Help - Severe gynecomastia

[FRUSTRATED]

Severe gynecomastia --> since age 12

Age 18 --> lost about 50 pounds, gynecomastia still present and also suddenly lost about 50% of pubic hair

Freaking out I went to an endocrinologist who ran every thing there is to run including a PCR (normal XY), full hormone panel- all returned normal and I was discharged. She basically dismissed everything I said.

7 years later, nothing has changed and I decided to repeat labs on my own. I got the following results:

LH 2.76 (0.57-12.07 mIU/ml)
FSH: 1.19 (1.37-13.588 mIU/ml)
Estradiol: 34 (11-44 pg/ml)
Progesterone: 0.3 (<0.1-0.2 ng/ml)
Testosterone, Total: 5.29 (1.56-8.77 ng/ml)
Testosterone, Free: 14.74 (8.80-27.00 pg/ml)

I have many, many other symptoms of low T.

How can I have CLEAR hypogonadism and yet normal testosterone?

Can I do anything to lower progesterone since that may be the cause of the problem?

Suggestions? By the way, still awaiting new Prolactin and Cortisol.

 

[duramax600]

I think it is said 80% of males have a form of this. (just do a google search on it).
of course they would dismiss your thoughts of low t. Based on the results its not low. Estrogen is a little high but within range. If is just fat maybe it will go away if you lose more weight maybe not. It could be in a spot that no matter what weight you lose it will always be there. In that case surgery. If it is hard lump you could try some letrozol or surgery.
Progesterone canbe the cause it is also said igf- 1, LH, prolactin, can do it also. you coudmaybe try some arimdex talk to your doc about it. That could be giving you the low t symptons.

 

[FRUSTRATED]

@Millard I am asking admin to delete this post please. It is my post but I dont see an option to delete it.

 

[RekTest]

@Millard I am asking admin to delete this post please. It is my post but I dont see an option to delete it.

Why did you bump this you baboon lol it was already deqd.
Here i helpop you hit the report on the first post and write op delete request
Millard issss nuce to us he’ll delete for youu )))))))))))))))))))))))))))))))))))))))))))))))))))

 

[Johnny1392]

Hi. I’m a beginner. I have a question, my thigh hurts where I gave myself my first testosterone e (300mg/week in 2 shots) injection. What was the problem?

 

[Ghoul]

Hi. I’m a beginner. I have a question, my thigh hurts where I gave myself my first testosterone e (300mg/week in 2 shots) injection. What was the problem?

Injecting in the most painful location.

 

[Johnny1392]

Injecting in the painful location.

Thank you. Where should I take it?

 

[Ghoul]

Thank you. Where should I take it?

Delts or glutes, imo. I prefer the former with a .5" syringe.

 

[Johnny1392]

Delts or glutes, imo. I prefer the former with a .5" syringe.

Thanks

 

[AJF]

Delts or glutes, imo. I prefer the former with a .5" syringe.

My urologist wants a 22g x 1 injection in the thigh, but from what I’ve read on MESO, there’s no real benefit over using a smaller gauge in the delts. Do you use a 27g with your .5” needle? I wonder why these doctors don’t just go for the delts?!

I’m also struggling to get my TRT covered by insurance, which is how I ended up here in the first place. Finding a knowledgeable and supportive doctor has been a challenge… l’m about ready to give up on the doctors/insurance route altogether and just handle this myself. I appreciate all the information you and others provide here.

 

[Ghoul]

My urologist wants a 22g x 1 injection in the thigh, but from what I’ve read on MESO, there’s no real benefit over using a smaller gauge in the delts. Do you use a 27g with your .5” needle? I wonder why these doctors don’t just go for the delts?!

I’m also struggling to get my TRT covered by insurance, which is how I ended up here in the first place. Finding a knowledgeable and supportive doctor has been a challenge… l’m about ready to give up on the doctors/insurance route altogether and just handle this myself. I appreciate all the information you and others provide here.

Because it's not his thigh, or his pain.

No need for them to update from the 1960's standard he was taught during the 30 minutes spent on TRT in med school.

You can manage this yourself.

If you're going to pay out of pocket may as well use a men's clinic.

If not, then just get some quality test-cyp, good BD syringes, and handle your own blood tests using something like ultalabtests and the info here. You can even post the results and very experienced members can interpret them for you.

Tuck away a vial of prescribed test (even empty) to make international travel easier if necessary.

 

[AJF]

Because it's not his thigh, or his pain.

No need for them to update from the 1960's standard he was taught during the 30 minutes spent on TRT in med school.

You can manage this yourself.

If you're going to pay out of pocket may as well use a men's clinic.

If not, then just get some quality test-cyp, good BD syringes, and handle your own blood tests using something like ultalabtests and the info here. You can even post the results and very experienced members can interpret them for you.

Tuck away a vial of prescribed test (even empty) to make international travel easier if necessary.

I will do that. Thank you!

 

[bubba618]

My urologist wants a 22g x 1 injection in the thigh, but from what I’ve read on MESO, there’s no real benefit over using a smaller gauge in the delts. Do you use a 27g with your .5” needle? I wonder why these doctors don’t just go for the delts?!

I’m also struggling to get my TRT covered by insurance, which is how I ended up here in the first place. Finding a knowledgeable and supportive doctor has been a challenge… l’m about ready to give up on the doctors/insurance route altogether and just handle this myself. I appreciate all the information you and others provide here.

You should be able to crash your own testosterone levels to the point that insurance should cover you. It'll suck, but once you get the Dx of hypogonadism and your Rx for testosterone enanthate/cypionate, you'll be on your way. Even if you end up taking care of things yourself, having a script on hand can be invaluable.

 

[17SS]

My urologist wants a 22g x 1 injection in the thigh, but from what I’ve read on MESO, there’s no real benefit over using a smaller gauge in the delts. Do you use a 27g with your .5” needle? I wonder why these doctors don’t just go for the delts?!

I’m also struggling to get my TRT covered by insurance, which is how I ended up here in the first place. Finding a knowledgeable and supportive doctor has been a challenge… l’m about ready to give up on the doctors/insurance route altogether and just handle this myself. I appreciate all the information you and others provide here.

My PCP initially wrote my script but had the dosing at 100mg every 2 weeks. On the follow up he refused to adjust or raise the dosing so I went with a HRT clinic. The cost is about the same if you use a high deductible plan and find the right clinic. I just use my HSA to cover it.

For the syringes you can use a 31 gauge insulin syringe. If you put 1mL in there, it’s going to be aggravating to push in but leaves minimal marks.

 

[AJF]

My PCP initially wrote my script but had the dosing at 100mg every 2 weeks. On the follow up he refused to adjust or raise the dosing so I went with a HRT clinic. The cost is about the same if you use a high deductible plan and find the right clinic. I just use my HSA to cover it.

For the syringes you can use a 31 gauge insulin syringe. If you put 1mL in there, it’s going to be aggravating to push in but leaves minimal marks.

Are you using an online HRT? I worked with Fountain for a short time, but they got expensive fast. Somewhere in the range of 200-300 a month with HCG.

Going through insurance will cost me $10 for each vial of test cypionate. I am still pursuing the insurance route just to have a valid prescription, but have already given up on the idea that my doctor will get me to the levels I want to be at. Based on recommendations of others in the group, I already purchased a nice stash to keep me pinning.

 

[17SS]

Are you using an online HRT? I worked with Fountain for a short time, but they got expensive fast. Somewhere in the range of 200-300 a month with HCG.

Going through insurance will cost me $10 for each vial of test cypionate. I am still pursuing the insurance route just to have a valid prescription, but have already given up on the idea that my doctor will get me to the levels I want to be at. Based on recommendations of others in the group, I already purchased a nice stash to keep me pinning.

Helix HRT in Las Vegas. Give them a call and run the numbers. They can go up to 400mg/week.

 

[TurboJet]

Who would bump their own thread that's over 10 years old with one reply wanting it deleted????

 

[TurboJet]

8 years since OPs last post and this one....

It's like hunting over bait lol

 

[cyzygy]

You should be able to crash your own testosterone levels to the point that insurance should cover you. It'll suck, but once you get the Dx of hypogonadism and your Rx for testosterone enanthate/cypionate, you'll be on your way. Even if you end up taking care of things yourself, having a script on hand can be invaluable.

How does one crash their levels?

 

[bubba618]

How does one crash their levels?

Easiest way is to run exogenous testosterone for a few weeks and stop. That should suppress endogenous testosterone production, and you just wait for the exogenous testosterone to leave your system - shorter esters are better for this.

Two weeks of test prop 50mg EOD followed by 2-3 weeks of cold turkey should have you below the clinical threshold for a diagnosis of hypogonadism and a prescription for TRT.