23 year old indian guy with a dilemma (gyno vs hair)

[indiguy]

Hey everyone, I am a 23 years old guy from New Delhi, India. I started losing hair when I was 18. At that time I was in a denial and maybe it's just bad diet and everything. Then around 20 when I was in college and decided to grow my hair long and that's when my hairloss really got aggressive and then I found this forum and started taking finasteride and minoxidil. Last year (in june i think), during a random shedding phase I got scared and started taking duta (keep in mind I was also fat at that time), and the results were amazing, I was even able to regrow my hairline completely. During COVID, I lost a lot of weight and realized (in october) that my "chest fat" is infact gyno (grade 1 but looks big on my leaner body). Since then I have been on topical finasteride(Tugain men 0.1% finasteride+5% min) which I have diluted to half( 0.05% finasteride+5% min), 1ml everyday.
My parents dont know I was on these hairloss meds because I never told them as they think oils can fix everything (Indian Parents are stupid and don't really believe in medical science). Now, I've been following the online forums/journals and SERMs look like a promising fix (I am not hoping for a complete reversal just want something that's slightly less embarrassing). But I am not able to find raloxifene anywhere whereas tamoxifen is available. Should I go on it knowing that they will mess up my hair which are already shedding because of the switch. On the other hand, I am just tired of everything and want to just embrace my baldness but whenever I even try to even go serious about the anxiety and shame kicks in.

What do you guys think I should do? Should I just embrace baldness and start tamoxifen (who knows if it'll even work) or to continue the fight?

PS. Surgery is not possible at this point as my parents don't even know about all this stuff and It's pointless to tell them honestly as they would just start rubbing homemade recipes on my chest and I can't afford it on my own as I am still in college (doing my master's)

 

[Topher]

Can you get blood work done? Do your parents know about the gyno? Being over weight your going to have higher estrogen on top of nukin the most androgenic hormone with dutasteride on top of finasteride as well as raise your testosterone leading to more aromatization to estrogen. I'm not a doctor nor an expert, but if I got gyno I'd get Novadex and Aromasin (Exemestane) to compete with estrogen at the receptor site as well as inhibit the conversion to estrogen. You might have higher prolactin levels which can also lead to gyno. You could take something like Cabergoline. I'd stay on low dose finasteride. Hopefully the dutasteride will leave your system soon leaving more DHT to inhibit estrogen. You have gyno no need to lose your hair on top of it.

 

[NickyA]

I've had mild gyno since I was young, I dunno how it is in india but some doctors can prescribe you meds that will reduce it, halt it or eliminate it such as the ones you mentioned, although they may impact your liver and will be detrimental to your fight against hair loss. Personally I would drop the dutasteride and go back to finasteride.

That said, if you haven't any increased sensitivity of the nipples, pain or puffiness there chances are the hairloss meds aren't giving you any gyno and you had it all along or its just fat, you're just more conscious about it now. After all, gyno is a rare side effect. You could take pictures of your chest weekly or monthly if you want, and keep exercising.

 

[Templah]

Fight the gyno before it gets worse dude. Who cares about hair if u have f*****g tits. Do you want to wear a bra in the future?

 

[Here For the Lulz]

On the plus side, you going to find beating your dick far easier. Assuming your dick still works of course...

 

[indiguy]

Hey, so I have decided to get E2 and Total T tested. Regardless of the result, I have decided to go off finasteride slowly (I don't want to shock my system) and get tamoxifen. I am done messing up my body for some strands of hair. I will still continue minoxidil though as I didn't get any sides from it (I don't really care now if it works or not).
I do feel like going off duta is somewhat working but I don't think it will reverse anything. Well, I don't think tamoxifen will either but for now I am going to try it. If it doesn't I am gonna wait a few years until I start earning some money and get it out.

I would rather get a transplant someday in the future, than going through this stress all my life. I know transplant will not give me as much hair as I have now but I don't care anymore.

On the plus side, you going to find beating your dick far easier. Assuming your dick still works of course...

Lol. It's not as it was like before, the erections are less frequent but still working.
Honestly, this really motivated me to finally get off this stuff. Thanks man.

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If any of you guys can tell me what sort of regimen I should follow for tamoxifen, that'd be great.
Thanks guys.