Does tamoxifen work for decreasing puffy nipples?

Question

I suffer from minor side effects of Finasteride with increased adipose tissue stored around the breast. I read that Tamoxifen works for "lump" or glandular gyno but not as effective for fatty gyno. My primary concern is to prevent fat storage in the breast contributing to puffy nipples. Would Tamoxifen work well or would an AI like Letrozole be better suited for this purpose? I do not have any lumps, just want to change my fat storage patterns since Finasteride seems to have raised my estrogen levels.

Kenneth Hughes, MD · Answer

Unfortunately one of the side effects of finasteride is estrogen production.  When the cause of gynecomastia cannot be identified, brief use of tamoxifen may be recommended to reduce breast enlargement in males. Males who have had gynecomastia for over a year typically do not benefit from taking the drug.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Tamoxifen does work best for glandular hypertrophy and would most likely not address any excess adipose tissue.  Liposuction would offer the most reliable, permanent correction if diet and exercise fails to resolve the issue.

Does tamoxifen work for decreasing puffy nipples?

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