[Lotus]

Hi postatenipple,

Apologies for the delayed response, I've given your situation considerable thought, and this is me just taking a moment thinking outside of the box offering an opinion on secondary hypogonadism. Since secondary hypogonadism is characterized by low T due the suppression of hormones, why not treat it with SSRi's (antidepressants) which stimulate breast growth via hypothalamus/pituitary axis. 

That aside, having used SSRI'S myself in the past I'm well aware they stimulate nipple sensitivity and as science proves it induces mammoplasia and galactorrhea (milk discharge). I

Prostatenipple, your estradiol is nonexistent and yourL ĺ SHBG is on life support. I'm not you should take antidepressants, that therapy gives me ideas on which why to go with you. But your a jigsaw on what you want to achieve lol. 

I am confused though, are you taking any testosterone currently? by the looks of your T I'd seen no, because it's not an issue. Your free doesn't look bad either. It's like you have some of the hallmark signs PCOS (polycystic ovarian syndrome) in women have
*insulin insensitivity 
*weight gain
*diabetes?
*low SHBG

I think you should stop the Pygeum, or cut back, that's way too much. I'm still figuring this out, I'm done for tonight though.

Breast enlargement during chronic antidepressant therapy 
https://pubmed.ncbi.nlm.nih.gov/9479619/
In conclusion, antidepressant-induced mammoplasia may be more common than previously expected.

Secondary Hypogonadism in Men
It is clear that obesity lowers the level of sex hormone binding globulin (SHBG), which transports a significant fraction of serum T.
https://www.medpagetoday.com/resource-centers/hypogonadism/secondary-hypogonadism-men/1082