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.

[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  ??

[curiousk]

I’m an ultrasound tech and I see varied degrees of gynecomastia regularly and it’s only a big deal if the patient thinks it’s a big deal.   Breast exams should be a regular part of the annual checkups.  

[taxmapper]

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  ??

I dont have that kind of money.   
The plan is through the county. We were on a sep. plan through a Metro system but dropped that after the illustrious mayor of that mun. decided to go on a socialist rampage and the med. system was also fraught from the State house when they upped the doctor's insurance mal. p. insurance rates to over 600K per year minimum. 
The healthcare here in NM is atrocious, and its getting worse as doctors leave because they can no longer afford to practice here. So were left with the bottom feeders. 

[taxmapper]

I’m an ultrasound tech and I see varied degrees of gynecomastia regularly and it’s only a big deal if the patient thinks it’s a big deal.  Breast exams should be a regular part of the annual checkups. 

I agree.    I also need an US for my pelvis, dispite the CT scan already done.   I am still suspicious something else is going on. 
This is also why I refused male doctors.  At least the two I am working with now dont hold anything against them.  

[curiousk]

Why do you need an ultrasound of your pelvis?  What is your concern?  

[taxmapper]

Why do you need an ultrasound of your pelvis?  What is your concern? 

There are other concerns that have been coming up.   The CT scan said nothing but there is still "sensations" telling me something is going on. I am being deliberately ambiguous for certain reasons right now. 

[Justagirl💃]

Ultrasound of my pelvis back in the late 70's produced images of what was "not supposed to be there". That also gave more reason to my juvenal gynecomastia. Not only was I built different on the outside, but I was also quite ambiguous on the inside as well. It's always good to get things checked out well.  

[curiousk]

Why do you need an ultrasound of your pelvis?  What is your concern? 

There are other concerns that have been coming up.  The CT scan said nothing but there is still "sensations" telling me something is going on. I am being deliberately ambiguous for certain reasons right now.

Ok.  No problem.  An ultrasound of your pelvis will check your bladder and prostate.   Not much else.  If you have a specific concern, DM see and can help you out.  

[taxmapper]

Now a quick interesting side note:   My "Classic Three" are now 51.5", 40.5" 43".  Bust and hips are slightly moving. The girls have been a bit pushy lately and though no poprocks, they have been showing signs of moving upward in size. The other day I hit 52" for about 6 hrs. (fluid movement) and then came back down to 51.5.   

With the hips now at 43" and the thigh up to 25" from 24" two months ago I think other things are moving along in shape changes.  I have to do a blood draw this week and set up the U,S.  

Its a bit weird with my body slowly shaping more to the fem side, and a bit affirming also.   The interesting thing is I am not taking hormones. Just the 50mg spiro. 

[Justagirl💃]

Echocardiogram went well enough. She asked me to remove everything from the waist up and put a gown on with it open to the front. She had me lay on my side at first and was carefully working around my breasts whist keeping them covered at all times the best she could.  Then she had me lay on my back and was just as careful to keep my breasts covered. Very professional!

[taxmapper]

Most are very professional, and after the initial aspects they have to work with, they get to a point where it means nothing to them. Just part of the job. 

[oldguy]

Semi-annual dermatology check.  I don't wear a bra to this.  Started with his dad 15 years ago.  Never had a any problem.  Yeah, he does check under my breasts.  Same thing with bottom of my back and above the front.  I have known him since he was a kid.  He did take off some skin  stuff off.  All is good.

[DianeMcG]

Heck, I will tell anyone who does this that I love my breasts and am very happy having them. If that didn't shut them up I would report them for unprofessional conduct. Forwarned is forearmed. 

[WPW717]

Been jumping through all the hoops here in TN, Cats, MRI, colonoscopy , blood draws, punlmonary function tests , cardiac stress test with multiple specialists. This CHEK 2 mutation & MEN Syndrome has taken the locals a bit of catching up to do on endocrinology. The latest is my body tries to produce a cancer every 18 months. The new surveillance sked is now worked out & the mammogram is next Wednesday. Tissue is very dense won’t be surprised if they want an US after. The Prolactin level has no doubt gone up a bit as Endocrinologist cut back the med that controls the cranial tumor, PRL level was too low. The result is my breasts seem a bit more full. 

We will see how the southern belles manning the machine react to a guy invading the gynecologist office