Gynecomastia In Men: Causes And Treatment
Many men with gynecomastia suffer from physiological and psychological problems and can be treated with medication or plastic surgery.
What is the disease of big breasts in men?
Gynecomastia, also known as Gynecomastia, refers to an increase in the number of mammary gland tissue in boys or men due to an imbalance of the hormones estrogen and testosterone.
Gynecomastia may affect one or both breasts, sometimes unevenly.
Infants, boys who experience puberty and older men may develop gynecomastia due to normal changes in hormone levels, although other causes also exist.
In general, gynecomastia is not a serious problem but this disease affects the psychology of the infected person. Men with gynecomastia sometimes experience chest pain and feel ashamed to interact with the crowd.
Gynecomastia may disappear on its own. If it persists, medication or surgery may help
Signs of gynecomastia include:
Breast tissue is swollen
The cause of breast enlargement in men
Natural hormonal changes
The hormones testosterone and estrogen control gender characteristics in both men and women.
Testosterone controls male characteristics, such as muscle mass and body hair. Estrogen controls the characteristics of women, including breast development.
Most people think of estrogen as a hormone that only women have, but men also produce estrogen in small amounts. Too high a male's estrogen level or an imbalance with testosterone levels can cause gynecomastia.
Gynecomastia in newborns: More than half of male babies are born with enlarged breasts due to maternal estrogen effects. Usually the swollen breast tissue disappears within two to three weeks after birth.
Gynecomastia during puberty: Gynecomastia caused by hormonal changes during puberty is relatively common
Gynecomastia in adults: The prevalence of gynecomastia is highest between the ages of 50 and 69. At least 1 in 4 men in this age group are affected.
Use of medication
Some medicines can cause gynecomastia. Include:
Anti-androgens are used to treat enlarged prostate, prostate cancer and other conditions. Examples include flutamide, finasteride (Proscar, Propecia) and spironolactone (Aldactone, Carospir).
Anabolic steroids and androgens, prescribed by a doctor for certain diseases.
AIDS medicine: Gynecomastia can develop in HIV-infected men and is treated with highly active antiretroviral therapy. Efavirenz (Sustiva) is more often associated with gynecomastia than other HIV medications.
Anti-anxiety medications, such as diazepam (Valium).
Ulcer medications, such as over-the-counter cimetidine (Tagamet HB).
Heart medications, such as digoxin (Lanoxin) and calcium channel blockers.
Medicines that empty the stomach, such as metoclopramide (Reglan)
Substances that can cause gynecomastia include:
Amphetamines, used to treat attention deficit / hyperactivity disorder
Methadone (Methadone, Dolophine)
Some health conditions can cause gynecomastia by affecting the normal balance of hormones:
Hypothyroidism: Serious effects on testosterone production in men, such as Klinefelter syndrome or hypopituitarism, may be associated with gynecomastia.
Aging: Hormonal changes that occur with aging can cause gynecomastia, especially in overweight men.
Tumors: Tumors that involve the testes, adrenal or pituitary glands, can produce hormones that alter the balance of male-female hormones.
Hyperthyroidism: In this condition, the thyroid gland produces too much thyroxine hormone.
Kidney failure: About half of the people treated with dialysis have mastitis due to hormonal changes.
Liver failure and cirrhosis: Changes in hormone levels associated with liver problems and medications for treating cirrhosis related to gynecomastia.
Malnutrition: When the body is malnourished, testosterone levels decrease while estrogen levels remain the same, causing hormonal imbalances. Rejuvenation syndrome when men eat normally again can also cause gynecomastia.
How to treat big breasts?
To treat big breasts, the first thing is to find out the cause by thorough examination, including genital examination and biological tests to quantify the hormones that cause disease.
Since then, the doctor has a radical treatment according to the cause. The most commonly prescribed drugs are male hormones used in the form of oral, topical and intramuscular creams, which usually take longer than 3 months, with low effectiveness, mainly for pain relief.
Anti-estrogen medications like Tamoxifen are also used.
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