surgery February 2021. As I understand, one of the main risk factors of the surgery is permanent loss of sensation/sensitivity of the nipples and chest area. Nipple sensitivity is one of the primary indicators of elevated E2.

Would this loss of sensation be a roadblock in managing E2 during TRT? Can E2 be dialed in through bloodwork before experiencing any gyno growth assuming TRT is administered by credible providers such as Dr. Saya?

I would like to do everything in my power to not have to relive the gyno experience again in my life.

 

[Vince]

This information is from Nelson.


Most cases of gyno are not related to estradiol but low T in the presence of high IGF-1 (plus genetic predisposition). Tamoxifen may be effective since it lowers IGF-1 and estradiol. But it may not work in advanced cases of gyno.

Empower Pharmacy created a tamoxifen nipple cream. You may want to talk to your doctor about it.

Tamoxifen (Nolvadex) Nipple Cream for Gynecomastia Now Available at Empower Pharmacy

 

[Vince]

Gynecomastia Evaluation and Treatment: EAA clinical practice guidelines - Excel Male TRT Forum

ABSTRACT Background Gynecomastia (GM) is a benign proliferation of the glandular tissue of the breast in men. It is a frequent condition with a reported prevalence of 32–65%, depending on the age and the criteria used for definition. GM of infancy and puberty are common, benign conditions...

www.excelmale.com

 

[S1W]

Hey Guys!

I had gyno 10 years ago due to shady nutritional supplements. I'm having the surgery February 2021. As I understand, one of the main risk factors of the surgery is permanent loss of sensation/sensitivity of the nipples and chest area. Nipple sensitivity is one of the primary indicators of elevated E2.

Would this loss of sensation be a roadblock in managing E2 during TRT? Can E2 be dialed in through bloodwork before experiencing any gyno growth assuming TRT is administered by credible providers such as Dr. Saya?

I would like to do everything in my power to not have to relive the gyno experience again in my life.

That's a tough one. And in the end, I don't think it really matters much. However, if I had to pick, I would do the surgery well after I had been on TRT for some time.

You will not have a complete loss of sensation in the nipple area - at least I do not. I can still feel general "weirdness" in the area when things are off hormonally and can also feel it if I run my finger over the nipple. Also, you can have gyno growth in the general breast area, not just the little lump under the nipple.

If it is true TRT you are seeking, you should use very moderate doses, and therefore you should not run into any extreme E2 issues. And yes, bloodwork is 100% the diagnostic that should be used to evaluate and manage E2, not nipple sensitivity.