Can testosterone replacement therapy cause gynecomastia to come back after surgery? 5 years post op.

Starting TRT may cause whatever gland that remains to grow in size, but will not cause new gland to form. Since you have had some gland removed during your surgery, it is unlikely that what remains will grow to resemble your pre-surgery gynecomastia.

Thank you for your question. Yes, TRT can encourage any tissue that possibly was left to increase. I would speak to a Board Certified Plastic Surgeon in regards to your questions in person to evaluate you and discuss your options. Best of luck to you.

Considering that you had gynecomastia since your teen years, surgery was logical treatment. It is unlikely that testosteron will create similar condition, but is is possible. Good luck.

Testosterone replacement therapy (TRT) is generally not expected to cause the recurrence of gynecomastia after surgical correction. In fact, in some cases, TRT may be used as a treatment for gynecomastia when the condition is associated with low testosterone levels.It's important to note that the recurrence of gynecomastia after surgery is relatively rare. The surgical removal of excess breast tissue during procedures like mastectomy or liposuction typically provides long-lasting results. Recurrence is more likely if there are underlying hormonal imbalances or if there is a new development of gynecomastia due to other factors.If you are considering or are already undergoing TRT, it's crucial to communicate openly with your healthcare provider. They can monitor your hormone levels and adjust the treatment accordingly to minimize the risk of adverse effects, including gynecomastia.Individual responses to TRT can vary, and in some cases, testosterone therapy may cause an increase in estrogen levels (aromatization), which could potentially contribute to gynecomastia. However, healthcare providers are typically aware of this possibility and can adjust the TRT regimen to maintain a proper balance of hormones.If you have concerns about the recurrence of gynecomastia or any other side effects while on TRT, it's important to discuss them with your healthcare provider promptly. They can assess your specific situation and make appropriate adjustments to your treatment plan if necessary.

Testosterone replacement therapy as long as it’s monitored and your levels stay within normal should not be high risk for recurrence of gynecomastia but there is always a small chance.Testosterone by itself should not stimulate breast tissue if doses are kept normal confirmed by regular testing.I suggest you discuss this with your endocrinologist or the Doctor Who is putting you on replacement therapy.Best,Mats Hagstrom MD