Finasteride and gynecomastia

From Reddit: 

Don’t really have access to doctors that take enough interest to give me answers to my questions, ur kindness will be greatly appreciated

I saw your comments popup several places when looking for effects of finasteride on pre exisitng gyno patients. Everywhere you say that it should make no difference, whether u have a pre existing condition or not… I would like to know ur logic behind this, wouldn’t a man more susceptible to hormonal imbalance be worse affected by increased estrogen levels, than others that are not

Male 20, agressive diffuse thinning and receding hairline. Pre existing gyno(at <10yrs old) , started finasteride w/ minox week ago

My gyno started at around 10yrs of age or maybe even before that, I remmebr having a needle like pain in my nipples if pressed, I gained a lot of fat over my teen years which exaggerated the effect

20 yrs old now, recently lost all the fat, still have puffy nipples, but no pain or heightened sensation, maybe lump-ish thing in chest -(not as consistent as fat on my stomach), bilateral. It doesent seem to have progressed in past 5-6 yrs

If you’d be kind enough to answer… What do u think ?

• How did my gyno start so early and never really go away
• How come i only have puffy nipple but no peas behind areola or sensation or pain, (can’t really feel a proper rubber ball either, but it doesent feel exactly like fat, more like how I imagine the brain would feel… texture wise)
• if I’m susceptible to testosterone aromatization, wouldn’t taking fin make it worse.
• if I don’t have any other side effects from fin, like erectile dysfunc, or decreased libido (which I don’t) am I less likely to get gyno from it?
• since I have androgenetic alopecia at such a young age will I need greater dosages of finasteride to keep my hair? What do u recommend?

Thanks for reading, please let me know if u have any answers or suggestions

So far I’ve decided to continue with 1mfin every other day, since hair loss is irreversible, but gyno although expensive can atleast be surgically removed,.and hopefully is no more than a cosmetic concern

I will answer by bullet point in CAPS: How did my gyno start so early and never really go away: ENLARGING BREAST FAT IS COMMON IN PREPUBERTAL AND PUBERTAL BOYS

How come i only have puffy nipple but no peas behind areola or sensation or pain, (can’t really feel a proper rubber ball either, but it doesent feel exactly like fat, more like how I imagine the brain would feel… texture wise) THERE IS INCONSISTENCY IN THE WAY GYNECOMASTIA PRESENT IN YOUNG BOYS. SOMETIMES IT IS JUST ASSYMETRICAL FAT, SOMETIMES ACTUAL GLANDULAR TISSUE.

if I’m susceptible to testosterone aromatization, wouldn’t taking fin make it worse. I THINK THAT ONCE YOU PASS PUBERTY, THE ‘MAN’ STARTS APPEARING. SOME ADOLESCENTS SEE AN ENLARGEMENT OF BREAST TISSUE.

if I don’t have any other side effects from fin, like erectile dysfunction, or decreased libido (which I don’t) am I less likely to get gyno from it? I BELIEVE THAT GYNECOMASTIA COMPLICATIONS WITH FINASTERIDE HAS NOT BEEN COORELATED TO OTHER SIDE EFFECTS.

since I have androgenetic alopecia at such a young age will I need greater dosages of finasteride to keep my hair? What do u recommend? THE STUDIES ON FINASTERIDE SHOW THAT THE 1MG DOSE IS THE IDEAL DOSE REGARDLESS OF AGE AND SEVERITY OF ALOPECIA