Gynecomastia : Symptoms,Causes,Physiologic,Non-Physiologic & Treatment


Gynecomastia, is a condition in men known as ‘man boobs’, whereby the breasts become larger than normal.Older men and teenagers are those who are most affected, but it is not limited to those age groups.Often this condition does not cause pain, but in some cases in can, and the condition can vary in size from a bit of tissue in the breasts, to more noticeable bulging.

There are a number of reasons why men experience gynecomastia, including; hormone imbalance, older age, obesity and medication.If you have an imbalance between sex hormones, you can suffer from ‘man boobs’. Too much oestrogen in the body can cause breast tissue to grow, while not enough testosterone does not counteract the small levels of oestrogen that are present in all males.

Being very overweight is also a common cause of man boobs. Again, this is down to increased levels of oestrogen, which causes more tissue than normal to grow in the breasts. To know more info on Gynaecomastia  visit Getreadyoregon

This, in combination with excess fat in the same area can cause large abnormal breasts in men. Sometimes losing weight can cancel this out, but is not guaranteed to ‘cure’ gynecomastia.

Symptoms of Gynaecomastia

The main symptom of Gynaecomastia is the enlargement of the breast area, which can occur on just one side, but more commonly occurs in both breasts. This enlargement leads to a number of sub-symptoms, primarily lowered self-confidence, rashes, increased stressed and embarrassment.

While most of these issues are psychological, they can still have a large effect on people’s lives. Additionally, other possible symptoms of Gynaecomastia include an increase in the diameter of the areola, asymmetry of chest tissue and in rare cases a milky discharge, which only occurs in males who have a prolactin secreting tumor.

Causes of Gynaecomastia

Gynaecomastia commonly appears in males during infancy, adolescent and in old age. Gynaecomastia is thought to be caused by an altered ratio of androgens to estrogens, which occurs when there is an increase in estrogen production or a decrease in androgen production, or a combination of these two factors.

There are two main causes of Gynaecomastia and when treating the issue it is important to know the cause of the issue as different causes require different procedures.

Physiologoic of Gynaecomastia

Gynaecomastia in adolescents typically starts between the ages of 10 and 12 and it is usually gone after around 18 months. As men age, declining testosterone levels and an increase in the level of subcutaneous fatty tissue, a part of the normal aging process, leading to gynaecomastia in older men.

This is also known as senile gynaecomastia. Additionally, when the body is deprived of adequate nutrition, the levels of testosterone drop, while the adrenal glands continue to produce estrogens, leading to Gynaecomastia. Additionally, gynaecomastia can also occur once normal nutrition returns.

A very small population of cases of gynaecomastia in males can be caused by the male inheriting a very rare aromatase excess syndrome inherited in an autosomal dominant manner.

Non-Physiologoic of Gynaecomastia

Medications are the cause of between 10-25% of Gynaecomastia. This type of Gynaecomastia is known as non-physiologic Gynaecomastia.

There are many medications known to potentially cause Gynaecomastia such as antidepressants, high blood pressure medication, tuberculosis medication, medications used to treat prostate cancer and some chemotherapy agents. Additionally, in rare cases antibiotics, anti-ulcer and cardiovascular medicines have been found to cause Gynaecomastia.

Drug abuse, mainly the use of anabolic steroids, but also opioids, marijuana and excessive alcohol intake can also cause Gynaecomastia in certain males.

Treatment  for Gynaecomastia 

Gynaecomastia can be treated in two main ways depending on the severity of the case. In mild cases of Gynaecomastia, the issue can be treated with advice on lifestyle habits such as adequate exercise and proper diet.

This is definitely the cheaper and safer option, however, it requires a significant lifestyle change which many people may find difficult. However, remember that the internet provides numerous research on how to improve your diet and exercise habits, so do some research and see if you can treat your Gynaecomastia through this method.

In more severe cases of Gynaecomastia, medical treatments may be tried such as a surgical intervention. This is typically needed when the patient has been attempting to treat their Gynaecomastia through exercise and diet, with inadequate results.

When treating Gynaecomastia through medical treatment, it is most effective when performed within the first two years after the start of male breast enlargement.

Surgical approaches to the treatment of gynaecomastia include subcutaneous mastectomy, liposuction assisted mastectomy, laser assisted liposuction and laser-lipolysis without liposuction.

Each of these methods have their own advantages and disadvantages and it is important to be aware of these before undergoing a procedure, so that you can choose the procedure that suits you the most.

The basic steps involved in surgical treatment are

A. The patient is anesthetized (The procedure can be performed under general or local anaesthesia depending on the patient)

B. A small incision is made below the areola region of the breast

C. Excess breast tissue is removed surgically

D. Excess fat is removed through liposuction

E. The incision is sultured

The simple process makes Gynaecomastia treatment easy to understand and allows you to make an informed decision of whether the treatment is appropriate for you or not. To assist further in your decision, take a look at the benefits and risks of gynaecomastia treatment.

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