Gynecomastia is nothing but the enlargement of the glandular tissue which is present in the male breast. The condition can occur either at puberty or in infancy. If there is an imbalance in the hormone production in the body, gynecomastia will develop in males. The production of female hormones will be higher than the male hormones. The condition might be produced due to the side effect of the intake of various kinds of medications or drugs. The condition might be present if there is kidney failure, cirrhosis of liver or hyperthyroidism.
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The doctor will check for the presence of breast tissue. If the tissue size is more than 0.5 cm (in diameter) in males, the condition can be confirmed. Fat deposition is different from glandular deposition. Along with the physical examination, careful study of the patient’s medical history will be made. Mammography test will be conducted to figure out the risk for cancer. Hormone production measurements will be carried out. Different types of blood tests are conducted to find out the healthy state of the liver, kidney and various other organs present in the body.
In most of the cases, Gynecomastia will subside automatically and it will happen within 6 months. If you observe the progression or advancement, in most of the cases, treatment is not required. If the medical condition is due to the intake of medicines, the same should be observed. There are various kinds of treatments to address the issue. At the moment, no drug is approved by FDA (Food and Drug Administration) to treat Gynecomastia.
By using medication, it is possible to address the condition in an effective manner in the early stages of the condition. If there is scar on the tissue, no medication will work. Hence, the treatment should be initiated within the 12 months. If the medication is not effective, the only alternative is surgical removal.
- There are various treatment options to address the Gynecomastia. If a person is suffering from low levels of testosterone production, the same can be improved through medication. Especially, elder patients can be treated in this way. This treatment is not useful if there are normal levels of production of testosterone in the body.
- Another method is to use medication so that the levels of estrogen production in the body will be decreased.
- The breast volume will decrease with the intake of Tamoxifen. If there is pain or severe onset of Gynecomastia, this kind of treatment will be used.
If drug therapies are not effective or the Gynecomastia is very severe, surgery is the only option. Reduction mammoplasty or breast reduction surgery is implemented so that the size of the breast will be reduced. It is possible to bring back the normal appearance through surgical operation. Through a liposuction operation, the fat present in the breasts will be removed. Mastectomy is another operation through which the bread gland tissue will be removed. The surgery will be performed by using endoscopy.