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Was using Delatestryl for low T levels, stopped because of gyno, it went away but...

THE_REAL_OBLIVION

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It came back, almost to the year after I stopped using Delatestryl (subcutaneously), which to combat its effects I took Anastrazole along with it, my family doctor is a Men's Health specialist, that's how he was presented to me, when my older GP was going to retire soon, he sent me to this guy, whom I share the same rare last name with and he's a Men's Health Specialist, so I thought, amazing, I won't have to fill a form and wait 5-6 months for a new GP whom I might not like at all. He's a real pro and he's the best GP I've had in my life. But there's so much he can do, so he referred me to an endocrinologist. That one I'll talk about later.

Right now I haven't had a SC shot of Delatestryl since a year, because it caused gynecomastia, which was very painful. Blood tests say I have low T but much better than when I was on methadone, Suboxone stills causes it to go down, but at least it's not close to zero when I had seen him first, after a week of not being able to do anything but lie down in my bed wishing I could sleep for a week straight. I did not feel depressed, just extreme fatigue. Too bad the medication to combat this hormone imbalance caused another imbalance. Apparently as T goes up, oestrogen also does. After a year of Anastrazole, the gyno was gone and I had what only amounted as adipomastia (the goddamn methadone I only took for 11 months made me gain over 100 pounds, of which I only lost 10). No more painful "cysts" or whatever the hell that 2cm thing that remained under my left nipple, no doctor, not the GP (although I didn't ask him to nor did he felt was necessary to give a final say on what it is, to me at least, I'm able to read what someone else is reading from in reverse if the desk and distance is right. The surgeon I was sent to see (if caused by medication, I would get a free mastectomy, only I would need to pay 100 dollars for the surgeon to take pictures and send 'em to the doctors over at the ministry of health to get it approved (the free surgery). She did not want to give me surgery for that leftover non-painful "mass" which they never biopsied, apparently they could tell by just blood tests if I have cancer anywhere..

Now, I've lowering my dose of suboxone very slowly, 12 to 10 mg which took 3 months to be okay with that. Now I'm juggling 8mg one day, 10mg the other then 8 again etc., not using any Delatestryl or other testosterone meds (the cream which apparently better for people who are not lifting weights and just have hormonal problems compared to shooting up a one week "depot" drug like Delatestryl). I've heard there is pills too from my ORT doctor and endocrinologist and both said, they either work great or not at all, it's that black and white when it comes to the oral route, I don't know the name of those Testosterone pills but she told me (endo) that it's usually used last when other options cause too much side effects.

But now since a month, the gyno is starting again, on it's own, a lot of painful cysts, not much enlargement, thankfully, but when just putting on a t-shirt hurts because it touches a nipple..you know it's not normal, unless you're experiencing puberty, I was one of the guys who get those hard disks under the nipples which were painful to the touch and then went away naturally. It's strange because I've now happened to start getting morning wood, heh, I just remembered a Beavis and Butthead episode there, gotta laugh through all the pain, anyway, yeah I had stopped getting them pretty much when I was shooting up Dilaudid everyday and then even less sexual interests at all with methadone. I don't find sex while on opiates all that fun, opiates gives pleasure that's forbidden to the CNS and brain in a normal ecosystem that smash most of the best orgasms I've ever had, at least back before I got on Suboxone.

So after a year the cysts recur, on the breasts and underside of my forearms just like what Delatestryl caused. Not all are painful to the touch. I stopped taking Anastrazole back then because it made me feel chest pain, at least we thought it was possible it was that, my GP is really living in the 21st century too, this kind of screen that is attached in the air and mobile so he can just flip it in the air while moving that kind of "arm" that's attached to it and to the wall...it's hard to describe, I'm usually perfectly bilingual but I don't know how to describe it, anyway it doesn't matter, but he doesn't script anything before bring the screen next to you so he can tell you the most common side effects and some of the very bad ones that are rare, but to call him if X, Y or Z happens. It's also a way of giving the patient an informed choice, which so many docs don't. Like my endocrinologist who (I'm still waiting) 3 blood tests to confirm my high prolactin, low T and very close to the threshold, under or over, thyroid. She's also not really nice at all, when I brought up that if I was to need hypothyroidism (by the way, I've had an MRI of my pituitary gland before ever seeing her, and I'm fine, because by how my hormones are all messed up suddenly, it's apparently better to take an MRI of your pituitary gland even before starting any treatment, but I just couldn't not get the Delatestryl then, I was a mess and in bed all the time).

So back a year ago when I stopped the Anastrazole and lowered my dose Delastryl, bloodwork said I had correct testosterone, although according to my ORT doc, the bounds change almost every year and since it's not his specialty, he said I was likely fine, then my GP said it was okay then, so I dropped Anastrazole that was giving me chest tightness and my doctor scripted me 10mg Tamoxifen to be taken once a day for gyno. I never got to know if it was stress (very likely) or it was the Tamoxifen, which is another anti-oestrogen drug, used for breast cancer but also gyno and a few other things, but I felt it gave me chest tightness that was kind of distressing, but I think now it was maybe a little of it and some benzo tolerance withdrawal, I had benzos, which I use daily since spring 2007, had scripts before but they were all low dose to prevent the mania I develop almost right away with all SSRI's and SNRI's, Effexor being the craziest medication I was given in my life, just 37.5mg XR (there's only XR here, a tendency in Canada..Tenex showed up, but only as a XR formulation called Intinuvir, and we are the only country where Purdue sells CodeineContin), but we gave up on that because it's clear I have Bipolar I. So no antidepressants for me except Manerix which is great but I don't like feeling happy for no reason. I think doing so much 5htxx psychedelic drugs modified and rewired my brain in a way that those serotonin drugs are a bad idea for me, I only learned I likely was Bipolar I in this decade.

Shortly, gyno is back without explanation, not even using any testosterone medication. Large painful "cysts" around and under nipples going as far as on the side of my chest. Should I just take the practically full Tamoxifen 10mg bottle for a month or wait to see my doctor (Seeing him on October 12th) It hurts, and I can feel something is going on in this unexplained re-gyno bout. Tamoxifen seems to have a crappier side effects list than Anastrazole, but once the gyno was 90% gone (meaning I was flat as a board but there was still something I felt below my left nipple that even my endocrinologist detected but did not order any biopsy, after taking Ultrasounds, CT scans, even a mammography, they never told me anything other than it was only non-malignant cysts, when I still had them but they didn't hurt anymore and reduced in size thanks to the anastrazole. I'm having a real fear right now and am about to just take the tamoxifen and see what happens, if it works as fast as anastrazole, the pain and size of the cysts should both be reduced after just a week.

Any advice is welcome. I debated posting that in the "do you even lift" forum, but I rather discuss this. Sorry for the length, I prefer to give all pertinent info to prevent getting some captain obvious replies, not pointing a finger at anybody, I'm just thinking of any internet forum in general, there's always replies that are like cable or dsl or fibre whatever internet phone tech support where they ask you first if your modem is plugged in... I'm at a kind of crossroad in my life for reasons I won't get into here, but having this problem on top, it sucks.

All of this started because of Methadone...
 
Well, 6 day of Tamoxifen reduced the lumps and they are no longer painful. Although I had to stop it for the original reason I stopped it, the effect on my already borderline dangerous tachycardia (I got 100+ most of the time, clonidine lowers it a little, but after taking it for 5 years, it's not that helpful anymore.). I had chest tightness and pain in the left foot and leg (sometimes sudden and very painful), so I had to stop it, how long does it stay ine one's system? I stopped taking it 2 days ago and I still wake up and 30 minutes later I will get the chest tightness still.
 
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