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Gynecomastia is a common adverse effect of bicalutamide (Casodex) therapy that may prompt some men to discontinue prostate cancer treatment. Tamoxifen has been recommended as a preventive agent for gynecomastia in these patients. A double-blind study of 282 men randomized to receive 20 mg of tamoxifen once per day with bicalutamide or bicalutamide alone found that after six months, gynecomastia and breast pain were significantly reduced in men who received tamoxifen ( versus percent in the control group). 41 An Italian randomized controlled trial of 80 participants also found that 20 mg of tamoxifen once per week is as effective as 20 mg once per day. 42
The cost of male breast reduction varies based on the extent of your surgery. It typically includes the surgeon's fee, hospital or surgical facility costs, anesthesia fees and prescriptions for medication and post-surgery garments. According to statistics from the American Society of Plastic Surgeons (ASPS), the national average for plastic surgeon fees for gynecomastia surgery is roughly $3,100. This comprises only a part of the total cost. Get a complete estimate before booking your surgery. Many plastic surgeons do offer financing plans.