what is the treatment for gynecomastia

Procedures

7 rows · Jul 07, 2019 · There are 3 classes of medical treatment for gynecomastia: androgens (testosterone, ...

Nutrition

Some people don’t want or need treatment for gynecomastia. If a medication or other substance is causing breasts to enlarge, you may need to stop using the drug or switch to a different one. If a disease is the cause, swelling should go away with disease treatment. Some men choose to get breast reduction surgery. During this procedure, a plastic surgeon removes breast tissue to …

Which doctor to consult for gynecomastia?

Dec 20, 2021 · Treatment is rare but can include breast reduction surgery or hormone therapy to block estrogen. Medications for the treatment of gynecomastia Tamoxifen is a drug that blocks the action of the ...

What are the treatment options for gynecomastia?

Mar 28, 2011 · What is the best treatment for gynecomastia in men taking antiandrogen therapies for prostate cancer? The systematic review 7 concluded that serum estrogen receptor modulators (SERMS, e.g. tamoxifen), aromatase inhibitors (AIs, e.g. anastrazole), radiotherapy (RT) or both, prevent or reduce gynecomastia and breast pain associated with antiandrogen …

Does tamoxifen get rid of gynecomastia?

Aug 22, 2021 · Ayurvedic Treatment for Gynecomastia In Ayurveda, there are several herbal remedies and medicines that can reduce the swelling of the male breasts. Some of the medicines that doctors recommend include Tribulus Power, Arogyavardhini Vati, …

Can I get rid of gynecomastia without surgery?

May 12, 2022 · Signs and Symptoms of Gynecomastia If the breast tissue growth comes from medication, discontinuation can resolve the condition. Gynecomastia resulting from obesity or excess fatty deposits from alcoholism is reversible using fat-reducing... Hormone therapy is another vital intervention to help ...

What is the best treatment for gynecomastia?

Can gynecomastia can be cured by medicine?

How can gynecomastia go away?

How can I reduce gynecomastia quickly?

At what age does gynecomastia go away?

How do I know if its gyno or fat?

Is gynecomastia a serious problem?

Can we reduce breast size?

What causes gynecomastia?

Besides tumors, other conditions have been associated with excessive aromatization of testosterone and other androgens to estrogen, which results in gynecomastia. For instance, a familial form of gynecomastia has been discovered, in which affected family members have an elevation of extragonadal aromatase activity (34). Novel gain-of-function mutations in chromosome 15 have been reported to cause gynecomastia, possibly by forming cryptic promoters that lead to over expression of aromatase (35). More recently, polymorphism of the aromatase cytochrome P45019(CYP19) has been found to be associated with gynecomastia (36). Obesity is thought to cause estrogen excess through increased aromatase activity in adipose tissue. Having said that, most obese men do not have elevated serum estrogen concentrations. Hyperthyroidism induces gynecomastia through several mechanisms, including increased aromatase activity (2).

What is the cause of pathologic gynecomastia?

Pathologic gynecomastia is due to an increase in the circulating and/or local breast tissue ratio of estrogen to androgen.

How does estrogen affect breasts?

Estrogen effects on the breast might be the result of circulating estradiol levels or locally produced estrogens. Aromatase P450 catalyzes the conversion of the C19 steroids, androstenedione, testosterone, and 16−α−hydroxyandrostenedione to estrone, estradiol-17β, and estriol. As such, an overabundance of substrate or an increase in enzyme activity can increase estrogen concentrations and initiate the cascade to breast development in females and males. For example, in the more complete forms of androgen insensitivity syndromes in genetically male (XY) patients, excess androgen aromatizes into estrogen resulting in not only gynecomastia, but also a phenotypic female appearance. Furthermore, the biologic effects of over expression of the aromatase enzyme in female and male mice transgenic for the aromatase gene result in increased breast proliferation. In female transgenics, over expression of aromatase promotes the induction of hyperplastic and dysplastic changes in breast tissue. Over expression of aromatase in male transgenics causes increased mammary growth and histological changes similar to gynecomastia, an increase in estrogen and progesterone receptors, and an increase in downstream growth factors such as TGF-beta and βFGF (17). Interestingly, treatment with an aromatase inhibitor leads to involution of the mammalian gland phenotype (18). Thus, although androgens do not stimulate breast development directly, they may do so if they aromatize to estrogen. This occurs in cases of androgen excess or in patients with increased aromatase activity.

What is secondary hypogonadism?

Secondary hypogonadism results in low serum testosterone and unopposed estrogen effect from increased conversion of adrenal precursors to estrogens (24) . Thus, patients with Kallmann syndrome, a form of congenital secondary hypogonadism with anosmia, also develop gynecomastia. In fact, androgen deficiency (hypogonadism) from whatever cause constitutes most cases of gynecomastia.

Does cirrhosis cause gynecomastia?

The gynecomastia of liver disease, particularly cirrhosis, does not have a clear etiology. Some have speculated that the gynecomastia is the result of estrogen overproduction, possibly secondary to increased extraglandular aromatization of androstenedione, which may have decreased hepatic clearance in cirrhotics. However, testosterone administration to cirrhotics causes a rise in estradiol, but decreases the prevalence of gynecomastia (5, 37, 38). Therefore, although the association of gynecomastia with liver disease is apparent, current data are conflicting and the mechanism remains unclear.

Can gynecomastia cause hypogonadism?

Gynecomastia can also follow spinal cord disorders. Most patients with spinal cord disorders display depressed testosterone levels and , in fact, can develop testicular atrophy with resultant hypogonadism and infertility. Some have speculated that this may result from recurrent urinary tract infections, increased scrotal temperature, and a neuropathic bladder, which ultimately cause acquired primary testicular failure. The exact mechanism, however, remains elusive (40).

Can estrogen cause breast growth?

Although estrogens and progestogens are vital to mammary growth, they are ineffective in the absence of anterior pituitary hormones (5). Thus, neither estrogen alone nor estrogen plus progesterone can sustain breast development without other mediators, such as GH and IGF-1. This was confirmed by studies involving the administration of estrogen and GH to hypophysectomized and oophorectomized female rats, which resulted in breast ductal development. The GH effects on ductal growth are mediated through stimulation of IGF-1. This is demonstrated by studies of estrogen and GH administration to IGF-1 knockout rats that showed significantly decreased mammary development when compared to age-matched IGF-1- intact controls. Combined estrogen and IGF-1 treatment in these IGF-1 knockout rats restored mammary growth (6, 7). In addition, Walden et al. demonstrated that GH-stimulated production of IGF-1 mRNA in the mammary gland itself, suggesting that IGF-1 production in the stromal compartment of the mammary gland acts locally to promote breast development (8). Furthermore, other data indicates that estrogen promotes GH secretion and increases GH levels, stimulating the production of IGF-1, which synergizes with estrogen to induce ductal development. In a population-based study of healthy school boys and adolescents, IGF-I levels were found to be elevated in boys with pubertal gynecomastia compared with boys without gynecomastia, suggesting that the GH-IGF-I axis may be involved in the pathogenesis of pubertal gynecomastia (9).

What drugs cause gynecomastia?

Certain drugs can also cause gynecomastia, including: 1 Anabolic steroids for improved athletic performance 2 Estrogens 3 Finasteride (Proscar®, Propecia®) for enlarged prostate 4 Spironolactone (Aldactone®), digoxin (Lanoxin®), amiodarone (Cordarone®), and calcium channel blockers 5 Cimetidine (Tagamet®) and proton pump inhibitors for heartburn 6 Diazepam (Valium®) for anxiety 7 Ketoconazole (Nizoral®) for fungal infections 8 Metronidazole (Flagyl®) for bacterial infections 9 Human chorionic gonadotropin for fertility problems 10 Amphetamines, marijuana, heroin, methadone (“street” drugs) and alcohol

Why is gynecomastia embarrassing?

Gynecomastia can be embarrassing and result in avoiding situations in which the chest is bare (changing clothes in the locker room, swimming, public showering). This can lead to not wanting to be around other people, anxiety, stress, and depression. Talking with a counselor can help.

What is a male breast enlarged?

Gynecomastia is a common condition which results in enlarged male breast tissue. It can be seen in males of all ages, but usually occurs during the newborn period, puberty and older adulthood. There are many causes for gynecomastia, most commonly an imbalance of the hormones testosterone and estrogen.

What is the most common breast disorder in men?

Gynecomastia is the most common male breast disorder. It affects between 50 to 65% of boys and men worldwide.

How long does it take for breast enlargement to go away?

Breast enlargement usually goes away six months to two years after the start of puberty. At mid-life and beyond. Breast enlargement often peaks in men between the ages of 50 and 80. About one in four men in this age range have breast enlargement. There are many other conditions that can cause gynecomastia.

What to do if you are embarrassed about your breast size?

If you’re uncomfortable about your breast size, don’t be embarrassed to talk to your healthcare provider. Your provider can pinpoint the cause of the condition. If a medication or disease is to blame, medication changes and disease treatments may help. Swollen breast tissue often shrinks over time. If you’re feeling anxious about how you look, talking to a mental health professional may help.

What is the name of the drug that is used to treat male infertility?

Male infertility (by taking human chorionic gonadotropin, or HCG).

What is the best medicine for gynecomastia?

Medications for the treatment of gynecomastia. Tamoxifen is a drug that blocks the action of the female hormone estrogen in the body. It is used for treating and preventing breast cancer, but it can also reduce the symptoms. of breast pain and breast enlargement in men.

What causes gynecomastia?

Causes of gynecomastia. A number of factors can lead to gynecomastia. Gynecomastia can stem from an imbalance between the sex hormones testosterone and estrogen. Estrogen, the “female” hormone, makes breast tissue grow, while testosterone, the “male” hormone, stops estrogen from making breast tissue grow.

What causes a swollen breast?

Further tests will seek to eliminate other causes, such as: 1 A cyst 2 An abscess or furuncle 3 A benign tumor such as lipoma or hamartoma 4 Mastitis, which is inflammation of breast tissue 5 Hematoma, a solid swelling of clotted blood 6 Metastasis, a cancer that has spread from elsewhere in the body 7 Fat necrosis, or a lump resulting from damage to fatty breast tissue.

What is aromatase inhibitor used for?

Aromatase inhibitors, used for treating breast and ovarian cancer in post-menopausal women , may be used off-label to prevent or treat gynecomastia in males.

How to remove excess fat from a fatty tissue?

Liposuction can remove excess fatty tissue. It involves inserting a small tube through a 3- to 4-millimeter incision.

Can gynecomastia be treated?

Treatment options for gynecomastia. Gynecomastia normally resolves without any treatment, but if there is an underlying condition, it may need treatment. If the condition stems from a medication, the patient may need to switch to a different drug.

Does exercise reduce gynecomastia?

It is caused by additional breast tissue. Doing exercise or losing weight will not reduce the breast tissue in gynecomastia. Pseudogynecomastia is separate condition, where fat builds up in the breasts, possibly due to being overweight or obese.

How to treat gynecomastia?

Home remedies for treating gynecomastia mainly entails paying attention to the diet plan and practicing some chest-tightening exercises. With a proper diet chart in place clubbed with some exercises can normalize the hormonal balance.

What is the best medicine for gynecomastia?

Some of the medicines that doctors recommend include Tribulus Power, Arogyavardhini Vati, Hakam Churna and Guggul capsules. Also, there are various herbs, a combination of which a gynecomastia male can try.

What is gynecomastia in men?

Gynecomastia is the development of female-like breasts. The discomfort caused due to this condition and the psychological impact that follows is a major concern for several men. The effect can be felt in professional as well as personal front.

What are the side effects of gynecomastia?

People who have tried the medicinal treatment for gynecomastia had to suffer from various side effects including dizziness, severe headache, weakness, chest pain, difficulty breathing, difficulty with eyesight, etc.

What foods can help with gynecomastia?

Consume foods that are rich in anti-inflammatory nature and loaded with antioxidants. Some of these food items include leafy greens, berries, citrus fruits, beans, etc.

How to get rid of a swollen breast?

Apply a paste of mixing dry ginger powder, Castor oil, and glycerine on both sides of the breast area before hitting the bed. Take Kaishor Guggulu 500 mg after having food. Mix Haritaki, Yashtimadhu and turmeric in equal parts in water and drink it three times a day.

What is the best way to increase sperm count?

Make sure that you eat vitamin D rich foods such as mushrooms, caviar, cereals, trout, eggs etc. Vitamin D boosts up testosterone levels and encourages sperm count.