Questions / help with gyno

[blshaw]

So I've been on T therapy for 4 months. I had a previous lump before T therapy that subsided on its own. It's now back with a second and they are very tender. It hurts when I wrestle with my kids. My E2 is under control at 19 and my T was last 781. All other labs are good too. My doc has me on 60mg progesterone a day to help with DHT control. I read that Dr Crisler doesn't like progesterone in men but several articles I read stated benefits and even that it helps prevent gyno. Any thoughts on causation and maybe if I should stop the progesterone?

 

[Vince]

Medical Notes

Endocrinology Articles

Gynaecomastia http://www.fastbleep.com/medical-notes/endocrine-and-breast/23/64/524
Nipples can grow on testosterone replacement. They can also become more sensitive. I am specifically saying nipples and not nipple area. Gynecomastia is the expansion of the area under the nipple.

 

[ERO]

It would not hurt to check your prolactin levels.

 

[blshaw]

It's not the nips, I have lumps like painful nodule tissues. Looking for feedback on the progesterone I am taking.

 

[ERO]

It *might* be the progesterone. Only way to know is to stop taking it for a few weeks and see if the issues goes away.

 

[Dr Justin Saya MD]

So I've been on T therapy for 4 months. I had a previous lump before T therapy that subsided on its own. It's now back with a second and they are very tender. It hurts when I wrestle with my kids. My E2 is under control at 19 and my T was last 781. All other labs are good too. My doc has me on 60mg progesterone a day to help with DHT control. I read that Dr Crisler doesn't like progesterone in men but several articles I read stated benefits and even that it helps prevent gyno. Any thoughts on causation and maybe if I should stop the progesterone?

Has your doctor checked your progesterone levels?

60mg of progesterone is a LARGE dose for a male (I have many of my female patients on doses slightly more than that).

 

[blshaw]

Dr Saya. Thanks and no they havn't. I will ask for this in my next labs.

 

[blshaw]

Dr Saya, my DHT level was 154 ng/dl when the upped my progesterone dose. Do you think this high DHT is of concern or would I be better off just stopping the progesterone? I'm not sure I like the idea of taking it. I'm just not sure if high DHT is of concern other than hairloss.

 

[CoastWatcher]

What was your psa when last evaluated?

 

[blshaw]

PSA was low, .7 I think. Not a concern anyway. The frustrating part is that I feel great otherwise. The therapy brought my energy and mood back to what I thought wasn't possible.

 

[CoastWatcher]

PSA was low, .7 I think. Not a concern anyway. The frustrating part is that I feel great otherwise. The therapy brought my energy and mood back to what I thought wasn't possible.

I asked about the psa as prostate monitoring is important in the presence of elevated dht.

 

[blshaw]

10-4, I read that as a concern. Is that the main concern long term?