Gynaecomastia can be simply defined as the condition wherein there is a benign or non-cancerous increase in the amplitude of the breast tissues in men. New born babies, adolescent boys, older and obese men often experience such a condition when there is a certain increase in the size of their breasts.
While it is natural for new born babies and adolescent boys to experience gynaecomastia due to the maternal hormones and the onset of puberty respectively, it might not be that simple for other people. Though, Gynaecomastia is mostly benign and painless, some people might however, suffer from Gynaecomastia due to cancerous growth leading to painful experience.
Treatment of Gynaecomastia
A majority of the cases of gynaecomastia do not need any medical attention. However, a further increase in the size of the breasts and a sensation of pain might call for medical assistance. While certain changes in lifestyle can resolve the condition in certain cases, the same cannot be said for all other situations. Gynaecomastia can be treated in the following ways-
Medications to Treat Gynaecomastia:
Danazol,Tamoxifen and Aromatase inhibitors are the three most effective medications prescribed for the treatment of gynaecomastia.
A. Danazol works by reducing the pain in the breast and also the levels of oestrogen produced in the testicles of the male body, thereby, reducing the size of the breasts.
B. Patients might experience certain side effects such as, acne breakout, weight gain and the like.
C. Though used for treating breast cancer, recent studies have proved Tamoxifen to be effective in treating gynaecomastia as well. It works by reducing the breast size in the male body and has several side effects such as, upset stomach and nausea.
D. Aromatase inhibitors are generally prescribed in cases of gynaecomastia occurring during puberty and include side effects such as, pain in the joints and a reduction in the bone strength.
Surgical Procedures to Treat Gynaecomastia:
Surgical procedures are likely to be suggested if no improvement is seen in the condition of people affected by gynaecomastia even after changes in lifestyle and use of medications. Such procedures are likely to include subcutaneous mastectomy, laser-assisted liposuction, laser-lipolysis without going for liposuction and liposuction assisted mastectomy. The procedure might be accompanied by certain complications such as hematoma, breast asymmetry, necrosis in the aerola and the like.For more information on Gynaecomastia check Tony-allen
Diagnosis of Gynaecomastia
Diagnosis of gynaecomastia can be generally made by the physician without any special tests. However, patients might be suffering from other conditions such as pseudo-gynaecomastia and breast cancer which have symptoms similar to gynaecomastia.
A. Mammography to Diagnose Gynaecomastia. This is done in order to ascertain that the enlargement of the glandular tissues in the chest area of males is not cancerous in nature.
B. Core Biopsy or FNAC, that is, Fine Needle Aspiration Cytology of the breast tissue might also be needed in order to find out if the affected person is suffering from the proliferation and enlargement of the ducts, swelling and inflammation around the ducts and connective tissue and growth of fibroblasts.
Along with the above tests, patients might also need to undergo certain blood tests to test the renal functions and hormonal profile.
Prognosis of Gynaecomastia
Gynaecomastia or the development of breast tissues in men is generally seen as a benign condition and can be treated completely if the underlying causative factors can be identified correctly and treatment is started before the onset of fibrosis of breast tissues. This condition is more commonly seen affecting older men within the age group of 41 and above and adolescent boys of 12-18 years of age. Though the condition is generally benign, it might be a source of psychological distress, especially among adolescent boys.
Gynaecomastia Surgeon in Hyderabad
Dr. Guru Karna, leading gynaecomastia surgeon in Hyderabad, with distinctive treatment style, ensuring his clients utmost satisfaction and 12+ years experience in cosmetic surgery procedures has developed tremendous cosmetic practice exposure by travelling and interacting with various surgeons. His practice hails from being part of Apollo hospitals from initial stages of his career and also continues his services with his private consultation.