Progesterone:
1)
http://www.endotext.org/male/male14/male14.html
2)
http://cat.inist.fr/?aModele=afficheN&cpsidt=1525645 (sort of, in a round-about way; abstract seems to conclude presence of elevated E and PR receptors contributes to severity of condition)
3)
http://www.springerlink.com/content/235p1612528vk68t/
Now here's the thing. All of the above and every other study I could find (of the few out there) also had estrogen linked in in some manner. Also, some of the above are admittedly tenuous links. But the bottom line seems to be estrogen and progesterone work synergistically when it comes to breast growth. IOW, I agree with you that estrogen is the key... sort of. I have concluded that elevated progesterone itself cannot cause gyno, but it
can (in a round-about way) in the presence of enough estrogen. I don't think you disagree, seeing as how estrogen is still the key, so here's where I'm going with this.
We've been talking about the Tren compounds here; from what I understand they have an incredible binding affinity for the progesterone receptor. My theory: 1 part of the Tren gyno issue is that the tremendous surge in progesterone can trigger gyno in the presence of
normal estrogen levels. You mentioned the breakdwon of SHBG and how it would increase circulating E; this would only serve to exacerbate the problem. So yes, E is the key, but saying progesterone has no role is misleading IMO.
Now on to prolactin. You said this earlier in the thread: "There is no evidence that controlling prolactin will prevent or treat gynecomastia. Many of the issues that are being attributed to prolactin can be explained through other mechanisms."
If this is true please explain why the first 2 links below indicate prolactin
is a growth factor for breast enlargement, while the 3rd and 4th, which provide an overview of the symptoms of clinical prolactinoma, list gynecomastia as a symptom (albeit "uncommonly" on the Mayo Clinic link), and the last 3 all list gyno as a symptom of simple hyperprolactinemia.
Prolactin:
1)
http://www.springerlink.com/content/nn1424748054t0w4/
2)
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1869171
3)
http://neurosurgery.ucla.edu/body.cfm?id=212
4)
http://www.mayoclinic.com/health/prolactinoma/DS00532/DSECTION=symptoms
5)
http://www.vivo.colostate.edu/hbooks/pathphys/endocrine/hypopit/prolactin.html
6)
http://en.wikipedia.org/wiki/Hyperprolactinaemia#Symptoms
7)
http://www.wrongdiagnosis.com/h/hyperprolactinemia/symptoms.htm
Finally, here's a quote from MedicineNet.com by author Dr. Robert Ferry Jr., MD and his Medical Editor, Dr. Ruchi Mathur, MD, FRCP(C).
What is the normal function of prolactin?
"Prolactin
stimulates the breast tissues to enlarge during pregnancy."
I flat-out don't buy the fact the elevated prolactin can't cause gyno. I've run across enough evidence, both anecdotal and not, to not believe otherwise. Perhaps there is a relatiuonship similar to progesterone with E in that eswtrogen is needed in some degree to cause actual breast growth - I don't know. My question from earlier, about whether or not binding the PR receptor could affect prolactin levels, would fit perfectly if it were true. (Tren binding PR = rise in prolactin = part 2 of potential gyno (along with normal E and E+PR issues). Alas, you posted evidence to the contrary - thanks by the way. Now I'm kind of back in the same place I was before: I think prolactin can stimulate gyno (and if not classical gynecomastia in all cases, then certainly nipple discharge, and who wants that either), but I can't explain why prolactin would go up so high on a designer Tren cycle.
I rambled a bit here, hope this all makes sense. Hoping you can respond here, maybe there's something I'm missing.