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breast underdevelopment (Grade IV tuberous / IGT) with normal hormones
#1

I’m a 35-year-old cis woman with severe congenital breast underdevelopment consistent with Grade IV tuberous / IGT. Hormones and endocrine labs are within range; I am bottom heavy

DHT hormone still pending.

Labs & imaging

Hormones history tests lab:

https://j.top4top.io/p_3705iwt640.jpg
https://k.top4top.io/p_3705bwzn01.jpg

IGF1 cortisol test labs:

https://a.top4top.io/p_3705sjexn0.jpg
https://b.top4top.io/p_3705pi8nj1.jpg
Anatomy photos (right – reference)

https://c.top4top.io/p\_355496dyd0.jpg


Ultrasound:

https://k.top4top.io/p_3555xrcwg0.jpg

I’m specifically looking for non-surgical options and would appreciate guidance on:

• appropriate supplements

• topical creams/protocols

based on my anatomy and lab profile.

If conservative methods are unlikely in IGT/tuberous cases, I’d appreciate honest input.

My labs show low Free Androgen Index (~0.8) with high SHBG and normal estradiol/progesterone, suggesting low androgen bioavailability but adequate ovarian hormones. 

This supports tissue-level resistance / IGT rather than systemic deficiency.

 I’m specifically looking for supplements that support permanent glandular breast tissue growth (not temporary swelling).
Thank you.
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#2

Inbody result:
https://a.top4top.io/p_3705dnd4m0.jpg

what conservative approach makes more sense to start with:
topical hormonal therapy or NBE/mechanical methods?
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#3

hi <3

i don't know unfortunately, if tuberous breasts can be fixed with just hormones or if surgical intervention is necessary. if i recall correctly, i've read that the fibrous, constricting tissue can't be molded with pumps etc., but i might be wrong. if anyone knows better, please share?
Reply
#4

Hi nephele

My hormones are normal (E2/P4). I have congenital minimal gland tissue / tuberous.
Do you think mechanical expansion can still create real tissue growth despite fibrous restriction
Reply
#5

i'd think the constricting tissue would prevent expansion even if there was normal tissue growing elsewhere. to my knowledge, surgical intervention is kinda required, but pls don't take my word for it because i don't actually know the subject matter nearly well enough. i hope someone with actual knowledge would respond to you.

wishing you well <3
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