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Last Updated: Mar 12, 2020
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Gynecomastia - Symptom, Treatment And Causes

About Symptoms Causes Medication Causes Diagnosis Treatment Cost Remedies Natural Remedies Cure Prevention Home Remedies

What is Gynecomastia?

The enlargement of the gland tissue of the male breast is known as gynecomastia. Gynecomastia is common in men who are in the infancy, puberty and also in their middle or old age. However this condition must be distinguished from lipomastia or pseudogynecomastia which is different, and refers to fat deposit in the breast are of men.

Although gynecomastia is the most common reason for medical examination of male breasts, but true gynecomastia is only present in very small percentage of men.Gynecomastia is a condition that happens because of imbalance in the estrogen and androgen hormones in men.

When the secretion of estrogen (female hormone) in men becomes relatively high than androgen (male hormone) this condition occurs in the male anatomy. Gynecomastia that happens in boys during their puberty and in normally growing infants often gets resolved on its own as hence is also known as psychologic gynecomastia.

What are the signs and symptoms of gynecomastia?

These are the signs and symptoms of gynecomastia:

  • The major symptom of gynecomastia is breast enlargement in men, it can be on both sides or only in one.
  • There is enlargement of glandular tissue and this growth can be in uniformity or it can be uneven and depends upon the nipples.
  • The nipples become firm or their texture becomes rubbery.
  • There might be a feeling of pain and the nipples will be soft or tender when touched.
  • The symptoms of gynecomastia in boys occur at the time of puberty and remains up to two years.
  • There can be additional symptoms like fever, swelling, breast tenderness.

What causes gynecomastia?

These are the causes of gynecomastia are :

  1. Hormonal Changes:

    Hormones play an important role in the body of the person and testosterone and estrogen play a vital role in the sex characterization of male and female. Testosterone is also known as male hormones and is responsible for male traits but they are also present in females.

    Like that only estrogen is present in females in large quantity and is responsible for female traits. But they are also present in males. If the level of estrogen is high in females or the level of estrogen is higher than testosterone it can be the reason for gynecomastia.

  2. Alcohol and drugs:

    These are the substance which can cause gynecomastia:

    • Alcohol
    • Marijuana
    • Heroin
    • Methadone
    • Amphetamines

  3. Health condition:

    There are several health conditions which can cause gynecomastia by balancing the hormonal level of the body, which includes:

    • Hypogonadism
    • Aging
    • Tumors
    • Kidney failure
    • Hyperthyroidism
    • Malnutrition
    • starvation
    • Liver failure
    • Cirrhosis.

What medications cause gynecomastia?

These are the medicines which cause gynecomastia:

Anti-androgen is the type of medication which is used for the treatment of prostate cancer, prostate enlargement, and some of the other conditions. This anti-androgen medicine can cause gynecomastia. These are the medicines which are included flutamide, finasteride, and spironolactone (Aldactone).

Gynecomastia can develop in the males who are HIV positive because they are given treatment for HAART. The most common medications associated with gynecomastia is Efavirenz (Sustiva) and is responsible for causing gynecomastia.

Diazepam(Valium), anti-anxiety medication like Antibiotics, tricyclic antidepressants, cancer treatment (Chemotherapy), Ulcer medication (cimetidine), heart medication (digoxin).

How long does gynecomastia last?

The lasting up of this disease depends upon the age, health, and how you are responding to certain drugs. Gynecomastia which happens at the time of puberty can be cured on its own and might take 6 months to 3 years.

How to diagnose gynecomastia?

For the proper diagnosis of gynecomastia, the doctor will ask about the medical history of the patient and what are the health conditions of your family. After this, the doctor will perform a physical exam in which there will be a careful examination of breast tissues, genitals, and abdomen.

The initial test may include:

  • Blood test
  • Mammograms.

Further deep tests which are done by the doctor are:

  • CT scan
  • MRI scan
  • Testicular ultrasound
  • Tissue biopsies

How to treat gynecomastia?

1. Medications: Medicines such as:

  1. Tamoxifen (Soltamox)
  2. Raloxifene (Evista)
  3. Aromatase inhibitors (Arimidex)
These medicines help in treating breast cancer are also helpful in treating gynecomastia in males.

2. Surgery: These are the type of surgeries done for the treatment of gynecomastia:

  • Liposuction:

    in this extra fat is removed from the breast area but the breast gland tissue is not removed. Mastectomy: This surgery is done to remove the breast gland tissue and it requires less recovery time.

  • Support and Coping:

    a male who is suffering from gynecomastia feels embarrassing and stressful. At times it can also become traumatic thus these are the steps that must be taken:

  • Counseling:

    this can be done so as to help the patient of gynecomastia who is also suffering from depression or anxiety. Counselling can also help the person to talk with the family and cope up with the situation.

  • Connecting with other patients of gynecomastia:

    if you talk with other patients who are suffering from gynecomastia then it can also help in coping up with the situation.

  • Nonsurgical:

    nonsurgical methods are at the time of puberty because the disease gets cured on its own within 6 months to 3 years.

How much does gynecomastia surgery cost in India?

The average cost of gynecomastia surgery ranges about 280,000 - 350,000 INR.

How to get rid of gynecomastia?

For getting rid of gynecomastia one must not take any kind of drugs like marijuana and must reduce the estrogen level in the body and that can be done by reducing fats. Because the level of estrogen is increased if there is more fat in the body.

How to get rid of gynecomastia naturally?

These are the things that can be done naturally:

  • Making dietary changes:

    In this, you can increase the intake of iodine as it is necessary for the hormonal growth of the body. One must also maintain the weight of the body so as to prevent the drop in the testosterone level of the body which is necessary for reducing the level of gynecomastia. There must be a balance in the alcohol intake of the body to keep your hormones balanced.

  • Making lifestyle changes:

    If a person is suffering from gynecomastia then he/she must keep the weight normal as obesity is not a good sign and can be a harmful situation. Exercise must be done to stay fit. There must not be the use of any illegal drug because it increases the chances of getting gynecomastia.

Can gynecomastia be cured?

Gynecomastia is not a very serious disease and yes it can be cured either on its own or with the help of surgery.

Can gynecomastia be prevented?

Gynecomastia cannot be prevented as growth and aging both are the natural process and both cannot be stopped. But if the conditions which are the underlying cause of gynecomastia the disease can be prevented to an extent.

How to get rid of gynecomastia at home?

These are the home remedies that can be done:

  • Turmeric:

    this helps in raising the level of hormones in the body and reduces the size of breast in males in a natural way.

  • Exercise:

    the fat deposition in the body must be less as it causes gynecomastia and doing exercise is the best remedy to get rid of this disease.

  • Flaxseed:

    There are multiple health benefits of flax seeds. They are full of omega-3 thus help in boosting the level of testosterone in the body and prevents the enlargement of breasts.

  • Fish oil:

    another source of omega-3 fatty acids and help in reducing the level of estrogen or female hormones in the body and prevents enlargement of the breasts.

  • Zinc:

    if the body lacks zinc then it is certain that a person may suffer from gynecomastia as a low level of zinc reduces the level of testosterone in the body. Therefore food rich in zinc must be eaten which include, cashews, raisins, oysters, lobsters.

  • Red clover:

    there is a compound found in red clover called genistein which is helpful in reducing the level of estrogen in the body.

  • Ginger root tea:

    Ginger boosts the metabolism of the body by reducing the fat and it may also help in reducing the fat of chest area. Therefore ginger tea must be taken in order to stay fit.

Popular Questions & Answers

I have pcos. Doctor gave hormonal treatment for 1 year .periods got regularly wen I used tablet. After that .she prescribed premence non hormonal treatment .now I delayed 2 days .what can I do?

MBBS, M.S Obstetrics & Gynaecology, F.MAS FELLOWSHIP IN MINIMAL ACCESS SURGERY, D. MAS Dipolma in MINIMAL ACCESS SURGERY, FICRS, Fellowship in COSMETIC GYNAECOLOGY, Diploma in advanced Laparoscopy for Urogynaecology & Gynaec oncology, Basic training course in minimal invasive surgery in Gynaecology, Basics of Colposcopy, Fellowship in Cosmetic Gynaecology, Certificate course in diagnostic ultrasound imaging, Certificate of hands on training in hysteroscopy, Certificate course in diabetes, Fellowship in assisted reproductive technology, Certificate program in aesthetic Medicine, Certificate of operative Hysteroscopy, Certificate course in clinical embryology
Gynaecologist, Chennai
You can just wait for another 10 days for the natural period to occur I don't think so that medicine has caused any effect on the delay in period.
1 person found this helpful

Can taking charak hyponidd tablet or m2 tone syrup together reduce period flow? My pcos is fine to a great extent but if my period flow is working, then it will not cause any problem in getting pregnant, will it?

Gynaecologist, Guwahati
These medicines control PCOS and if periods are regularised,may reduce heavy but not normal flow. Even if your periods are normal now, it needs to be confirmed that you are ovulating to conceive.
1 person found this helpful

Hello doctor I am 23 years old I came to knew that have pcos, doctor prescribed to take orovit active and krimson 35 but I got zincovit tablet. Is it ok to have zincovit tablets instead of orovit active. Thank you.

MBBS, Diploma in Advanced Obstetrics and Gynaecological Ultrasound
Gynaecologist, Hyderabad
Ora it multivitamin zincovit will have more concentration of zinc you can but follow doctors advice.
1 person found this helpful

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