Gynecomastia is a condition in which firm breast tissues develop
in males. The breast tissue is usually less than 1-1/2 inches
across and is located directly under the nipple. Gynecomastia may
be present on one side or on both sides. This condition may make
the breast tender. Some men and boys have fat on their chests that
makes it look like they have breasts. This condition is called
pseudogynecomastia (false gynecomastia). It is not the same thing
as gynecomastia.
What causes gynecomastia?
Gynecomastia is usually caused by changes in hormones at puberty
or as part of ageing. Gynecomastia may be caused by changes in the
balance of two hormones, oestrogen and testosterone. In rare
cases, gynecomastia is caused by prescription drugs,
over-the-counter medicines, illegal drugs, tumours or disease.
Gynecomastia is not a disease but a symptom of an underlying
condition or problem. It occurs as a result of an increase in the
ratio of oestrogens (female hormone) to androgens (male hormone)
in men.
How is gynecomastia diagnosed?
The doctor will ask questions about the symptoms, such as how long
the patient has had the breast tissue, and whether or not the area
is tender. The doctor will also ask about the illnesses the person
has had in the past, the medicines taken, and other matters
relating to health. Then there is a physical examination. Whether
one needs tests depends on the age, medical history and physical
examination. If one is a teenager, tests are not needed, since
gynecomastia is common in teenage boys.
What is the treatment?
In most cases, no treatment is needed. The doctor checks the size
of the breast tissue every few months. In 90% of teenage boys,
gynecomastia goes away in less than 3 years. Sometimes the problem
can be solved if one stops taking a medicine or an illegal drug
that is causing gynecomastia. Occasionally, medicines may be used
to treat gynecomastia, especially if tenderness is a problem. The
medicine will make the extra breast tissue go away. Rarely,
surgery may be necessary to remove the extra breast tissue.
Treatment is necessary if gynecomastia is caused by a disease or a
tumour. If it is due to a disease, the disease itself will need to
be treated.
Could it be cancer?
Breast cancer is very rare in males. The doctor will be able to
tell whether the lump is cancer. Breast cancer feels different
than the breast tissue of gynecomastia.
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