Treatment And Causes Of Gynecomastia

Treatment And Causes Of Gynecomastia

What is​ Gynecomastia?

The word Gynecomastia comes from two Greek words, Gyne meaning Woman and​ Mastos which means breast. a​ loose translation would be “woman like breasts”. They are also know as​ steroid breasts or​ bitch tits as​ some people unkindly call them.

Gynecomastia actually describes a​ condition whereby breast tissue builds up in​ a​ males chest creating what appear to​ be female breasts. These breasts can be quite tender and​ sensitive.

The condition Gynecomastia is​ very common in​ adolescent boys, however, in​ about 90% of​ these cases, the​ condition disappears naturally as​ their adolescence follows it’s course.

For the​ remaining 10% though, it​ remains and​ can be quite a​ social handicap causing significant psychological damage to​ the​ patient. the​ feelings that this condition can generate can be shame, embarrassment and​ humiliation commonly. a​ lot of​ this can be brought about from teasing and​ jokes made about their breasts by their peers.

Other than the​ tenderness in​ the​ chest which is​ associated with Gynecomastia, there are no other medical problems with this condition other than the​ psychological problems that it​ causes.

For some men and​ boys who appear to​ have Gynecomastia, may actually have a​ condition called pseudogynecomastia. This describes the​ fatty build up on their chests. This is​ not the​ same thing as​ Gynecomastia.

Interestingly, it​ is​ possible that this condition may affect only one breast or​ both.

What causes Gynecomastia?

For most cases of​ Gynecomastia, there are no identifiable causes for​ this problem. However, this list contains a​ lot of​ what is​ commonly accepted to​ cause Gynecomastia.

- puberty
- steroid abuse
- obesity
- tumors
- genetic disorders
- chronic liver disease
- side effects of​ medication
- castration
- Klinefelter Syndrome
- Gilberts Syndrome
- ageing

Gynecomastia can also be caused by changes in​ the​ balance of​ the​ hormones estrogen and​ testosterone. This commonly occurs during puberty although can probably happen during other stages of​ a​ mans life.

From that list, it​ is​ believed that the​ main causes are obesity, steroid abuse and​ an​ imbalance in​ hormones.

How is​ Gynecomastia Diagnosed?

The doctor will probably make a​ physical examination of​ the​ breasts and​ then ask a​ number of​ questions regarding your breasts in​ order to​ ascertain how long you’ve had them and​ also what degree of​ tenderness do you experience.

In order to​ work out what is​ causing your Gynecomastia, the​ doctor will enquire about your medical history as​ well as​ any medication that you are taking.

The examination itself should be relatively minor with just a​ bit of​ prodding and​ poking.

It should be noted as​ well that while male breast cancer is​ more common than a​ lot of​ people think, these lumps in​ a​ mans breast are not cancerous, however, as​ usual, if​ in​ doubt, contact your doctor as​ soon as​ possible in​ order to​ eliminate the​ possibility.

How is​ Gynecomastia Treated?

In many cases Gynecomastia requires no treatment whatsoever and​ will disappear quietly on it’s own.

In other cases, the​ treatment may depend upon the​ cause. for​ example, if​ the​ cause is​ the​ medicine that you’re taking, then hopefully there is​ a​ suitable alternative which will be just as​ effective but without the​ side of​ effect of​ Gynecomastia. as​ Gynecomastia is​ usually less of​ a​ problem than the​ condition that the​ medicine is​ treating, this other condition will take priority in​ your care.

In a​ lot of​ cases, the​ reason for​ Gynecomastia is​ obesity. in​ this case, if​ the​ patient loses a​ degree of​ their weight through diet and​ exercise, then this will usually cure the​ Gynecomastia without the​ need for​ any kind of​ surgery.

In a​ small number of​ cases, surgery is​ deemed to​ be the​ best option. Usually in​ these cases, the​ Gynecomastia is​ causing the​ patient a​ significant degree of​ psychological problems.

This surgery removes the​ glandular tissue and/or fat behind the​ breast in​ order to​ create a​ more masculine looking chest.

The surgery for​ Gynecomastia can often be conducted under a​ local anesthetic with some sedation and​ the​ patient be treated as​ an​ out-patient. However, as​ with all surgery, whether it​ is​ low risk like this or​ high risk, there is​ always an​ element of​ risk of​ excessive bleeding, fluid loss and​ problems associated with the​ anesthesia. as​ such, the​ patient should be healthy and​ emotionally stable otherwise the​ risk of​ surgery is​ increased. There can also be a​ degree of​ scarring with the​ surgery which should be known before the​ operation takes place.

As this surgery is​ usually considered cosmetic, it​ is​ often quite difficult to​ get financing or​ for​ the​ public health bodies to​ accept you as​ a​ patient. However, patients do sometimes get the​ funding required often after proving the​ psychological problems that this condition causes.


Gynecomastia affects many people in​ varying degrees. the​ main problem from it, is​ the​ psychological problems associated with the​ humiliation of​ having woman like breasts. for​ most, the​ solution is​ to​ lose weight or​ to​ wait for​ the​ body to​ develop further, however for​ some, the​ only way to​ cure this problem is​ by having breast reduction surgery.

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