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Posted on Oct 12, 2021

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Posted on Oct 12, 2021

Causes Of Gynecomastia In Puberty

Gynecomastia is a disorder in which the glandular tissue in the breasts expands in boys or men, producing pain or nipple sensitivity. It is mainly caused by a hormonal imbalance and happens throughout childhood, adolescence, or middle to late life. Gynecomastia must be differentiated from the breast enlargement found in overweight males owing to fat accumulation. The disease often resolves on its own, although treatments are available for severe or chronic instances. When gynecomastia is caused by an underlying health condition, treating the underlying health problem typically helps the gynecomastia as well.

Because of the natural hormonal changes that occur throughout puberty, up to 70% of males in early to mid-puberty suffer gynecomastia. Gynecomastia is also frequent in males in their forties and fifties. Up to 65 percent of men in this group are impacted.For  gynecomastia doctors in Gurgaon contact Lamidas  skin care. 

MOST COMMON CAUSES OF GYNECOMASTI

Although androgens (such as testosterone) are commonly thought of as "male hormones" and estrogens as "female hormones," both sexes generate both types of hormones. Androgens are by far the most abundant hormone in males, although oestrogen is also present in trace levels. Gynecomastia can occur when the hormonal balance changes, resulting in an increase in oestrogen or a reduction in androgens. This can happen as a result of normal hormonal changes during puberty or age, or as a result of the use of certain medications or herbal items.

The following are the most prevalent causes of gynecomastia in adult males who seek medical attention for gynecomastia:

  • 25 percent of men have persistent pubertal gynecomastia.
  • Drugs account for 10 to 25% of the total.
  • Unknown reasons (idiopathic) account for 25% of all cases.

Gynecomastia that develops during puberty generally disappears on its own between six months to two years. The disease can appear between the ages of 10 and 12 years old, although it most often appears between the ages of 13 and 14 years old. Up to 20% of people with the disease live past the age of 17.

Causes unknown (idiopathic) — It is not always apparent what causes gynecomastia in men in their forties and fifties. Nonetheless, as men age, their blood testosterone levels tend to fall, and their hormone balance shifts to a greater estrogen-to-testosterone ratio. Most occurrences of "idiopathic" gynecomastia are most likely caused by a combination of these causes.

EVALUATION OF GYNECOMASTIA

Pseudogynecomastia (also known as lipomastia) develops in overweight males whose breasts expand due to fat deposits and is not to be mistaken with gynecomastia.

If you are a man or boy with swollen or sensitive breasts, your doctor will examine you to see if the tissue in your breasts is fatty or glandular. Glandular tissue is intended to release things such as milk or hormones and often includes a network of palpable ducts.

If the physician is unsure if you have gynecomastia, he or she may prescribe a breast ultrasound or a mammography, which is a specialist X-ray of the breast.

Laboratory testing – In some cases, blood tests to assess hormone levels may be recommended. Blood tests are typically not required if the source of the gynecomastia (for example, puberty or medications) is known.

TREATMENT FOR GYNECOMASTIA

The optimal therapy for gynecomastia is determined by the aetiology, length, and severity of the condition, as well as if it causes pain or discomfort.

Adolescents — Because pubertal gynecomastia generally resolves on its own, therapy is usually avoided at first. Instead, the supplier will monitor size fluctuations for several months. Pubertal gynecomastia usually resolves at this period.

Adult males — Treatment is typically not indicated for adult men whose gynecomastia is caused by an underlying health condition or by medications. In these guys, addressing the underlying issue or discontinuing the troublesome medication typically resolves the gynecomastia.

A brief term (three to six months) of tamoxifen or raloxifene may be advised for males with idiopathic gynecomastia that causes pain and lasts longer than three months.

Patients with prostate cancer – Gynecomastia is a typical side effect of hormone treatment for prostate cancer (androgen deprivation therapy or antiandrogen monotherapy). Tamoxifen and radiation therapy are two treatments that can be used to prevent the development of gynecomastia.

Tamoxifen — Tamoxifen can be used in conjunction with hormonal anti-prostate cancer treatment (androgen deprivation or antiandrogen monotherapy). Tamoxifen must be taken on a daily basis throughout the course of antiandrogen therapy. In one research, just 8% of men receiving an antiandrogen with tamoxifen developed gynecomastia (compared to 68% of men on the antiandrogen alone). Tamoxifen may also be administered to men who develop gynecomastia while taking antiandrogens.

Radiation therapy – Treating the breasts with radiation before starting anti androgen medication might help some men avoid gynecomastia. Radiation therapy is typically administered in one to three sessions (similar to having an X-ray). In the previous study, 34% of males who had radiation treatment prior to anti androgen medication developed gynecomastia. Existing gynecomastia can be treated with greater radiation doses, which may alleviate discomfort. Radiation, on the other hand, is ineffective in reducing breast size when administered after the breasts have already formed.

Tamoxifen vs. radiation therapy – While tamoxifen is more effective than radiation for males on antiandrogen monotherapy, tamoxifen must be taken for the length of antiandrogen therapy. One to three sessions of radiation therapy may be more convenient for certain guys.

Surgery — Tamoxifen and raloxifene are beneficial for men and boys who have had swollen breasts for a few months; however, the medication is ineffective for males whose breast tissue is not sensitive or who have had the disease for more than a year. Surgery to decrease the size of the breasts is a possibility for these guys. Operation is typically not suggested for teenagers until puberty is complete; if the surgery is performed before puberty is complete, there may be regrowth of breast tissue.

The degree of surgery is determined by the severity of the breast enlargement and the presence of extra fatty tissue. Many males are treated with a mix of glandular tissue removal surgery and liposuction.

For males with more severe breast growth or excessive drooping of the breast tissue caused by weight reduction, more comprehensive cosmetic surgery, including partial surgical excision of the breast skin, is necessary. For  gynecomastia doctors in Gurgaon contact Lamidas  skin care. 

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