Is it necessary to take nolva for 6 weeks after the letro cycle?
Im currently in my "kill gyno" cycle right now.. 2.5mg/letro ED.
Im on week 4. Ive had my gyno for over a year so its been taking awhile to breakdown, but it is about 50% gone so far. I recently threw in nolvadex to go with the letrozole though. Is this necessary?
And I was planning on just tapering off the letro, and then doing 2 weeks of nolva. I didnt know 6 weeks of nolva was necessary :s
I was originally planning on only do it for a couple of weeks until i read the followig. I've also talked to people whose doctors had them on nolva for 6+ months so i guess its pretty safe:
* Nolvadex to treat/reduce gyno *
Management of physiological gynaecomastia with tamoxifen.
Khan HN, Rampaul R, Blamey RW.
Professorial Unit of Surgery, Department of Surgery, Nottingham City Hospital, Nottingham NG5 1PB, UK.
AIMS: We aimed to confirm suggestions that tamoxifen therapy alone may resolve physiological gynaecomastia. METHODS: A prospective audit of the outcome of tamoxifen routinely given to men with physiological gynaecomastia was carried out at Nottingham. Men referred with gynaecomastia had clinical signs recorded, e.g., type (diffuse 'fatty' or retro-areolar 'lump'), size and possible aetiology. They were offered oral tamoxifen 20mg once daily for 6-12 weeks. On follow-up patients were assessed for complete resolution (CR), partial resolution where patient is satisfied with outcome (PR) or no resolution (NR). Success was either CR or PR. RESULTS: Thirty-six men accepted tamoxifen for physiological gynaecomastia. Median age was 31 (range 18-64). Tenderness was present in 25 (71%) cases. Sixteen men (45%) had 'fatty' gynaecomastia and 20 had 'lump' gynaecomastia. Tamoxifen resolved the mass in 30 patients (83.3%; CR=22, PR=8) and tenderness in 21 cases (84%; CR=0, PR=0). Lump gynaecomastia was more responsive to tamoxifen than the fatty type (100% vs. 62.5%; P=0.0041). CONCLUSIONS: Oral tamoxifen is an effective treatment for physiological gynaecomastia, especially for the lump type.