Gyno Surgery

fadi

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This topic of interest to some, so I figured I would share.

Cause and background
I got my Gyno from Propecia about 6 years ago. I first noticed a small pea size lump under my right nipple. I discontinued Propecia and started taking Nolva which kept it at bay but did not reduce it. I was not working out at the time and was not on anything but had done cycles before with no problems.

It grew at a very slow rate over the years that I was not realizing it getting bigger. I start noticing it more and more about 2 years ago. I was back in the gym by then. I tried the Letro protocol and that managed to bring it down in size drastically and was very happy with the results, but still had puffy nipples. It went back to grow afterwards.

DAA had the most impact on the size and it doubled in size within two weeks or so from using DAA. It impacted me more than the two cycles I did in the past 3 years. At that point it was probably the size of flattened golf ball in both sides and puffy nipples. I also gained weight during that time and afterwards. Second cycle of Letro had no impact on size what so ever. I tried different RC products, no effect.

It was bothering me so much that I would not take my shirt off and I lost interest in going to the gym because of it and stopped all together about 5 months ago. I gained more fat of course and lost my size.

The Diagnostics
I decided to undergo a surgery since nothing else was working and I spent a lot of money trying surgery alternatives. I decided to go with experience over price. The doctor I went with is both Harvard and Yale graduate as well as an instructor at Harvard. He is in his late 40s or early 50s so that really impressed me. Not to mention he looks and behaves like Dr House, which was funny.

There is a large lump, so no doubt about it being gyno and gland tissue in case someone is wondering. He said he will perform lipo to take out the fat and he uses the same process they use for knee surgery to cut out and shape the gland rather than cut under the nipple which he thinks is excessive. This sounded really weird because everyone else had cut under the nipple to go in and remove the gland and one of the reasons I held out for so long.

I asked if he would take out the entire gland. He said he will not take the entire gland out because some gland is needed to keep the breast shape. Otherwise there will be a crater under the nipple with nothing to support the shape. I asked more about it and the chances of it coming back and he said he only had it reoccur once before and went back in and fixed it.

He does not use compression vest. He tapes it, which also was odd from what I've read in other procedures.

The Surgery

The cost was around $6,000. $1400 for the hospital, $1000 for the anesthesiologist, and the rest is his fee. The operation was done at a hospital. The procedure was 13 days ago.

7:00 am: I arrived for preps at the hospital where they took blood work, vitals, and preps
9:00 am: Doctor showed up for the procedure and drew lines on my chest like a topography map
9:15 am: I went to the operating room. The anesthesia burned like hell when it was being injected but knocked me out in seconds
2:30 pm: I woke up in recovery room. I had this massive 2" padding wrapped around my chest. It was made of cotton on top of foam taped to my body using very thick rubber tape right on the skin. It looked like a vest. Throat hurts from the breathing tube which lasted a day
4:00 pm: left the hospital, had someone pick me up

The Recovery
The first few days were very annoying. Dull pain, chest was sore and was difficult to get in and out of bed or stand up from sitting position. It felt as if something was pulling down on my chest skin and some discomfort. No pain meds were needed. The discomfort started going away few days later.

The most annoying thing was the padding. After 4 or 5 days, I removed some of the cotton padding to reduce the bulkiness. Few days later removed all the cotton padding and cut the top of the wrapping to reduce its size. Kept the foam since I could not remove. Due to the rubber tape, I felt I was having a rash under it. I used baby powder to sooth the itching under the padding/tape. The padding at this point was from mid chest point to mid abs so I could move my arms around fine. Some itching around breast areas.

The full padding was very noticeable under my shirt until I removed the cotton padding. I work from home so I did not have to explain anything to anyone and told family that I had bruised my ribs so I had to use protection.

The most annoying thing was not being able to take a bath. I had to take sponge bath and wash my hair in the sink using towels.

2 Weeks later
Today is 13 days post op to be exact. I went in and they took the tape and padding off. I am extremely impressed with the results:

I still have swelling in the upper chest and under armpits that was not taped and very flat where I was taped so you can tell at the moment. The swelling should go away in the next week or two. I cannot tell where he went in. I see a small dot under left breast, small wound that looks like I scratched myself against something mid right side of my body. No cut under the nipple, no stitches what so ever. I assume that is where he went in from.

Nipples are back to normal size. My chest is very flat now from being taped for 2 weeks, and I'm sure the months of not training had its toll.

I feel some hard tissue under the right nipple, less undeI am very excited to get back into the gym for the first time in months.r left side. I suspect it is scar tissue at this point. Much harder than the gland tissue. I will ask the doctor in my follow up next week, but I read people report scar tissue after surgery. Visually, no sign of gyno or puffiness. Back to normal. The area is very numb right now which is annoying but sensation should come back soon.

No lifting, or any activity that would elevate the heart rate for at least another 3 weeks to avoid internal bleeding which is not a problem.
 

rphash49

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Thanks for the post. Good info!

To all the newbs: it's a fact that if you use ph/ds/ass at some point you will probably get it.

Only thing that reduces my gyno is letro. But that only reduces the size and doesn't get rid of it.
 
reps4jesus

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Thanks for the post. Good info!

To all the newbs: it's a fact that if you use ph/ds/ass at some point you will probably get it.
Not to the point you need surgery.
 
reps4jesus

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It's possible. Those that know what they are doing and take the proper precautions minimize the chance but it's still possible.
Correct. But not telling newbs hey if your gonna do steroids your prob gonna get a DD set of tits. Lmao
 

rphash49

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Correct. But not telling newbs hey if your gonna do steroids your prob gonna get a DD set of tits. Lmao
Tell that to the OP. This is a thread every newb should read before they roll the dice and use.

Go back and read my first post. I did not say you will get gyno(or DD) as a certainty. I said if you do use these substances at some point it is "probable" that you will. That is a fact

If you ask the experianced users on here that have been cycling for 5+ years I would guess 80%+ of them have probably had to deal with some level of gyno or gyno symptom.
 
StanleyG

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Great Post. Its so important people read this and realize there are different causes for gyno. It is a side effect of dht inhibitor as they shift the androgen/estrogen ratio to an unfavorable ratio. Gyno is caused most often by excess e2 (and its almost impossible to get it without elevated e2 in most cases) or it is caused by an unfavorable androgen/estrogen ratio...as in this case. Both can be prevented if proper precautions are taken.
For gyno treatment as a last resort pre surgery I recommend raloxifene. It is the most effective and prudent gyno treatment available.
OP best of luck in your recovery. Please keep us posted as to how all heals and sets and how the appearance is in a couple months.
 
reps4jesus

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Tell that to the OP. This is a thread every newb should read before they roll the dice and use.

Go back and read my first post. I did not say you will get gyno(or DD) as a certainty. I said if you do use these substances at some point it is "probable" that you will. That is a fact

If you ask the experianced users on here that have been cycling for 5+ years I would guess 80%+ of them have probably had to deal with some level of gyno or gyno symptom.
But %90 of them can keep it under control and never actually need surgery. They "probably" wont have unfixable issues. To many people say they have gyno but don't. I'm sure most people will have to deal with some gyno symptoms if running wet compounds but if you know how to fix it/control it more than likely you'll be fine. Steroids aren't that scary, thats is the only thing about this forum, is a lot of people make them sound wayyyy worse than they are. Saying you need 45 different kinds of cycle support and AIs lined up and that you have to have daa and all this other sh!t in your pct. it's ridicules IMHO. If this scares them they shouldn't run cycles.
 

rphash49

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But %90 of them can keep it under control and never actually need surgery. They "probably" wont have unfixable issues. To many people say they have gyno but don't. I'm sure most people will have to deal with some gyno symptoms if running wet compounds but if you know how to fix it/control it more than likely you'll be fine. Steroids aren't that scary, thats is the only thing about this forum, is a lot of people make them sound wayyyy worse than they are. Saying you need 45 different kinds of cycle support and AIs lined up and that you have to have daa and all this other sh!t in your pct. it's ridicules IMHO. If this scares them they shouldn't run cycles.
Where did I say anything about needing surgery? The OP is a rare case but may not be as rare as you think. People should know the risk and the OP's story is something that can happen. If people know the risk I would hope they would be more inclined to do more research and be better prepared.

I do agree many think they have gyno when they don't and I also agree you don't need all that otc stuff for a successful pct if any of it.

I do disagree with you on the severity of these substances. I think most take them too lightly. The AM community is a very small segment of ds/ph users. The majority of users out there probably have no idea of the risks or how to prevent those risks. They just see a fancy add with a guy with a 6 pack promoting a supplement. They buy and use the product not having the slightest idea what's in it or how to use it safely.
 
mtinsideout

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I do disagree with you on the severity of these substances. I think most take them too lightly.
^^^This. No company selling any ph/ds actually describes a proper PCT on the bottle or labels any of the risks associated with the product. No excuse for the user to not research but the fact is people who don't know what they are doing will hurt themselves using it.
 
mstep

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got any before and after pics by any chance? also if the gland is removed fully, is gyno still a possibility in the future from cycles or anythign else?
 
jbryand101b

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Tell that to the OP. This is a thread every newb should read before they roll the dice and use.

Go back and read my first post. I did not say you will get gyno(or DD) as a certainty. I said if you do use these substances at some point it is "probable" that you will. That is a fact

If you ask the experianced users on here that have been cycling for 5+ years I would guess 80%+ of them have probably had to deal with some level of gyno or gyno symptom.
Deal with it all the time. Like right now after trying a trenadione/epi combo on my test/mast p cycle.
Nothing worse than having your wife comment on your nipples asking what's going on, why is one (areola) big, and another normal.
Try explaining that logically while taking the blame off your collection of Natty supplements.
 
jbryand101b

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Great Post. Its so important people read this and realize there are different causes for gyno. It is a side effect of dht inhibitor as they shift the androgen/estrogen ratio to an unfavorable ratio. Gyno is caused most often by excess e2 (and its almost impossible to get it without elevated e2 in most cases) or it is caused by an unfavorable androgen/estrogen ratio...as in this case. Both can be prevented if proper precautions are taken.
For gyno treatment as a last resort pre surgery I recommend raloxifene. It is the most effective and prudent gyno treatment available.
OP best of luck in your recovery. Please keep us posted as to how all heals and sets and how the appearance is in a couple months.
This is a good post.
 

rphash49

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Deal with it all the time. Right now after trying a trenadione/epi combo on my test/mast p cycle.
Same here. I was symptom free for like my first 5-6 cycles. My first cycle of m-sten gave me a nice solid knot that flares up on every cycle since then. No problem reducing it so far and it gives me no issues off cycle.

Maybe if I do reps 4 Jesus he will wash my gyno away.
 
jbryand101b

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^^^This. No company selling any ph/ds actually describes a proper PCT on the bottle or labels any of the risks associated with the product. No excuse for the user to not research but the fact is people who don't know what they are doing will hurt themselves using it.
If they did, they would be showing they know its a steroid and an unapproved new drug illegal to sell.
Then they couldn't feign ignorance when the FDA comes knocking
 
jbryand101b

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Same here. I was symptom free for like my first 5-6 cycles. My first cycle of m-sten gave me a nice solid knot that flares up on every cycle since then. No problem reducing it so far and it gives me no issues off cycle.

Maybe if I do reps 4 Jesus he will wash my gyno away.
Lol, maybe
 

rphash49

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Deal with it all the time. Like right now after trying a trenadione/epi combo on my test/mast p cycle.
Nothing worse than having your wife comment on your nipples asking what's going on, why is one (areola) big, and another normal.
Try explaining that logically while taking the blame off your collection of Natty supplements.
Lmao!
 
reps4jesus

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I in no way am saying they are a joke and should be taken lightly, this is just not the case, however there is a difference between not being prepared, running cycles recklessly, and not freaking out about gyno all the time. Cycles if done correctly can be pleasant and yield great results with little to no side effects (depending on the cycle). If you choose to run wet compounds or compounds that increase e2 then you are risking estrogen related sides. But you do not need to be concerned about gyno on a hdrol cycle. Hopefully someone who plans to run cycles would have done enough research to understand the risks of certain compounds and how to counteract them. You said earlier everyone who runs cycles will probably have to deal with some level of gyno. I said "not to the point they need surgery". This means that yes, they might get symptoms on certain cycles and they might even develop gyno, however most of the time it can be controlled to the point that they will not need surgery. Please don't put words in my mouth. If someone is scared by the fact there are side effects involved they should not run cycles. I stand by my comment that most people will not need surgery. That's all I said, and its a fact. And I'm not saying steroids are a joke, I said many people exaggerate the side effects of certain compounds. and the OTC **** they say you must run while on cycle and after or you will die of liver failure and gyno haha.
 
jbryand101b

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Obviously it can. but its not super common. Have you had gyno surgery?
No, when I first had the lump, after an ultrasound, the doc sent me to a specialist who wanted to cut it out. It was as round as a nickel, and prob 1/4 of an inch thick.
I choose to not have it done.
I know now how to shrink it back down, but its always a risk.
 
jbryand101b

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I in no way am saying they are a joke and should be taken lightly, this is just not the case, however there is a difference between not being prepared, running cycles recklessly, and not freaking out about gyno all the time. Cycles if done correctly can be pleasant and yield great results with little to no side effects (depending on the cycle). If you choose to run wet compounds or compounds that increase e2 then you are risking estrogen related sides. But you do not need to be concerned about gyno on a hdrol cycle. Hopefully someone who plans to run cycles would have done enough research to understand the risks of certain compounds and how to counteract them. You said earlier everyone who runs cycles will probably have to deal with some level of gyno. I said "not to the point they need surgery". This means that yes, they might get symptoms on certain cycles and they might even develop gyno, however most of the time it can be controlled to the point that they will not need surgery. Please don't put words in my mouth. If someone is scared by the fact there are side effects involved they should not run cycles. I stand by my comment that most people will not need surgery. That's all I said, and its a fact. And I'm not saying steroids are a joke, I said many people exaggerate the side effects of certain compounds. and the OTC **** they say you must run while on cycle and after or you will die of liver failure and gyno haha.
I stopped reading when you stated gyno is no worry on hdrol. You shouldn't post when you don't really understand how steroids work, or how gyno works.
 
fadi

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got any before and after pics by any chance? also if the gland is removed fully, is gyno still a possibility in the future from cycles or anythign else?

No pics sorry. Doctors hardly take the entire gland out because you need some to keep the shape and support under the nipple. If it is fully removed, then no you won't get gyno because there is no gland to enlarge.
 
fadi

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Update: Yesterday Morning they removed the wrap/padding. In the evening I started noticing that there area where the gland was is filling up with fluid and getting hard. It is now noticeable by feel and somewhat visually. It is also extremely tender and some pain when touched. Definitely one cannot lift 2 weeks out.

The visual change is not minor, it does make major look changes.

As far as some of the discussions that are taking place, I've tried Ralox, Prami, Nolva and none had any impact. Letro protocol was the only effective solution and it only worked twice then had no effect. Tried it 3 more times with no results. I tried all of them after my reaction to DAA and reduced it probably 30% and that was it.

Personally, I would do a PH cycle before I would ever consider DAA because of my reaction to it. I don't plan to do any cycles at least anytime soon.
 
reps4jesus

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No, when I first had the lump, after an ultrasound, the doc sent me to a specialist who wanted to cut it out. It was as round as a nickel, and prob 1/4 of an inch thick.
I choose to not have it done.
I know now how to shrink it back down, but its always a risk.
So what your saying is you didn't have surgery. Funny. That's what I thought.
 
jbryand101b

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So what your saying is you didn't have surgery. Funny. That's what I thought.
Uh, yea so? You aren't going to try to debate the subject of aas metabolism and hormonal disruption with me are you?
If so I don't mind, I'm up for a scientific discussion.
 
reps4jesus

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Uh, yea so? You aren't going to try to debate the subject of aas metabolism and hormonal disruption with me are you?
If so I don't mind, I'm up for a scientific discussion.
No don't worry bud I know your smart. You proved my only point. That most people that do PH/AAS don't end up needing surgery. Really a simple thing. I don't need surgery and I run cycles. And same with everyone I know person to person. You just like to disagree with people, and that's ok. But don't try and make my opinion more than what it is, an opinion. I'm entitled to Mine, and you to yours. my OPINION is that most people don't end up needing surgery. So no lets save your "discussion" for a time where I don't have better things to do than sit on a forum.
 
jbryand101b

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Oh, I need surgery. No matter what, the lump aka tumor is always there.
If at the least partially removed for a biopsy to make sure it isn't cancerous.

Which is how it can be justified with insurance.

But I see your point.
 
csa2179

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I want to here the logical reason u tell ur wife when u start lactating a thick clear substance
 
jbryand101b

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I want to here the logical reason u tell ur wife when u start lactating a thick clear substance
Well, it never comes out on its own, just if I squeezed it.

I've had it clear, milky white, and blackish,which was apparently blood (prob from squeezing it to hard)

An yea, when it was like this, it hurt all the time.

This was when I was new to everything.
I don't mess with it any more.

And know what protocol works best for me
 
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jbryand101b

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mine would of covered it, but I've had a brain tumor in the past, so I have a history to fall back on.
 
fadi

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Some insurance will cover it if it is drug induced and the drug is discontinued. Propecia would be valid excuse if you are balding and want to go the insurance route. Others claim bi-breast biopsy but you will need a doctor to order it. Plastic surgeons I talked to were reluctant to try the insurance route and I had the money so just paid for it.
 
fadi

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Day 15 post surgery
Day 2 post removal of compression wrapping

Chest still sore to the touch consistent with hard chest workout, but hurts if you press on it even gently consistent with bruising after hard trauma. BTW, no bruising marks other than where the tape made marks on the skin.
I can see now why they always use compression vests. Now that the compression wrapping is off I feel more pain and discomfort most likely from the fluids rushing and filling the gap under the skin where the glands used to be and hardening up.
Chest muscles seem to rebound a little shape wise. not as flat as first day, but it definitely still look as if I have invisible tape around my chest due to swelling above the compressed area. Swelling is starting to go down.

I found the incision areas, it is right at where the chest meets the abs and the skin folds an inch and a half below each nipple. I only noticed one side and thought the other was just skin mark from the taping. Very small incision on both sides that is hard to see, no stitches. Very impressed by the procedure, but the swelling and hardening under the nipples is bothering me still.

I don't think I will be able to get back into the gym for another 3 weeks. I was also told not to get my heart elevated due to the risk of internal bleeding for at least 3 more weeks. That makes it 5 weeks from surgery.

Looks wise, nipples shrunk as I said before and are smaller than I can ever remember and can tell they were stretched when they were puffy pre surgery. They should regain normal shape soon as my chest fills up. Definitely better than the puffiness. I went shopping and I bought T-shirts I used to avoid.

I don't know how the compression vest would look like, but the wrapping my doctor used was bulky. If you have a day job and concerned about it, you need to ask about the compression vest. You can explain it as bruised ribs and need the padding. You cannot do physical activities for 4-6 weeks post surgery.
 
fadi

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Day 20 post surgery
Day 7 post removal of compression wrapping

This is probably the last update i will post unless there are specific questions.

Post surgery Follow Up
Had my post op follow up with the doctor to examine the progress. He said it will take up to 6 months for the chest to take its final shape, which is consistent with everything I've read. The hard lumps I am feeling are "hard swelling" where he cut the gland and is expected. He said it will start going away, but will take time. He suggested gently rubbing the lumps after a week or two but did not see the need based on my progress.

He cleared me to perform all activities and said the pain is normal and not to worry about it. I can go back to working out.

I have follow ups every 3 months to check progress status.

Results so far
3 weeks post surgery, chest is looking great. Still hard lumps where the doctor cut the limps that are painful to touch but cannot virtually see them much. If feels as if pocket filled with fluids ready to burst if pressed hard on type pain. Some little swelling above the areas that were wrapped (between upper chest and right under armpit) that will go down. Chest is still numb, which is annoying but will go away.

Overall, extremely happy with the results but do not want to go through it again unless I have to. I will probably hit the gym next week and start very light and work my way from there.
 

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