Gynecomastia is a condition in which the breasts become enlarged in boys or men, occasionally causing distress or nipple tenderness. The reason is generally a hormonal imbalance and typically occurs during infancy, adolescence, or mid-to late-life.
Luckily, the condition often goes away naturally, but remedies are available for severe or persistent cases. It is rare for the state to continue past age 17.
The most affected are boys in early to mid-puberty (up to 70 percent ) who undergo gynecomastia because of the normal hormonal changes occurring during puberty. It is also common among middle-aged and older men (around 65 percent).
Causes of Gynecomastia
In contrast to popular belief, everybody produces both androgen and estrogen. In males, much more androgen hormones are found. Gynecomastia can occur when the equilibrium is changed, with a rise in estrogen or reduction in androgens. In many men it occurs due to anticipated hormonal changes during puberty or aging, or because of using certain drugs or herbal products.
· Pubertal gynecomastia that does move away naturally – 25%
· Drugs – 10 to 25%
· Unknown causes (idiopathic) – 25 percent
Several drugs have been associated with gynecomastia, including:
· Spironolactone (Aldactone), a medication used as a treatment for heart failure, high blood pressure, and a lot of other conditions.
· Ketoconazole, a drug used in the treatment of fungal infections.
· Cimetidine (Tagamet), ranitidine (Zantac), and related drugs called H2-receptor blockers used to treat stomach ulcers and acute heartburn.
Gynecomastia in children has been associated with regular use of skin care products (creams, soaps, and shampoos) containing tea tree oil and lavender oil. Both oils have plant estrogens, which may impact the body’s hormone balance. After stopping use of the products, the condition generally resolves completely.
It is sometimes not clear what causes gynecomastia through mid-to late-life. As men age, testosterone levels decline, which changes the hormone balance and favors an increased amount of estrogen. It’s possible these factors probably account for most cases of”idiopathic” gynecomastia.
Gynecomastia differs from pseudogynecomastia, which occurs in overweight men whose breasts expand due to fat deposits.
Treatment for Gynecomastia
Treatment for gynecomastia is dependent upon its origin, duration, and severity, and if it causes pain or discomfort.
Drugs that block the effects of estrogen can reduce the size of the breasts for boys with severe gynecomastia that’s causing substantial tenderness or embarrassment. Tamoxifen (Nolvadex) and raloxifene (Evista) are somewhat valuable.
But neither medication is approved for such use in the US. Lacking FDA approval, the dangers and benefits have not been well-studied.
Surgery is usually recommended during puberty as there may be regrowth of their breast tissue if the surgery is done before puberty has finished.
Treatment is generally delayed in mature guys when gynecomastia is very likely to be a result of an underlying health issue or by medication. Gynecomastia is resolved by fixing the underlying condition or temporarily suspending the problematic drug as soon as possible.
Prostate cancer sufferers:
Gynecomastia is a known complication of a treatment for prostate cancer, and roughly 75 percent who get this treatment develop gynecomastia. The purpose in these cases is to protect against the development of gynecomastia, also can incorporate tamoxifen and radiation treatment.
Whether tamoxifen or raloxifene is not an option for example when the illness has lasted more than a couple of months, surgery to lower the size of their breasts is an option for these guys.
The extent of surgery depends on the seriousness of the breast augmentation and whether there’s also excess fatty tissue. By way of instance, a number of men are treated with a combination of surgery and liposuction.