Gynecomastia is generalized enlargement of the male breast tissue in the form of a firm mass extending from the nipple caused mainly due to an imbalance between androgen action and estrogen level. Not only has it caused a psychological distress, but also anxiety and a risk of breast cancer. Though early and on time evaluation of the same can be preventive. Here is a video that answers the questions “what is gynecomastia”.
Diagnosis of the gynecomastia requires detailed medical history. Blood tests, clinical examination and tissue sampling and imaging if required to determine any adjacent diseases. Though the treatment requirements and urgency may vary and range from an intense medical treatment required to simple reassurance. The sole aim is to reach an intervention to relieve the condition and the detected symptoms, excluding the related aspects.
Causes of gynecomastia
The major cause of gynecomastia is an altered imbalance between estrogen and androgen in the form that either there is a relative decrease in androgen production or an increase in the estrogen production. Estrogen is the growth hormone resulting in the development of breasts. The E2 levels rise than T when boys are in their puberty, leading to an elevated level ratio of either androgen or estrogen. Sometimes it is noticed that the condition spontaneously regresses within the next two years from the onset, but sometimes it may not (mainly owing to the family history).
Why You Should Not Avoid Treating The Condition Of Gynecomastia
* Appropriate medical intervention
* Overly aggressive early intervention or evaluation
* Failure to detect the very rare male breast cancer
* When to refer to specialist treatment to subdue the condition
* Surgical Options Can Be Either Of The Two:
* Less Invasive- It requires minimal surgical incision utilizing an axillary approach, resection, and endoscopic visualization.
* More Invasive – The subcutaneous mastectomy involves direct resection of the glandular tissue with a periareolar or trans areolar approach, along with or without assisted liposuction.
Medication to Treat Gynecomastia
The medications have been reported to stabilize the cause up to 25%, with hormone-like action. No treatment is usually required for the physiologic gynecomastia. The pubertal gynecomastia resolves within a few weeks to 3 years in almost 90% of patients. But keep a notice that the breasts greater than 4cm in diameter cannot completely regress and requires further surgical assistance from the professionals.
Often by administering an Anti-Estrogen and Clomiphene, around 20% of patients have experienced complete welcome and around 50% of patients achieve the partial breast reduction in their existing breast size. Tamoxifen is an estrogen antagonist which is also very effective for the recent onset and tender age gynecomastia. But if your case is more intense than this, then there is the surgical option of endoscopic subcutaneous mastectomy for Gynecomastia, which is an extensive cosmetic surgery to reduce the excessive and sagging glandular tissues with skin excision.