Breast Enlargement in Men: Gynecomastia

A few words about breast enlargement in men. Gynecomastia is a swelling or enlargement of the breast tissue in males that can occur at any age. It is not cancer. Patients may experience enlargement of one or both breasts. The patient may be asymptomatic or may experience pain of the breast especially under the nipple and areolar region where a firm, rubbery mass known as a “breast bud” may develop. Many patients will experience emotional distress and psychological symptoms as a result of the breast enlargement. There are many causes, but common causes are:

Hormone imbalance due to high estrogen and low testosterone, as seen in infants and adolescents during puberty Medications, including those for epilepsy, depression, ulcers and heart conditions Anti-androgen medications Steroids, including prednisone and anabolic steroids to build muscle Chemotherapy drugs Use of marijuana, alcohol and other illegal drugs.

I you suffer from gynecomastia, it is important to consult with a physician if you suspect you may have gynecomastia. Your physician will perform a physical exam, obtain a thorough history, and may order further diagnostic tests to determine the cause of your symptoms.

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