Testosterone replacement after surgery

[Blake0693]

I developed gynecomastia when I was a teenager that never went away. I am now 31 years old a went to the doctor will several complaints that made him check my testosterone. Apparently it's pretty low for my age. I am about to go discuss options for treatment. Unfortunetly this last year I had my gynecomastia corrected with surgery. Now I'm scared that with testosterone treatment it could come back. Is it very likely that since I had a gynecomastia issue during puberty that it will re-occur with treatment? I really want my energy back and to feel normal, but nothing makes you feel worse that man boobs. I don't know what to do or think.

[Blake0693]

Any advice???

[Dr. Elliot Jacobs]

Testosterone (or any other hormone)replacement should always be carefully and frequently monitored by an endocrinologist.  Yes, it is true that sometimes testosterone replacement can result in aromatization to estrogen, which in turn could stimulate some breast growth.  But this could be determined by the endocrinologist following estrogen levels as well.  And if there is an uptick in estrogen, he can probably prescribe an estrogen blocker for you.

In the proper hands of an endocrinologist, your gyne should not return.

Dr Jacobs

[Blake0693]

Thanks for the reply!

[Litlriki]

As Dr. Jacobs has pointed out, proper management of testosterone replacement should not cause gynecomastia.  On the other hand, low testosterone levels might contribute to recurrence of your gynecomastia, especially in the face of high estrogen levels.  If your levels are low at age 31, you should have a complete evaluation done and have treatment instituted--to help avoid recurrence!

Rick Silverman