Doctor's visit update. or: Why we still cant get people to grasp this

[taxmapper]

So.  Approximately three or four weeks ago I saw my endo., who again pushed the idea or surgery, drugs, blah blah blah over the breasts. She examined them and the look on her face when the bra came off was, "holy shit..." 

She then sent me for a second mammogram and ultrasound. This time around I actually got the US.  The initial mamm. was fine, not too much pressure and the girl doing the scan I could tell was not overly enthusiastic over touching me.  I get it. I didnt push anything or say anything. After a few min. she started to realize I wasnt going to hit on her or ask for numbers. 

After a short time I was sent in for the US. That went fine, and the doctor who examined the images came in. A lady about 10 years ahead of me, she asked me the usual and customary.. you know about gyne...?  thing.   

She did however put a note into the charts that bothered me. She wanted to discuss the situation about poss. medication involvement and the changing of the medication and adding in a breast reduction type medication. Of which I then told her that the breast growth pre-dated my spiro use by years. 

She seemed intent on getting me to go the 'surgery route." That I told her I was not interested in. 

But on a more positive note, this latest scan solidly vindicates what i told alot of folk around me that this was happening: 



#2590477 - DIGITAL BILAT DIAGNOSTIC MAMMO WITH CAD
#2590478 - US BREAST BILATERAL LIMITED

MALE BILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM WITH CAD: 8/7/2026

CLINICAL: Increased breast size bilaterally in the last 6 months Palpable lump right breast.
Palpable lump left breast. Subareolar.

COMPARISONS: Comparison is made to exam dated: 2/11/2025 mammogram - High Resolution Rust.

TECHNIQUE: Current study was also evaluated with a Computer Aided Detection (CAD) system.

BREAST TISSUE DENSITY: The breasts are heterogeneously dense, which may obscure small masses.


FINDINGS: There is a 9.5 cm irregular equal density asymmetry with an indistinct margin in the
right breast central to the nipple middle depth. This is increased in size and correlates with
area of clinical concern.
There is a 9 cm irregular equal density asymmetry with an indistinct margin in the left breast
central to the nipple anterior depth. This is increased in size and correlates with area of
clinical concern.
No other significant masses, vascular calcifications, or microcalcifications are seen in either
breast.


IMPRESSION: BENIGN
The 9.5 cm irregular equal density asymmetry in the right breast central to the nipple middle
depth is consistent with fibroglandular tissue and is indeterminate. An ultrasound is
recommended.
The 9 cm irregular equal density asymmetry in the left breast central to the nipple anterior
depth is consistent with fibroglandular tissue and is indeterminate. An ultrasound is
recommended.



LIMITED ULTRASOUND OF BOTH BREASTS: 8/7/2026

COMPARISONS: Comparison is made to exam dated: 2/11/2025 mammogram - High Resolution Rust.

TECHNIQUE: Color flow and real-time ultrasound of both breasts retroareolar were performed on
the areas of interest. Gray scale images of the real-time examination were reviewed.
Ultrasound elastography evaluation was performed on the lesions in both breasts.

FINDINGS: No masses seen. Breast tissue is seen suggesting gynecomastia.

Findings discussed with the patient by"X"


IMPRESSION: BENIGN
No masses seen. Breast tissue is seen suggesting gynecomastia. Recommend clinical follow-
up and correlation with possible side effect of current prescription and over the counter
medications.

There is no sonographic evidence of malignancy.

[Dudewithboobs]

I’m of the belief doctors do what makes sense more than what may not. To them men presenting clear and present breast growth minor or major developments and even when wearing a bra that indicates they clearly are aware and accept it. Will still push for information to be given about surgery and medication to try and reduce or mitigate. Contrary to the patient not asking which I assume they think a patient may be embarrassed to bring it up. So the dr does. Or at least give them the idea that it’s an option. 

I believe drs go off their textbooks more than the patient to patient care. Not all patients are the same or want the same pathway. And it’s a shame when one especially if one you may see regularly ignores prior notes and pushes an idea or option that isn’t wanted or of interest. 

I’m glad you’re in good health though and the visit itself regarding results showed now signs of concern 

[WPW717]

Sounds like the crappy healthcare system you described is at it again. 

Ran into the same stuff in WA State, so I left. A few other reasons are in the mix. 
I landed on a sweet spot here in Tennessee. They listen & have investigated the proper plan to treat this MEN Syndrome. The resultant gyne is a non issue. When asked if it’s bothering me & do I want to treat it, I responded with. No ! That was the end of it. GP said with the CHEK 2 gene mutation she would like a new mammogram because the last one was  almost 4 years ago. Should have been 2 but the radiologist in WA cancelled it and ‘ said not needed. ‘ The pharmacist wouldn’t fill the prescription for osteoporosis  he didn’t  agree with the doc on the treatment.

I am wondering if if you should get your care out of state. Is this an employer plan  ??