Re: Gynecomastia and Hormone results

[Guest guest]

Hi all

I'm 24 year old guy, having gynecomastia for the past 6 years now.

The size of gynecomastia has not increased tremendously.

Here are the results of the results from blood tests i have

undertaken when reffered to by my Endocrinologist::::

Results - Endocrinologist:

Test Result Normal-Range

--------------------------------------

prolactin 18.61 (4.04-15.2)========>rechecked to 16.2

now

TSH 1.34 (0.49 - 4.67)

testosteron 507.7 (280 - 800)

estradiol 42.57 (7.63 - 42.6)

Doppler Scrotal - Every thing normal(Done coz i had prolactin on

upper level)

Abdomen Pelvic Ultrasound - Every thing normal (Done coz i had

prolactin on upper level)

My questions:::

1) What could be the reason fo elevated prolactin

2) should i go for surgery

3) MRI or CT scan for pitutary glad is required?

Hope this mail catches attention of people who can guide me what

should i do.

ciao

>

> First off, you need to find out why you have developed gyno in the

first place. If your

> doctor did not do a prolactin test and the sensitive estrogen

test, you have not given us

> much to go on.

>

> My doc did the genetic work up to cover all the basis when i came

in for gyno complaints.

> I had borderline high prolactin, low T, and slighly elevated E2.

>

> One of the best treatments for gyno is tamoxifin and there is a

new one out that is even

> better. These drugs are called SERM's and they tie up the

estrogen receptors in the breast

> tissue with very weak estrogens.

>

> It also would be important to know if you have glandular

development

>

> SB

>

[Guest guest]

On Wed, 17 Jan 2007 16:43:41 -0000, you wrote:

>Hi all

>

>I'm 24 year old guy, having gynecomastia for the past 6 years now.

>The size of gynecomastia has not increased tremendously.

>

>Here are the results of the results from blood tests i have

>undertaken when reffered to by my Endocrinologist::::

>

>Results - Endocrinologist:

>

>Test Result Normal-Range

>--------------------------------------

>prolactin 18.61 (4.04-15.2)========>rechecked to 16.2

>now

>

>TSH 1.34 (0.49 - 4.67)

>

>testosteron 507.7 (280 - 800)

>

>estradiol 42.57 (7.63 - 42.6)

>

>Doppler Scrotal - Every thing normal(Done coz i had prolactin on

>upper level)

>

>Abdomen Pelvic Ultrasound - Every thing normal (Done coz i had

>prolactin on upper level)

>

>

> My questions:::

>1) What could be the reason fo elevated prolactin

>2) should i go for surgery

>3) MRI or CT scan for pitutary glad is required?

>

>Hope this mail catches attention of people who can guide me what

>should i do.

Most likely cause for high prolactin is a prolactinoma a usually small

tumor in the prolactin portion of the pituitary. (Don't panic at the

word tumor. The vast majority of these are benign and most respond to

medication.) An MRI is essential for confirmation/diagnosis. usually

these respond well to medication.

http://endocrine.niddk.nih.gov/pubs/prolact/prolact.htm

-----

" Anyone who has the power to make you believe absurdities has the

power to make you commit atrocities. " - Voltaire

[Guest guest]

Well, seeing as how your estrogen is at the very highest end of

the range, clearly you would want to look into reducing that,

ask doc about 1/2 a Femara pill every seven days. And, once

you got gyne, you can work out until the cows come home, but

that will not get rid of it. So, yes spend a couple thousand

and have that fat sucked out, and then knock off for life all

refined sugar, soft drinks, fatty foods, deserts, etc. Eat

lots of protein and whole fruits and vegetables.

Worked for me

Norton

[Guest guest]

you need to be prescribed anti- estrogen pills.

nort828 <nort828@...> wrote: Well, seeing as how your estrogen is

at the very highest end of

the range, clearly you would want to look into reducing that,

ask doc about 1/2 a Femara pill every seven days. And, once

you got gyne, you can work out until the cows come home, but

that will not get rid of it. So, yes spend a couple thousand

and have that fat sucked out, and then knock off for life all

refined sugar, soft drinks, fatty foods, deserts, etc. Eat

lots of protein and whole fruits and vegetables.

Worked for me

Norton

---------------------------------

Any questions? Get answers on any topic at Answers. Try it now.

[Guest guest]

---

HI

Looking at your prolactin levels this is causing your gyno.

You have to get an MRI done on your pituitary to rule out an

emerging tumor growth or other pit disease that could be causing it.

In my case my prolactin levels were always in the upper 3rd of the

range at times and then slightly elevated like yours.

My doctor ordered an MRI and we found that the anterior part of my

pituitary gland was smaller than the posterior side and spinal fluid

is getting in the empty space around the gland and compressiing the

pituitary stalk preventing adequate supply of dopamine into the

blood stream from the hypothalamus.

Dopamine helps keep your prolactin levels down and your E2 is a

cause for concern because high prolactin actually shuts down

the GNRH from your hypothalamus that in turn shuts down LH and FSH

which causes secondary hypogonadism leading to low levels of

Testosterone and a T to E2 ratio that will mess with your mind.

What most people don't know is that Prolactin at these levels also

shuts down the TSH and this can cause wide swings in thyroid

hormones in the body as well. I was getting irregular heart beats

from 50 to 108 while sitting and taking my pulse over the course of

a day .

Another side effect of Prolactin is it can give you acromegaly like

symptoms that resemble the same as HIGH IGF 1 levels in the blood

(Growth hormone) as it is produced in the same area of the pit gland

off the acidophillic cells of the anterior pit.

Prolactin is very potent and it doesn't take much believe me I have

gone undiagnosed for a long time and I have acromegaly in my hands.

Wishing you the best

ASK for AN MRI as soon as possible

Manraj

In , " y_ravi_k2000 "

<ravikiranspeaks@...> wrote:

>

> Hi all

>

> I'm 24 year old guy, having gynecomastia for the past 6 years now.

> The size of gynecomastia has not increased tremendously.

>

> Here are the results of the results from blood tests i have

> undertaken when reffered to by my Endocrinologist::::

>

> Results - Endocrinologist:

>

> Test Result Normal-Range

> --------------------------------------

> prolactin 18.61 (4.04-15.2)========>rechecked to 16.2

> now

>

> TSH 1.34 (0.49 - 4.67)

>

> testosteron 507.7 (280 - 800)

>

> estradiol 42.57 (7.63 - 42.6)

>

> Doppler Scrotal - Every thing normal(Done coz i had prolactin on

> upper level)

>

> Abdomen Pelvic Ultrasound - Every thing normal (Done coz i had

> prolactin on upper level)

>

>

> My questions:::

> 1) What could be the reason fo elevated prolactin

> 2) should i go for surgery

> 3) MRI or CT scan for pitutary glad is required?

>

> Hope this mail catches attention of people who can guide me what

> should i do.

>

> ciao

>

>

>

> >

> > First off, you need to find out why you have developed gyno in

the

> first place. If your

> > doctor did not do a prolactin test and the sensitive estrogen

> test, you have not given us

> > much to go on.

> >

> > My doc did the genetic work up to cover all the basis when i

came

> in for gyno complaints.

> > I had borderline high prolactin, low T, and slighly elevated

E2.

> >

> > One of the best treatments for gyno is tamoxifin and there is a

> new one out that is even

> > better. These drugs are called SERM's and they tie up the

> estrogen receptors in the breast

> > tissue with very weak estrogens.

> >

> > It also would be important to know if you have glandular

> development

> >

> > SB

> >

>

[Guest guest]

Estradiol is also high- double whammy

> > >

> > > First off, you need to find out why you have developed gyno in

> the

> > first place. If your

> > > doctor did not do a prolactin test and the sensitive estrogen

> > test, you have not given us

> > > much to go on.

> > >

> > > My doc did the genetic work up to cover all the basis when i

> came

> > in for gyno complaints.

> > > I had borderline high prolactin, low T, and slighly elevated

> E2.

> > >

> > > One of the best treatments for gyno is tamoxifin and there is a

> > new one out that is even

> > > better. These drugs are called SERM's and they tie up the

> > estrogen receptors in the breast

> > > tissue with very weak estrogens.

> > >

> > > It also would be important to know if you have glandular

> > development

> > >

> > > SB

> > >

> >

>

[Guest guest]

>

> Hi all

>

> I'm 24 year old guy, having gynecomastia for the past 6 years now.

> The size of gynecomastia has not increased tremendously.

A couple questions. First what was your actual prolactin level? If your doc

thought you

had elevated prolactin, why didn't he or she order the MRI of your pituitary

gland?

Second, it is important to know if you have true gynecomastia instead of the

psuedo

gynecomastia. True gynecomastia means that you have actual breast tissue that is

developed or as some call it glandular development. Psuedogynecomastia or

lipomastia is

really just fat deposits in the area of the breast. Men with low T and high E

will have fat

deposits in areas that females typically have. However, you can also have a

combination of

gynecomastia and lipomastia as well.

I agree with the other posts, your E2 levels are high and are at the very least

a partial

cause of your gynecomastia. If you truly have high prolactin, prolactin can

induce a form

of secondary hypogonadism.

Here is a list of drugs known to cause gynecomastia

Drugs that can cause gynecomastia

DRUG MECHANISM

Amiodarone Unknown

Calcium channel blockers Unknown (diltiazem,verapamil,nifedipine)

Central nervous system agents Unknown (amphetamines,diazepam,methyldopa,

phenytoin,reserpine,tricyclic antidepressants)

Cimetidine Androgen receptor antagonism

Cytotoxic agents Primary hypogonadism due to Leydig cell damage (alkylating

agents,vincristine, nitrosoureas,methotrexate)

Flutamide Androgen receptor antagonism Hormones

Androgens Aromatization to estrogens;other mechanisms?

Estrogens Direct stimulation of the breast

Human chorionic gonadotropin Stimulation of testicular Leydig cell estrogen

secretion

Isoniazid Possibly refeeding Ketoconazole,metronidazole Inhibition of

testosterone

synthesis

Marijuana Androgen receptor antagonism

D-penicillamine Unknown Phenothiazines Elevated serum prolactin

Spironolactone Androgen receptor antagonism;at high doses, interference with

testosterone biosynthesis

Theophylline Unknown

[Guest guest]

Personally, I stay away from Hospitals if possible, their full of unhealthy

people and therefore potentially dangerous to ones' health. In addition, if one

looks at the sites of doctors who want to remove your tits, you'll see that

often the results are disappointing with it still clear that you have larger

mounds than usual. Soon enough if not already, you'll be balding and sagging,

etc., which makes the typical man tits less important. We rarely become more

than an A which is easily covered with no effort. They're only noticeable when

swimming etc. I have had Gyno for some years and have never been in any way

commented on or stared at, etc., for my 36-a/b's.

If anyone ever did, I'd inform them that Gyno affects a high portion of older

men etc. Take a look at older guys in T shirts when the weather permits and

you'll see lots of it.

While fundamentalists or other ridged persons might frown on your breasts,

the rest of the population seems not to notice or care.

I DO find that my breasts are erogenous zones -- which are nice to have more

of and that many women like them.

Give me back my hair and leave my breasts alone~~

cheers

> Is there anyone in this email list who had a gynecomastia

[Guest guest]

Hi Norton,

Did u have similar hormonal issues when u had Gynecomastia?

Are these pills (Femara or else) effective when it comes to hormonal

imbalances??

Once u get Gynecomastia, surgery is the only option, then why do

people talk abt reducing estradiol levels using pills or any thing,

its not going to reduce Gynecomastia,right!!!!

Do these pills have side effetcs? like discoloring of skin, change

in frequency of ur voice

Is there anyone in this email list who had a gynecomastia or has it

and has similar higher prolactin and estradiol

I'm posting my results again::::

Test Result Normal-Range

--------------------------------------

prolactin 18.61 (4.04-15.2) ------------->was rechecked

to 16.2

TSH 1.34 (0.49 - 4.67)

testosteron 507.7 (280 - 800)

estradiol 42.57 (7.63 - 42.6)---> its within the range

regards

>

> Well, seeing as how your estrogen is at the very highest end of

> the range, clearly you would want to look into reducing that,

> ask doc about 1/2 a Femara pill every seven days. And, once

> you got gyne, you can work out until the cows come home, but

> that will not get rid of it. So, yes spend a couple thousand

> and have that fat sucked out, and then knock off for life all

> refined sugar, soft drinks, fatty foods, deserts, etc. Eat

> lots of protein and whole fruits and vegetables.

> Worked for me

> Norton

>

[Guest guest]

A good article regarding this subject..

http://www.nature.com/ijir/journal/v16/n1/full/3901154a.html

On 1/18/07, y_ravi_k2000 <ravikiranspeaks@...> wrote:

>

> Hi Norton,

>

> Did u have similar hormonal issues when u had Gynecomastia?

>

> Are these pills (Femara or else) effective when it comes to hormonal

> imbalances??

>

> Once u get Gynecomastia, surgery is the only option, then why do

> people talk abt reducing estradiol levels using pills or any thing,

> its not going to reduce Gynecomastia,right!!!!

>

> Do these pills have side effetcs? like discoloring of skin, change

> in frequency of ur voice

>

> Is there anyone in this email list who had a gynecomastia or has it

> and has similar higher prolactin and estradiol

>

> I'm posting my results again::::

>

> Test Result Normal-Range

> --------------------------------------

> prolactin 18.61 (4.04-15.2) ------------->was rechecked

> to 16.2

>

> TSH 1.34 (0.49 - 4.67)

>

> testosteron 507.7 (280 - 800)

>

> estradiol 42.57 (7.63 - 42.6)---> its within the range

>

> regards

>

>

> >

> > Well, seeing as how your estrogen is at the very highest end of

> > the range, clearly you would want to look into reducing that,

> > ask doc about 1/2 a Femara pill every seven days. And, once

> > you got gyne, you can work out until the cows come home, but

> > that will not get rid of it. So, yes spend a couple thousand

> > and have that fat sucked out, and then knock off for life all

> > refined sugar, soft drinks, fatty foods, deserts, etc. Eat

> > lots of protein and whole fruits and vegetables.

> > Worked for me

> > Norton

> >

>

>

>

[Guest guest]

You are correct that going to a cosmetic surgeon and having

the gyne fat sucked out of your chest area is NOT going to do

anything to reduce estrogen levels, it will obviously go a long

way to making you feel, and look, better about yourself, and

should give the added incentive of knocking off all sugars and

fats for life, to keep it from coming back. And, it does NOT have to

come back, you just gotta get educated about diet, and just as

importantly, if you are on supplemental testosterone, then you

HAVE to do something about keeping your estrogen level in the middle

of the range. By far the best way is to get a prescription of either

Arimidex or Femara, both very powerful estrogen blockers. I am

on 100% testosterone, pellets, and I take 1/2 of a little Femara

pill every seven days, this is much much cheaper than arimidex, and

just as effective. My blood work shows me right in the middle of the

estrogen range, where you want to be. On a side note, I have been

on T for 35 years now, and I loving pellets, been on them for over

two months now, feel great, it is wonderful not to have to think about

self injections, and these pellets should last at least four months.

If you can afford pellets, I think they are the best way to go.

Norton

[Guest guest]

Pat dam good find thanks.

Phil

Osborne <ozzmed@...> wrote:

A good article regarding this subject..

http://www.nature.com/ijir/journal/v16/n1/full/3901154a.html

On 1/18/07, y_ravi_k2000 <ravikiranspeaks@...> wrote:

>

> Hi Norton,

>

> Did u have similar hormonal issues when u had Gynecomastia?

>

> Are these pills (Femara or else) effective when it comes to hormonal

> imbalances??

>

> Once u get Gynecomastia, surgery is the only option, then why do

> people talk abt reducing estradiol levels using pills or any thing,

> its not going to reduce Gynecomastia,right!!!!

>

> Do these pills have side effetcs? like discoloring of skin, change

> in frequency of ur voice

>

> Is there anyone in this email list who had a gynecomastia or has it

> and has similar higher prolactin and estradiol

>

> I'm posting my results again::::

>

> Test Result Normal-Range

> --------------------------------------

> prolactin 18.61 (4.04-15.2) ------------->was rechecked

> to 16.2

>

> TSH 1.34 (0.49 - 4.67)

>

> testosteron 507.7 (280 - 800)

>

> estradiol 42.57 (7.63 - 42.6)---> its within the range

>

> regards

>

>

> >

> > Well, seeing as how your estrogen is at the very highest end of

> > the range, clearly you would want to look into reducing that,

> > ask doc about 1/2 a Femara pill every seven days. And, once

> > you got gyne, you can work out until the cows come home, but

> > that will not get rid of it. So, yes spend a couple thousand

> > and have that fat sucked out, and then knock off for life all

> > refined sugar, soft drinks, fatty foods, deserts, etc. Eat

> > lots of protein and whole fruits and vegetables.

> > Worked for me

> > Norton

> >

>

>

>

[Guest guest]

I've been on 15%/gm daily testosterone cream for some time and feel great! I

have high energy, can still think etc. Maybe I'm not using enough to feel bad

Via E. As far as feeling and looking better about yourself, that is a

psychiatric concern. I know who I am and by large don't behave in a manner that

makes

me unhappy with myself. At this time I'm a retired, bald somewhat wrinkly guy

with small tits. I also am helping others, which makes me feel good about me

etc.

As a notable shrink once said: The most effective way to not feel shitty

about yourself is not to BE shitty!

I just had extensive blood tests and they did about everything BUT E2,

prolactin, THS, Free T SHBG and bioavailable T.

I'll go back and get those soon. They DID find that my total T is only 414

which seems very low from reading this list.

cheers.

> You are correct that going to a cosmetic surgeon and having

> the gyne fat sucked out of your chest area is NOT going to do

> anything to reduce estrogen levels, it will obviously go a long

> way to making you feel, and look, better about yourself,

[Guest guest]

Gynecomastia is not caused by fat in most cases, rather it is caused

by glandular breast tissue as a result of a poor androgen to estrogen

ratio/balance or overtly high estrogens. This is a result of a

temporary hormonal imbalance such as ouberty or a more permant one

such as hypognadism.

Most gynecomastia surgeries involve cutting out the breast tissue, a

process called glandular excision. Lipo suction is sometimes used as

well but lipo suction only works in the removal of fat otherwise

referred to as pseudogynecomastia in this setting.

Sugars has nothing to do with the aetiology of glandular

gynecomastia, only excess weight gain which can result in

pseudogynecomastia.

Arimidex in the context of TRT is helpful at preventing gynecomastia,

it is however faily poor at reducing or resolving it. The best

option is surgery. The best drug therapies for gynecomastia are the

SERMs Tamoxifen and Clomiphene Citrate. Another semi successful

treatment is dihydrotestosterone gel.

>

> You are correct that going to a cosmetic surgeon and having

> the gyne fat sucked out of your chest area is NOT going to do

> anything to reduce estrogen levels, it will obviously go a long

> way to making you feel, and look, better about yourself, and

> should give the added incentive of knocking off all sugars and

> fats for life, to keep it from coming back. And, it does NOT have to

> come back, you just gotta get educated about diet, and just as

> importantly, if you are on supplemental testosterone, then you

> HAVE to do something about keeping your estrogen level in the middle

> of the range. By far the best way is to get a prescription of

either

> Arimidex or Femara, both very powerful estrogen blockers. I am

> on 100% testosterone, pellets, and I take 1/2 of a little Femara

> pill every seven days, this is much much cheaper than arimidex, and

> just as effective. My blood work shows me right in the middle of the

> estrogen range, where you want to be. On a side note, I have been

> on T for 35 years now, and I loving pellets, been on them for over

> two months now, feel great, it is wonderful not to have to think

about

> self injections, and these pellets should last at least four months.

> If you can afford pellets, I think they are the best way to go.

> Norton

>