As you can see my promise above, my only experience with AAS is with pharmaceutical products. What worked with me doesn’t consider the quality of the AAS that you are using.
Occasionally I would get a little gyno that I watched closely. Sometimes I attempted to treat with Nolvadex or Proviron. But what I knew was that if I was going to be taking anabolic steroids other than testosterone I had to limit my testosterone to 200mg/wk. So, all my cycles included 200mg/wk of testosterone (once I started using test), and included low dosages of the high aromatizing anabolic steroids, like Anadrol, and Dianabol (which we thought most easily converted to estrogen.) I always used an injectable steroid and an oral steroid along with the 200mg/wk of testosterone. I felt safer using Anavar and Winstrol orals.
Throughout all 3 decades that I used AAS, I kept the gyno in check. I never had surgery, though I considered it from time to time. And I have seen surgery that left indentations at the nipples of a couple people who did have surgery.