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Gynecomastia (Male breasts, Man boobs) : Causes and Treatment

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Gynecomastia (Male breasts, Man boobs) is the enlargement of breast glands in men. It can be on one side or both. In some cases, it is physiological (normal) e.g., new-born, puberty, middle or old age

Causes of Male Breasts

  • It results from increase of female hormone to male hormone ratio
  • Abnormal causes are 
    • Anabolic Steroids use
    • Some Medications
    • Gender identity Disorders
    • Prostate Cancer Treatment
    • Exposure to exogenous oestrogens
    • Liver disease and others
  • The nipples become firm and rubbery.
  • Nipple can painful and tender to touch and chafing can occur
  • Fat deposits in breast in men due to obesity is called pseudo-gynecomastia

Treatment for Male Breasts

  • Doctor will take your medical history, do clinical examination, may do breast ultrasound
  • Also, he may request mammograms, testicular ultrasound and some blood analysis
  • Physiological gynecomastia can cause embarrassment and sometimes persistent pain.
  • Physiological gynecomastia most usually resolves by itself in 6 months to 3 years.
  • Medications can be prescribed for persistent physiological gynecomastia
  • Some surgical procedure is also available e.g., liposuction, although not recommended in physiological gynecomastia
  • Other cases of abnormal gynecomastia will be managed according to the root cause.

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