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Forum Name: Endocrinology Topics

Question: Is increase in male breast size a hormonal disorder?


 rip10 - Tue Jul 27, 2010 4:28 pm

Hi,
I have just turned 26 (male) and i have this breast enlargement problem since my teenage. For last couple of years i have been doing proper exercise and i am quite smart but my breast size seems abnormal.

Please guide me.
 Dr.M.Aroon kamath - Wed Jul 28, 2010 6:21 am

User avatar Hi,

Gynaecomastia (“female-like” breasts in men) is a benign enlargement of the male breast.

Gynaecomastia may be,
- unilateral.
- bilateral symmetrical. or
- bilateral asymmetrical.

Some of the causative factors:
- idiopathic (cause unknown-perhaps the commonest),
- physiological (pubertal, elderly males-fairly common),
- congenital or Hereditary Gynecomastia,
- Medications(Anabolic steroids,risperidone,Estrogens,ketoconazole,,etc ),
- alcohol,
- marijuana,
- impaired liver function(cirrhosis),
- cancer,
- Klienfelter’s syndrome(XXY),
- testicular failure (eg, anorchia, viral orchitis).

Webster classification of gynecomastia is useful in planning the management:
- glandular((subcutaneous mastectomy),
- fatty-glandular(Liposuction-assisted subcutaneous mastectomy) and
- pure fatty (Liposuction).


Endoscopic subcutaneous mastectomy has made an entry as one of the surgical options.

Pubertal gynecomastia usually resolves spontaneously within 3 years in approximately 90% of patients. If hypogonadism (primary or secondary) is the cause,parenteral or transdermal testosterone replacement therapy is most useful.

A plethora of drugs have been tried in the treatment of idiopathic gynecomastia but, results are not uniformly convincing.

You need to consult your doctor and get investigated to determine the cause of gynecomastia in your case, so that, management options can be decided upon.
Best wishes!

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