[flamesabers]

Bit more complicated..

a) I'm not sure whether the health check will involve one of the doctors at the practice, and if so, whether it will be male or female.

b) whether it will just be one of the practice nurses

Do you have a preference one way or the other for a male or female doctor/nurse?

c) whether it will involve exposing my chest

When it comes to listening to my heart, some doctors and nurses have me lift my shirt while others don't. I guess there's no standard protocol for this?

d) if so, what to do if my gynocomastia is remarked upon. I take it you didn't "come clean" and say that you were taking a phytoestrogen

No, I didn't "confess." The way I see it, she was inquiring about my health and not interrogating me for why I'm growing breasts.

What will you do if she wants to do further evaluation? At some point I suppose I will have to have "the talk" and explain what I've been up to and why, but I don't relish the prospect.

She didn't say anything about scheduling a followup appointment so it doesn't seem like there's any urgency to closely monitor my growth. I'm sure when I see her for a future visit sometime she may checkup on my growth and possibly refer me to a endocrinologist. If everything checks out normal, I'm sure she'll mention treatment options if I want them, but I'll politely decline.

Bryony, keep us posted please, I'm in almost exactly the same situation, with the same concerns

Out of curiosity, is there a major difference with how the UK and US healthcare treats conditions like gynecomastia when they are benign? I don't get why the doctor would make you see a specialist just for refusing treatment. Excluding individuals like us who want to grow breasts, I think there's plenty of reasons to refuse treatment: complications from surgery, side-effects from medication, etc.