Find a good surgeon and get the surgery. You will not regret it. I had it from puberty and had fat around it as well. A good surgeon will not remove it in a way where you’ll have a concavity but instead make it seem very natural. He will also remove excess fat surrounding it but not to a point where it looks unnatural. The natural look is key here. After that, your job is to build your pecs. No matter how skinny you get or how muscular you get, you will always have gyno visible and create a “not so pleasing” look.
Then, you should visit a sperm bank or impregnate your woman asap or decide not to have kids or rather take a chance on whether or not you would be able to have kids.
After that, make your peace with balding and shave your head.
When you do all of that, you will feel so free. Go nuts on anything you want to try. Of course, you must always consider other health markers so you don’t damage your body running compounds that aren’t good for you.
I’m stuck on the “sperm” side of things. A sticky situation for me
my cycle plans revolve around recovery but will take risks with long cycles.