Gynecomastia is when the breast tissue is overdeveloped or enlarged in men or boys. The breasts grow bigger, and they could develop unevenly. Gynecomastia frequently occurs during the puberty hormonal changes in a preteen or teenage boy. However, it can also occur in older males and newborn babies.
Gynecomastia is caused primarily by a hormonal imbalance between testosterone and estrogen. Certain drugs and disorders can also cause male breast tissue to expand and grow in size. Male breast tissue enlarges when estrogen levels are higher. Opt for the best Gynecomastia surgery in Hyderabad. Up to two-thirds of men over 50 and about half of the adolescent boys will have this to some extent.
Gynecomastia is typical in men and boys at different developmental stages and with particular medical disorders. Rather than fat (adipose) tissue, true Gynecomastia refers to increased glandular tissue. Pseudogynecomastia refers to the development of fat tissue around the breast area.
What Causes Gynecomastia?
Gynecomastia typically happens as a result of a hormonal imbalance in the body. All male and female hormones are present to some degree in healthy humans. Gynecomastia occurs when the body’s levels of female hormones (estrogens) are higher than those of male hormones (androgens). Gynecomastia in babies or throughout puberty can come from this briefly developing during boys’ natural growth. Gynecomastia, in these circumstances, typically goes away on its own as hormone levels return to normal.
In some situations, illnesses or medical procedures might alter the body’s hormonal balance and encourage the development of Gynecomastia. Examples of ailments that could be connected to Gynecomastia include:
· Testicular cancer
· Cirrhosis of the liver
· Chronic kidney failure
· Anti-androgen treatments for prostate cancer, and
· Disorders of the male sex organs, including infection, trauma, or inborn disorders
A wide range of medications has also been associated with developing Gynecomastia. Examples include the diuretic spironolactone (Aldactone), a few calcium channel blockers and ACE inhibitors used to treat hypertension (high blood pressure), a few antibiotics, anti-ulcer
medications, and highly active antiretroviral therapy (HAART) for HIV disease, all of which may cause fat redistribution and, in some cases, true Gynecomastia.
Finally, Gynecomastia is known to be triggered by alcohol and a few illicit drugs (such as heroin and marijuana). Gynecomastia is also linked to tea tree oil and lavender oil in skin care products.
Signs and Symptoms of Gynecomastia
Gynecomastia typically causes symmetrical breast growth near the nipple that feels rubbery or stiff. Commonly, both sides are afflicted, though it can also start on just one side. Even though both sides are affected, the expansion may be more noticeable on one. Even though the swollen area may be sensitive or uncomfortable, Gynecomastia is not accompanied by acute pain.
Male breast cancer is typically only found on one side, as opposed to Gynecomastia, and is not always localized around the nipple. The common signs of Gynecomastia are:
· Pain, particularly in adolescents
· Swollen breast tissue
· Breast tenderness
· Nipple sensitivity with rubbing against clothes
It is better to talk with a medical professional if a man experiences Gynecomastia. To find the reason for Gynecomastia, they could order testing. Many severe medical disorders can sometimes cause Gynecomastia. Thus it is important to rule those out.
A physical exam typically diagnoses Gynecomastia. Gynecomastia is characterized by breast tissue with a diameter bigger than 0.5 cm. A thorough medical history is just as crucial as a physical examination to determine the etiology of Gynecomastia.
To ascertain the cause of Gynecomastia, the doctor may request procedures, including blood tests or imaging investigations. If there is any possibility that a man may have breast cancer, mammography is advised.
Treatment for Gynecomastia
Gynecomastia treatment is not usually necessary because temporary Gynecomastia, such as that experienced during puberty, typically goes away on its own without it within three years. Gynecomastia may be reduced by quitting the offending medication if medicines are the cause. In general, two classes of drugs have shown promise in the treatment of Gynecomastia:
Testosterone Replacement: This treatment is successful in older men with low testosterone levels, but it has not been successful in individuals with normal levels of male hormones.
SERMs: Although they are unable to solve the issue altogether, selective estrogen receptor modulators (SERMs), tamoxifen (Soltamox), and raloxifene (Evista) can assist in reducing the
quantity of breast tissue. Most frequently, these drugs are used to treat painful or severe Gynecomastia.
Will Surgery Cure Gynecomastia?
Gynecomastia has been treated surgically by removing breast tissue when medication for Gynecomastia treatment is not feasible. Male chest reduction surgery treatment with direct excision and liposuction is possible. Gynecomastia surgery is essentially risk-free. However, there are a few potential risks:
· Bleeding, and
· Complications of anesthesia.
The Final Word
Both medicinal and surgical methods are successful in treating persistent Gynecomastia. Gynecomastia usually has no lasting effects. However, men who have it have a significantly increased risk of getting male breast cancer (about five times greater than the general population). In adult men, Gynecomastia is probably accompanied by hormonal changes that increase their risk of breast cancer