Man boobs? Also known as Gynecomastia
Gynecomastia means that the breast of a man grows like a woman.
If you have gynecomastia, even though you exercise to grow your chest muscles, your chest muscles do not grow well.
Clinical findings include rubbery or firm mass extending concentrically from the nipple.
Sometimes, there is a possibility of pseudo-gynecomastia.
In this case, there occur fat deposition without glandular proliferation.
Human Mammary Gland
Now, let’s look at the creation of bloated chest. If it is a gynecomastia, when will the breasts grow?
In fact, Before birth, breast tissue is the same in both men and women. But estrogen stimulates breast tissue and also androgen antagonizes these effects. And puberty in boys temporarily proliferates the ducts and stroma. Soon afterwards, the duct was degenerated
However, in the case of the gynecomastia, uniformity and bilateral breasts become enlarge.
Sometimes it is accompanied by breast pain and breast lump.
But, don’t worry.
Most are benign, and for men, breast cancer is very rare.
It is less than 0.005% of all malignancies in men, and also only 1% of all breast cancers.
There is the case of Pseudogynecomastia
Sometimes there are fatty proliferation of the breasts, without proliferation of glandular tissue.
It is very difficult to distinguish from normal male breast on mammography. It can be diagnosis requires clinical correlation with breast enlargement.
Normal gynecomastia refers to the overgrowth of fat tissue and mammary gland tissue. Pseudogynecomastia refers to the state of mostly fat tissue, rather than mammary gland tissue.
As mentioned above, the true gynecomastia and the pseudogynecomastia differ greatly in their cause. In case of false gynecomastia, the fat is caused by the growth of obesity, etc, But in case of true gynecomastia it is the status which mammary gland is overgrowth.
In case of pseudogynecomastia, if there is little or no development of the mammary gland, and only the fat tissue is overdeveloped, symptoms can be improved by exercise or diet.
However, in the case of true gynecomastia, the symptoms cannot be improved by a diet. Developed mammary tissue does not disappear naturally by exercise. In this case, you will be treated surgically.
What is the true reason of gynecomastia?
It is associated with increased levels of estradiol and decreased levels of testosterone.
It is related with physiologic like senescence, puberty, hormonal.
Sometimes, systemic disease like cirrhosis or chronic rental insufficiency might be one of the reason.
The drug use can cause gynecomastia. – Cimetidine, Marijuana, Thiaside diuretics, Omeprazole, Tricyclic antidepresasants, Spironolactone, Diazepam, Anabolic steroids, Exogenouis estrogen can be the reason.
Rarely, Neoplasm might be the main reason, otherwise sometimes it may be unknown.
3 Phase of Gynecomastia
Gynecomastia is an enlargement of non-inflammatory male breasts, but may occur at any age. Particularly, there are three kinds as follows.
- At Birth: In neonates, cause is typically associated with maternal hormones.
- Puberty: At puberty, condition is idiopathic and transient.
- Old Age: Common causes in adult men include side effect of medications, adrenal or testicular tumors, liver disease, or renal disease.
If you have a consultation about the gynecomastia in Evita clinic, We will check your finger length before consultation. That is because the longer your ring finger compared to your index finger the more androgen exposure. Gynecomastia are also deeply related to hormones. If there is an imbalance between the androgen and the estrogen hormone in uterus, it can cause the gynecomastia. That’s why we check the length of the finger before your consultation.