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Gynecomastia

Also known as Male Breast Enlargement

Gynecomastia /ˌɡaɪnɨkɵˈmæstiə/ is the benign enlargement of breast tissue in males. It may occur transiently in newborns. Half or more of adolescent boys have some breast development during puberty. Gynecomastia may arise as an abnormal condition associated with disease or metabolic disorders, as a side-effect of medication, or as a result of the natural decrease of testosterone production in older males. In adolescent boys, the condition is often a source of psychological distress; however, 75% of pubertal gynecomastia cases resolve within two years of onset without treatment.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with gynecomastia, 67% report having problems with shape or size of breast, 61% report having lump or mass of breast, and 55% report having back pain. The symptoms that are highly suggestive of gynecomastia are problems with shape or size of breast, lump or mass of breast, pain or soreness of breast, and irregular belly button , although you may still have gynecomastia without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with gynecomastia often receive examination of breast, complete physical skin exam performed (ml), mammography, other or therapeutic procedures on skin and breast, biopsy, excision, hemoglobin a1c measurement and ultrasonography .

Common Medications

The most commonly prescribed drugs for patients with gynecomastia include cefazolin, propofol, exenatide (byetta), tamoxifen, dutasteride (avodart), pegvisomant (somavert), zileuton (zyflo), ibuprofen / pseudoephedrine, thiopental (pentothal), chlorpheniramine / dextromethorphan / pseudoephedrine, vecuronium, biotin and chlorpheniramine (c.p.m.) .

Who is at risk?

Groups of people at highest risk for gynecomastia include age 30-44 years, age 5-14 years and race/ethnicity = black. On the other hand, age 1-4 years almost never get gynecomastia.

Age

< 1 years
0.4x
1-4 years
0.0x
5-14 years
1.5x
15-29 years
1.2x
30-44 years
1.6x
45-59 years
0.8x
60-74 years
1.0x
75+ years
0.2x

Sex

Male
1.1x
Female
0.9x

Race/Ethnicity

Black
1.6x
Hispanic
0.9x
White
0.8x
Other
1.0x
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