Obesity – Overweight men breasts seem too big because of fat deposits, not the growth of breast tissue. This condition is known pseudogynecomastia.
or hormonal – As we age, men can develop an imbalance in the levels of testosterone estrogen, which tip the scales in favor of estrogen in tissues resulting in growth.
or medical conditions – It could be testicular or breast cancer, liver failure or other serious diseases.
or related drugs – Men who use anabolic steroids or drugs with estrogen can cause estrogen dominance.
Finding himself unable to perform was an alarming first for him. When Evans, a retiree who lives in Amherst, Ohio, told his doctor, he received a prescription for Viagra. That didn't help. At a follow-up appointment, he had some blood work done. It showed that his testosterone level had tanked, likely a side effect of one of the post-transplant medications he was taking. This time, his doctor sent him to a urologist, who prescribed a testosterone skin patch to boost the levels of the hormone in his blood. He's now been using patches for about five months.
I think this approach is fine. I must say having been doing this for years, treating hundreds and thousands of men I have been underwhelmed with the results with topicals. Injections can cause peaks and valley and I have many younger men inject twice a week that smooths out the peaks and valleys. I think it is appropriate to follow the advice of your primary doctor and endocrinologist. I have just seen too many men spend months or years with gels with sub optimal results. Many men are diagnosed with depression and are not really depressed (I have no idea if this applies to you), but the presumed depression is base dupon low T.
My recommendation would be to pursue this but if a few months pass and results are modest consider another approach. Pellets are one approach to have smooth levels of T and are placed every 4 months.