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About Gynaecomastia

Gynecomastia is an enlargement or swelling of breast tissue in males. It can affect one or both breast . Sometimes known as male breast or man boobs . It is found mostly from age 14 years to 35 years . Most man loose confidence , no social life ,and as a result of these most suffer from psychological problems.

Causes :

Gynecomastia most commonly caused by imbalance between the hormones estrogen and testosterone. Estrogen controls female traits including breast growth.testosterone controls males trait such as muscle mass and body hair.
Other diseases that can cause gynecomastia are obesity,hypogonadism and some drugs .

Treatment :

No medicine till date available to treat gynecomastia . Gynecomastia ( chest fat ) is a type of resistant fat to exercise , means any type of exercise will help you to get rid from gynecomastia.So practically no medical/conservative treatment is helpful . Best solution is “liposuction surgery”. It is minimally invasive scarless surgery , it leaves no scar , minimal pain during and post surgery . It is a day care procedure means patient can go back to home same day . Result will be appreciated immediately after surgery. A compression garment is required to wear for next 6 weeks to settle loose skin in position.

Who is good candidate for surgery :

Any patient of gynecomastia who is otherwise healthy and have no significant comorbidities.

What are the Signs of Gynaecomastia?

Sign is from small amount of extra tissue around the nipples in males form more prominent breasts. It can affect one or both breasts at the same time. Sometimes, the breast tissue can be tender kind or painful but it is not always.

The man boobs or Gynecomastia can present with discomfort and pain in the breast. It can be in one side of breast or both sides. The most common problem faced by men and boys is social embarrassment while exposing breast to their friends or in public. Men and boys with Gynecomastia can have pain in their breasts and may feel embarrassed due to female like breast. Sometimes this physical deformity causes various behavioral modifications that can have numerous implications in the lives of the affected individuals.

Those who are affected start wearing loose clothing and also avoid exposure in showers, beaches and swimming pools. Any sports or activity which requires removal of one’s shirt, exposing the chest, the boy’s stops participating in those activities and start confining them.

What causes Gynaecomastia ?

Hormone Imbalance
Gynaecomastia are caused by an imbalance between the sex hormones, namely, Testosterone and Oestrogen. Oestrogen makes breast tissue to grow. While all men produce some Oestrogen, they usually have much higher percents of Testosterone which naturally stops the Oestrogen which makes breast tissue to grow. When balance of hormones within the body changes it makes man's breasts to grow. Hormone is the cause of this imbalance.

Being very overweight (obese) is a common cause of Gynaecomastia.It happens because overweight can increase the levels of Oestrogen which causes breast tissue to grow. When overweight, you're also more likely to have excess fat that can enlarge the breast tissue. For some people losing weight or doing more exercise can help but may not always improve the condition.

Newborn Baby Boys
Gynaecomastia can affect newborn baby boys also as because Oestrogen passes through the Placenta from mother to new born baby. This is temporary disappears a few weeks immediately after the baby is born.

During puberty, boys' hormone level varies when the level of Testosterone drops, Oestrogen helps breast tissue to grow. Many teenage young boys faces the problem of breast enlargement. Gynaecomastia at puberty usually clears up when boys get older and their hormone level becomes stable.

Older Age
When men get aged due to hormonal factor less production of Testosterone affects. Older men also have more body fat and this causes more Oestrogen to be produced. These changes in hormonal level lead to excess breast tissue growth.

Other Causes

Other rare causes of Gynaecomastia include:

Side effects of medicine often cause Gynaecomastia.
Drinking much alcohol.
Health condition – such as kidney failure or liver disease.
Lumps or infection in the testicles

DR. Sunil Rathore