Yeah its a bitch. All options need to be on the table in order to avoid going under the knife. After years of me keeping it at bay with AI's i finally had to get the surgery. I'm only telling you to do some of the things that helped mine before it got out of control.
In the end guess what aggravated my gyno when it got out of control? SARMS Ostarine !!! I had no AI on hand since i wasnt expecting it, but it turns out that can give you gyno.
Good luck