My age is 26. I have a sudden gynecomastia. There is a burning around my chest and back which is now almost for 1 month. I was diagnosed with bilateral varicocele few months ago. I am having pain in my chest ribs right side bottom when I bend down. I am worried what can be the case. In my USG, it says persistently seen prominent scrotal blood vessels bilaterally. Can varicocele cause these issues.

Dr. Prakash ChhajlaniCosmetic/Plastic Surgeon38yrs exp

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No Vericocele does not cause gynecomastia but if its sudden you have to note if you have ahd a sudden increase in weight or have been on some medications. Male breast or gynecomastia reduction. Is one of the most frequently performed office surgeries and we are the pioneers in central India since last 30 years. To the best of our knowledge no medicines or creams work to decrease the breast Size. Gynecomastia is treatable by surgery. There is no medical treatment. It is a one day out patient surgery with very gratifying results. It boosts self esteem also. The Dr. Can examine and tell you what is the problem, gynecomastia has a breast tissue and a fat component. No one wants surgery unless it is necessary. There is no medication which can give the results. Surgery is the only answer. The surgery is almost painless because there are enough medications to keep the pain under control. We need to examine the patient to know what is wanted and what can be done and to work out how much, when, where, etc It can be a day care surgery or 1 day hospital stay. There is no bed rest but 3-5 days are required for recovery and 10 days for full recovery.In 3 weeks you can go the the Gym. Gynacomastia is not a disease but excess response to hormones. If it does not bother you you don't have to get it removed. As long as the Breast size is big it is taken as Gynacomastia which could be because of More fat or More Breast tissue or a mixture of the two. Wait till 18 years of age and then if not resolved look for surgical treatment. Hot or cold weather can change the nipple size. You may need 1-2 days rest. Including the day of surgery. It is considered as an office surgery procedure. Normally we do not see a recurrence unless you put on very large amount of weight. 

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