Doctors Lounge - Endocrinology Answers
provided on www.doctorslounge.com is designed to support, not
replace, the relationship that exists between a patient/site
visitor and his/her physician."
Back to Endocrinology Answers List
- Sat Oct 27, 2007 9:07 pm
Age: 24, M, 168 lbs 5'8"ht
In my genetics class in college, I found out about Klinefelters Syndrome. Basically, the reason I believe I may have it is because of a mild case of gynecomastia (the fat under the nipple feels firm with I squeeze my fingers in towards the nipple thus its not normal adipose fat).
First I tried to get into shape (used to be 185, now 166) to burn some fat and I did lose some fat around the chest, but I have the puffy nipples (although not as bad as some pics I've seen).
I don't take ANY drugs. I have some facial hair, but its not full, and very short/thin chest hairs... although I have hairy legs and armpits, on my navel to my pelvis... as well as some hair on my feet and fingers (i'm trying to be specific as possible). I have hips that I believe are a little bit wide, but I do have pretty broad shoulders. My testes aren't that small (measure at about 1.80 inches long). Plus I am not tall (another symptom that KS has but I don't exhibit... I'm an totally confused).
*What could be causing my gynecomastia?*
Also, I am going to get a testosterone check from a private lab (don't want it on my medical record)... would ordering a testosterone serum test be sufficient or should I also get a free testosterone test too?
Thanks for your time!
| Dr. Chan Lowe
- Thu Nov 01, 2007 11:16 pm
From your description I would not be particularly suspicious of Klinefelters. As you've suggested, Klinefelters patients are often taller. They tend to have little body hair and classically have small testes.
Testing for Klinefelters is done by karyotyping from a blood draw.
Gynecomastia is fairly common, particularly in men that were a bit overweight. The reason for this is that fat cells convert testosterone into estrogen.
As you are loosing weight the gynecomastia will likely improve; however, it may take a while to fully resolve.
Testing of your testosterone levels may or may not give you any helpful information. A good place to start is with a total testosterone level. There is probably little need for other hormones at this point.