My gyno was fat on both sides with slight excess gland on one side. Although different doctors I have seen give different opinions on my gyno... Some say all fat others say a bit of extra gland on one side.
Anyway I decided to bite the bullet and try to sort this by myself. And I have to say I have made a good improvement.I started off weighing sixteen and a half stone and six feet two and now weigh under fourteen. I have got fit for other reasons though as well as my gyno which kind of was more of a motivation.
At the moment I run three times a week about five miles, i do interval training once a week , and I go to the gym three times a week. I also box twice a week as well. that is not bad considering when I started I could not run half a mile... This has hugely helped my gyno. I have pecs now although one pec is slightly bigger than the other and is still a bit puffy on the nipple.But You could not say I have breasts now.
I also changed my diet , I have not starved my self , I eat steak three times a week and amongst other meats. But i have cut out the junk sweets crisps, coke ( not the powder kind) and beer.
I do not know if I need surgery now , I have a slight puffy nip and I have been offered surgery on the NHS in the UK free. But yes you can hugely help your gyno by getting fit esp if it is mainly the fatty kind and it may mean you can save cash from having surgery.If i were you give exercise a go for six months to a year and if you are still not happy look at other options.
Start off gradually ... with things like running , and the gym or you will just put yourself off. I started off aiming for a mile and when I couldn't run anymore I walked it. get someone to show you round the gym and set up a programe. gyms are great as you get encouragement and not everyone is russel crowe....
another thing when I started , my chest killed me esp after the running all that jiggleling around... After a while that goes after you lose weight and stenghten that area.My gyno has gone down by I would say ninety percent so the jiggleing goes as well. Good luck.