What is Gynecomastia?
Excessive breast enlargement in men, or male breast growth, is a condition where men develop feminine-like breast tissue. Studies indicate that one out of every three men over the age of 35 experiences this. While it’s more common in middle-aged and elderly men, it can also occur in infancy and is particularly prevalent during adolescence due to hormonal changes related to weight gain. A study from Turkey reported that 34.6% of adolescent boys were affected.
What Causes Male Breast Enlargement?
Basically, gynecomastia, which is the abnormal growth of breast tissue due to an imbalance of estrogen and testosterone hormones in the body, is not a serious health problem. It usually only affects the outward appearance. It can affect one breast in some cases or both breasts in some cases. If both breasts are affected differently, the two may reach different sizes. However, the presence of this disease is disturbing for the self-confidence of the individual. Moreover, in more severe cases, individuals may also experience pain.
The reasons for this imbalance include:
Natural Hormone Changes
The most common trigger is shifts in hormone levels. Even healthy males produce a small amount of estrogen, and an increase in this hormone can lead to development of breast tissue. Newborn male babies often show signs due to maternal estrogen, which usually stabilizes within a few weeks.
Medication Side Affects
Certain drugs can induce breast tissue growth, including anabolic steroids, anti-androgen drugs for prostate issues, tricyclic antidepressants, some antibiotics and ulcer medications, antiretroviral drugs for AIDS, and heart medications.
Diseases that affect hormone levels, such as hypogonadism, hyperthyroidism, tumors, kidney failure, liver failure, and cirrhosis, can also be culprits. Substance use, including drugs and alcohol, may contribute as well.
In addition to these, let’s say that the consumption of drugs and alcohol can also cause gynecomastia.
What are the Symptoms of Gynecomastia?
The condition is identifiable by several clear signs:
- Sweollen breast tissue,
- Nipple discharge,
- Uneven breast size,
- Pain or tenderness,
- A lump beneath the nipple,
If you have at least one of these symptoms, we recommend that you go to the nearest hospital and be examined. Remember that breast cancer is not just a female disease. These symptoms, which you ignore as insignificant, can sometimes point to much more serious problems.
We can carry out thd treatment in several ways. Before proceeding to the treatment process, we need to evaluate the underlying causes of this problem. Therefore, you should first consult the nearest endocrinology specialist for the diagnosis. We determine the treatment planning according to the type of the disease. If we examine that the disease is caused by hormonal reasons, we will shape the treatment process accordingly.
Gynecomastia is not the only kind. For example, the course in adolescents and their response to treatment are different. We measure the gynecomastia we encounter during adolescence with the help of the Nydick classification. Using the Nydick classification, we determine the type of disease by the size of the glandular tissue disc under the brown ring located on the nipple. If this tissue disc is less than 4 cm in diameter, we expect the disease to go away on its own without any extra treatment.
The primary criterion we seek to start the treatment process is that the patient has had these complaints for many years. We start the treatment process if the symptoms disturbing the patient increase. Medical treatment is sufficient if the disc in the patient’s breast tissue is between 4-6 cm. If this disc exceeds 6 cm in diameter, that means we have no choice but to undergo surgery.
If breast enlargement is observed due to a drug, your doctor may suggest you to quit it. In case of the patient needs to use this medicine for life, he may ask his doctor to prescribe a substitute medicine. If breast enlargement in men is due to an underlying condition such as hypogonadism, malnutrition or cirrhosis, these will disappear when treatment is available.
Gynecomastia Surgery in Turkey
People with this disease often ask ”How to get rid of gynecomastia?” Surgery is the most effective treatment method. We use liposuction, (fat removal) in surgical operations performed by specialist physicians. Excess fat tissue removed by liposuction does not grow again.
If you have more questions about gynecomastia (male breast enlargement), don’t forget to contact our medical consultants in Turkey via WhatsApp. If you wish, you can also wait for us to reach you by filling out the form on the side.