Gynecomastia Treatment

Introduction

Gynecomastia is a condition characterized by the enlargement of male breast tissue, often caused by hormonal imbalances between estrogen and testosterone. This leads to the development of glandular tissue and fat around the chest, resulting in a female-like breast appearance in males. It can affect males of all ages, from puberty to older adulthood, and may cause physical discomfort as well as emotional distress due to changes in body image.

Causes and Risk Factors

  • Hormonal Imbalance: An increase in estrogen or a decrease in testosterone can stimulate breast tissue growth. This is common during puberty, aging, or due to medical conditions.
  • Medications: Certain drugs such as anti-androgens (for prostatic cancer), anabolic steroids, and some psychiatric medications can cause gynecomastia.
  • Underlying Health Issues: Chronic liver failure or chronic kidney disease, tumors, or hormonal disorders, obesity may contribute.
  • Lifestyle Factors: Use of substances like alcohol, marijuana, or steroids can increase risk.

Symptoms and Diagnosis

Gynecomastia typically presents as:

  • Enlarged, sometimes tender breast tissue
  • Swelling or puffiness around the nipples
  • Possible asymmetry between breasts

Diagnosis involves a thorough physical examination, medical history review, and may include blood tests to assess hormone levels. Imaging such as ultrasound helps rule out other causes like tumors and confirmation of increased glandular tissue and fat. In some cases, a biopsy may be recommended to exclude malignancy.

Treatment Options

  • Watchful Waiting: Mild cases, especially during puberty, may resolve on their own without intervention. Just need reassurance and psychological support. 
  • Medications: Hormonal therapies like selective estrogen receptor modulators (e.g., tamoxifen) or aromatase inhibitors can reduce breast tissue in early stages.
  • Surgery: For persistent or severe gynecomastia, surgical options include liposuction to remove excess fat and gland excision and to remove breast tissue (subcutaneous mastectomy)
  • Lifestyle Changes: Avoiding causative medications or substances and maintaining a healthy weight can help manage symptoms.

Conclusion

If you experience any increase in size of breast than usual and feeling ashamed to wear tight T-shirts – consult “Vizag Surgicare” consult our specialists to get clarity on diagnosis and tailored treatment plans as per your case. Whether through medical management or surgery, effective solutions are available to restore a natural chest contour and improve confidence.

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info@vizagsurgicare.com

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