Gynecomastia from SARMs (steroids) and marijuana? (Photo)

Question

Last year January-August I’d been taking an androgen supplement. Two months after I stopped I was diagnosed with non-hormonal gyno, doctor recommended Tamoxifen which i’m hesitant to take and that I stop smoking weed. I didn’t believe this was really a factor, as i’ve stopped smoking for 4 days and i’m already seeing and feeling a significant decrease in size. I’m abstaining until it goes away, how long could this take? And will my gyno come back if I begin smoking again?

Tim Neavin, MD · Answer

Thank you for the photos.  This is a very good question.  It is not clear if it will go away completely.  If it does not start to subside in a couple of months then it probably will not go away totally.  The good news is there is a very safe and effective surgery to flatten your chest.  Please see someone with a lot of experience with gynecomastia surgery.  To answer your other question, yes it can come back if you continue smoking marijuana (or take steroids) I have, I think so I think so much.

Karthik Ram, MRCS, DNB · Answer

The only proper  treatment for gynaecomastia is surgical removal of the gland.

Stopping to smoke weed / tobacco is important for your health as well as important for Surgery because this habit complicates anaesthesia during surgery , also causes more bleeding.

Mats Hagstrom, MD (license on probation) · Answer

I’ve seen plenty of cases of men developing significant gynecomastia from taking over-the-counter anabolic type supplements.

The most common are testosterone precursor molecules that convert to both estrogen and testosterone causing a giant boost and estrogen production.  For most cases the gynecomastia will only slightly reduce after the person stops using the closing agent and to correct the gynecomastia typically requires surgical intervention.

Cannabis is known to cause gynecomastia in some men.

It would be useful to know how many years you’ve used cannabis for.  if this was purely related to cannabis then you must likely would’ve seen it earlier in life.

Not getting high is an excellent idea so that alone should be a good reason to stop consuming cannabis.

You can wait and see but most men develop gynecomastia are not going to see full resolution unless it’s part of early teenage growth development.

When the time comes you can always schedule some consultations with local board-certified plastic surgeons if you want to address surgical correction

Best,

Mats Hagstrom, MD

David E. Berman, MD (retired) · Answer

i personally have my doubts how much a contributing factor dope is towards gynecomastia. it is always on the list but as you probably know it is very wide spread use and the vast, vast majority of those users do not have gynecomastia. On the other hand, I suspect strongly that your androgen supplement played a major role and i will be surprised if it goes away without surgery. there is nothing wrong with waiting 3-6 months and seeing if it improves enough on its own. If it does not then you can always get surgery for it by a board certified plastic surgeon. You should 100% avoid taking hormone modifiers in the future. I personally would recommend surgery over taking hormone blockers like Tamoxifen.

david berman md, frcsc

david berman md, frcsc

Gynecomastia from SARMs (steroids) and marijuana? (Photo)

Answers (4)

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