Hormone test results and what it means for possible recurrence?

[Fat-Elvis]

I want to get my hormone levels checked and start think about possibly getting surgery, but I still don't know what different test results can mean in terms of the possibility of recurrence?  What are the different causes of gyne that can lead to recurrence, and what are the causes that won't?  And how do you know which is the cause of your gyne?

Also, what are the ways I can go about getting my hormone levels checked?  Do I need to make an appointment with an endocrinologist?

[Fat-Elvis]

anyone?

[Hypo-is-here]

This is worth viewing;

http://www.gynecomastia.org/smf/index.php/topic,8308.0.html

A typical endocrine appointment includes a physical examination, taking your medical history, discussing any isues of ill health with you and then taking bloods.

The following would be a starting point;

LH
Testosterone free if possible if not total testosterone
SHBG
Estradiol
Prolactin
TSH

Over and above that


Dihydrotestosterone (DHT- if Propecia or finasteride based med is used- or generally if possible)
Cortisol

Further tests would only be warranted on the basis of certain results above or something that stems from the examination, case history or symptoms etc.


All pathology needs to be taken between 9 and 11 am.

The outcome of the above investigations should tell you the cause of the gynecomastia, whether it is deemd to be pubertal/idiopathic or of known origin.

If you tell me where you live in terms of city and state I might be able to help you with relevant contact detals for an endocrinologist.

[Fat-Elvis]

Thanks.  That would be great if you could help me find somebody in my area.  I live in Madison, WI.  Big hospital town so I imagine there's gotta be somebody.

[Hypo-is-here]

The best I could do was get contact details of endocrinologists in that area that state an interest in reproductive endocrinology as I don't know any guys near you who could offer a personal recommendation.

Pamela Cuene Baeten, MD
Endocrinology Associates of Greenbay, S.C.
704 S Webster Ave, Suite 500
Green Bay, WI 54301-3528
Directions to Office
Phone: (920) 468-9588
Interest Areas:
    Adrenal Disorders
    Diabetes Mellitus
    Metabolic Bone Disorders
    Reproductive Endocrinology
    Thyroid Dysfunction
    PCOS
   
Thad Chilson Hagen, MD
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Directions to Office
Phone: (414) 456-6820
Interest Areas:
    Adrenal Disorders
    Pituitary Disorders
    Reproductive Endocrinology
    Thyroid Dysfunction
   
Rajeev K. Jain, MD, FACE
8615 N Range Line Rd
River Hills, WI 53217-2033
Directions to Office
Phone: (414) 352-3100
Interest Areas:
    Diabetes Mellitus
    General Endocrinology and Metabolism
    Reproductive Endocrinology
    Thyroid Dysfunction
    Other
    PCOS
   
K. Paul Katayama, MD, PhD
2801 W Kinnickinnic River Pkwy Ste 535
Milwaukee, WI 53215-3695
Directions to Office
Phone: (414) 645-5437
Interest Areas:
    Reproductive Endocrinology
   
Srividya Kidambi, MD
Dept of Endocrinology
9200 W. Wisconsin Ave.
Milwaukee, WI 53226
Directions to Office
Interest Areas:
    Diabetes Mellitus
    Lipid Disorders
    Metabolic Bone Disorders
    Reproductive Endocrinology
   
Diana Lee Maas, MD
Medical College Of Wi
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Directions to Office
Phone: (414) 456-6815
Interest Areas:
    Adrenal Disorders
    Diabetes Mellitus
    General Endocrinology and Metabolism
    Pituitary Disorders
    Reproductive Endocrinology
    Thyroid Dysfunction
    Osteoporosis
   
Elizabeth Hart Nora, MD
2414 Kohler Memorial Drive
Sheboygan, WI 53081
Directions to Office
Phone: (920) 457-4461
Interest Areas:
    Diabetes Mellitus
    Obesity
    Reproductive Endocrinology
   
Richard H. Reynertson, MD, FACE
Gundersen/Lutheran
1900 South Avenue
La Crosse, WI 54601-5429
Directions to Office
Phone: (608) 775-2878
Interest Areas:
    Adrenal Disorders
    Diabetes Mellitus
    Ectopic Endocrine Syndromes
    General Endocrinology and Metabolism
    Hypertension
    Lipid Disorders
    Metabolic Bone Disorders
    Parathyroid Disorders
    Pituitary Disorders
    Reproductive Endocrinology
    Thyroid Dysfunction
    Other
    Osteoporosis

[Fat-Elvis]

Is reproductive endocrinology just the same as endocrinology, or is it something different? 

Also, is this a one-time thing or would I need to go back for a second appointment?  I ask because I occasionally go to Chicago, which would be a chance to see someone around chicago if I didn't have to go multiple times.  Speaking of which, would you be able to provide a list of people in Chicago?

[Hypo-is-here]

Reproductive endocrinologists are endocrinologists interested in reproductive issues and hormones.  Gynecomastia is caused by hormones being out of balance either via puberty (the majority of cases) or through an underlying and more permanent imbalance (sizeable minority).  It is better to see someone interested and experineced in this area than a regular endocrinologist who maybe deals with diabetes or pituitary surgery etc.


Other doctors who are sometimes very good in this area call themselves andrologists.

Anywhere forgetting that. 

You say you go to Chicago on trips...

Could you get yourself to Michigan off the back of one of those trips?

If you could you could go and see a highly rated/top US hormones specialist who comes personally recommended by quite a few guys I know.

E-mail: drjohn@allthingsmale.com
Office Phone: 517-485-4424
Direct Fax: 815-301-2716

All Things Male - Center for Men's Health
320 - 322 West Ottawa,  Garden Level
Lansing, Michigan 48933


One appointment might be all it takes.


In any case you now have a range of options as to who to see and where to go.

[headheldhigh01]

you're a good man, hypo