If you discovered you had a tumor through some random MRI done and it hadn't started showing symptoms, would you wait to start chemo bc the symptoms hadn't shown? You take a dopamine agonist to keep prolactin levels down which can cause lactation, ED, loss of libido, and lipogenesis. These things can be happening without you necessarily noticing them but they can also be prevented from happening entirely with proper use of blood work and medications.
Yes and I am saying if you do not have lactation, ed, or loss of libido then there is no need for it. Higher prolactin wont kill you or cause any problems. Same with high estrogen. You can have very high estrogen but so long as the T/ratio is good or the estrogen isn't causing unwanted sides then there is no reason to add more drugs (AI's) that are unnecessary.
There is no such thing as prolactin gyno. Gynecomastia is defined as hyperplasia of the ductal cells in male breast tissue. Once the growth of these cells measures roughly 3cm it is classified as gyno. There are a few things that can cause this: elevated estradiol, bad T:E2 ratio, prescription meds and illicit drugs, bad E2rogesterone ratio, and a few other causes. Progesterone can exacerbate these issues but on its own progesterone can lead to hyperplasia of the alveolar cells in breast tissue. Elevated prolactin does not affect this at all and therefor prolactin gyno is a falsity.
You are right, prolactin in and of itself cannot cause gyno but if elevated prolactin is added to an already high estrogen level (that wasn't causing problems as it was) then it can. as you said, exacerbate symptoms. But, if you keep estrogen in check, for MOST people elevated prolactin will not cause these sides.
Also, the research in this article explains some of it
http://www.steroidology.com/forum/anabolic-steroid-forum/140699-progesterone-prolactin-levels.html
