I am Dr. Rajesh, associate professor in the Department of plastic surgery in Deccan Medical College, also consulting plastic surgery various hospitals in Hydrabad. Today we are going to discuss about one of the most common complaints which I come across in my daily routine practice, that is gynecomastia.
Gynecomastia is a condition of non cancerous growth of the male breast. These conditions generally observed in infants and adults age and old age. The condition is observed in about 1 million population of India. In infants. this condition arises mainly due to the abnormality in the hormones. That is, the male hormones which are supposed to be increased and the female hormones which are supposed be decreased by their abnormal ratio. There is a change in the ratio of the hormones, then this condition is used to observe the mothers womb from the glass filter, that is, some of the hormones are injected to the child. So that's why we usually see there is a minor swelling of the childr's breasts this is called physiological.
Physiological normally occurs in most of the children and it's a common condition. Since something which is not common is non physiological, which is an abnormality. The next physiological condition where you see is in adult age and children are developing the male secondary sexual character. That time the male hormones which are supposed to be increase, when they are not increased and the female hormones which are supposed to get reduced . At that time, there is a change in the ratio game again you will see gynecomastia usually around 10 or 11 or 12 years of age. This will subside usually and 1 or 2 years of age and the next condition is again in the later age that is in the old age. There the testosterone hormones in the body comes down in the male then again you may see these are all these are physiological other.
Causes in the adults are mostly with the drugs are chronic. Diseases associated will be liver or kidney. Like liver in a sense of chronic sclerosis of the liver also where in the hormone which is supposed to get deleted is also one of the reason we're in developer gynecomastia and in a chronic renal problems with is undergo adolescence is also this. We can see all this kind of problem and there are very rare conditions like in a Klinefelter syndrome. There are some syndromes and some cancers are also associated with this condition but there are extremely very rare conditions. Where you see a gynecomastia syndrome for them, the evaluation is different to manage. There is long prove of medical management for this, like the drugs will not treat the cause. There are some drugs which are not even FDA approved but there are some drugs where we can give especially the adult causes but not for the physiological causes.
Physiological causes as I mentioned earlier after certain time or age they should subside and the body becomes normal like any other person but if it still doesn't subside then the option would be surgical. We do a lipo a small hole is made at the little side of the breast through that we suck out the fat if there is any fat. We suck out the fat and only the glandular tissue is delineated and then through a small incision in the area like nothing. But that pigmented skin around the nipple makes a small incision trhough which we take out the gland. That is most commonly followed treatment throughout the world and it has very great results.
for more information, you can contact me directly in my clinic that is Dr. Chandra Semalty Speciality clinic.