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Gynecomastia

In women, breast growth is something that occurs naturally and is common, so it does not represent any type of abnormality, however, this does not happen in the same way in men. And it is that yes, in men it can also be the case of breast enlargement, even so, this does not happen normally and in fact it is a sign that something may be wrong with the individual.

There can be several reasons why men’s breasts grow irregularly, from obesity to a wide variety of diseases, and among all of these the most common is usually a condition called gynecomastia , which affects more men than It may seem and is a condition that generates a slight enlargement in a man’s breasts, as if his breasts were growing.

Below we will talk in depth about gynecomastia, what it is, what its symptoms are, what causes it and what are the treatments that exist. You do not have to worry, it is generally not a serious condition and in very few cases it requires surgery , but we will talk about this later.

What is gynecomastia?

Gynecomastia is the enlargement of the mammary glands and breast tissue in men, this enlargement of the tissue usually occurs due to the excessive accumulation of fat in the breast area, accumulation that in turn is It is due to a hormonal alteration.

The increase in size can occur in one or both breasts, and sometimes occurs unevenly, so it is possible that one of the two breasts increases more in size than the other, and other times only one of the breasts may increase in size. the two grow, while the other maintains a normal size.

Male gynecomastia

The gynecomastia is a problem that affects only men since increased mammary gland is normal in women given the high levels of estrogen produced compared to men. A curious fact is that gynecomastia is a problem that affects approximately between 40 and 60% of the male population in Spain, and although the figure varies in the rest of the world, it does not do so by much, so it is a more common condition than it sounds. Curiously, one of the countries with the greatest presence of this condition is the United States, mainly due to the high rate of obesity in the North American country.

Gynecomastia symptoms

Gynecomastia, like any other disease or condition, has its own symptoms. The symptoms are mainly two and these are:

Enlargement of the breast and mammary glands

As already mentioned, the first of the symptoms is abnormal enlargement of one or both breasts . It must be taken into consideration that this enlargement is sometimes mild and can be confused with obesity, since obesity can also cause an enlargement in the breasts.

To confirm that it is gynecomastia, the specialist doctor should do an exam that usually consists of palpating the breast area to confirm that the enlargement is due to an increase in the size of the mammary glands and not just fat accumulation. It is easier to verify that it is gynecomastia when the growth occurs irregularly, that is, one breast grows more than the other; since this does not usually happen during a case of obesity .

Pain when pressing on the mammary glands

Another symptom that is always present during gynecomastia is breast pain . This is not a chronic pain, and it usually only appears when putting pressure on the mammary glands. The intensity with which the pain occurs varies from case to case, and it is usually one of the most efficient methods to check for gynecomastia.

Diagnosis

The diagnosis of gynecomastia is quite simple, it is usually detected during the first two stages, although in some cases some more in-depth medical tests may be necessary, especially to measure the patient’s hormonal levels. The diagnosis of gynecomastia consists of:

Anamnesis or medical interview

The anamnesis or medical interview is the first step in diagnosing gynecomastia . During this interview, the doctor usually asks the patient a series of questions related to his medical history, lifestyle, personal information such as age, diet, among other things.

In the same way, during this stage it is usually asked how the breast enlargement has been, if it has occurred suddenly or has occurred after a change in the person’s lifestyle. In the case of obesity, it is also often asked if the enlargement occurred at the beginning of obesity or long after being overweight.

Physical exploration

The physical examination is the second step in the diagnosis of gynecomastia. At this stage, the doctor proceeds to palpate the area of ​​the breasts , in order to determine the size of the mammary glands, as well as to determine if there is any discomfort or pain in the man’s breasts.

In most cases of gynecomastia, there is usually a kind of ” ball ” or mass in the breasts, these masses are due to the increase in size of the mammary glands. Although in very few cases they can also be due to tumors; in fact, depending on the severity of the matter and the results of the diagnosis, tests can be performed to rule out possible breast cancer, mainly in patients over 50 years of age.

What are your causes?

Enlargement of the mammary glands in men can occur for various causes, some of these can be considered natural, while in others it is due to an alteration or abnormality in the body. The causes of gynecomastia can be:

Hormonal imbalance

In the case of gynecomastia, the most common cause is a hormonal imbalance between estrogen and testosterone that the body produces. This hormonal imbalance may well be a severe decrease in testosterone production or, as is most often the case, an increase in the level of estrogen within the body.

For its part, hormonal imbalance can be due to multiple factors that are related to diet, drug use, lifestyle, among other reasons.

Unbalanced diet

One of the causes of gynecomastia is an irregular diet or the excessive consumption of transgenic foods that have been treated with hormonal doses of estrogen, such as in the case of chicken, which in some places are injected with estrogen and other hormones to accelerate its growth.

Another factor to take into account is the excessive consumption of fat, since fat can trigger an increase in estrogen levels in the body. This is why men and boys who eat foods high in fat, especially during puberty, tend to have gynecomastia.

Drug consumption

Another cause of a hormonal imbalance can be due to the consumption of certain drugs , since some drugs can alter the adrenal glands, which are responsible for the production of estrogen, or even have other effects on the body. Among the types of drugs that can cause gynecomastia are:

  • Hormonal supplements.
  • Antiulcer.
  • Psychotropic drugs or drugs.
  • Cardiovascular drugs.
  • Antimicrobials.
  • Anti-tumor.

These types of drugs, due to their active components, can cause hormonal imbalances that indirectly promote the growth of the mammary glands in men. It must be clarified that these types of effects are not safe, and do not usually occur in 100% of cases, so it is only a possible cause that will depend mainly on the person’s lifestyle, as well as factors such as age or the length of time the drug treatment lasts.

Lifestyle of the person

A sedentary lifestyle can be one of the causes of gynecomastia , especially in men over 50 or in young people who are going through puberty.

Similarly, those individuals who are overweight or obese are more likely to suffer from this condition, so it is not uncommon for a person with obesity to suffer from an increase in the mammary glands, of course, which is not treated in all cases. of gynecomastia, in some cases, the enlargement of the breasts in obese people occurs due to the accumulation of fat.

After birth due to mother’s estrogen

In newborns, gynecomastia usually occurs commonly because, during pregnancy, high levels of estrogen from the mother are usually passed to the baby through the umbilical cord and something similar happens during breastfeeding. In this case there is no type of concern, and it usually disappears on its own with time.

Puberty

In children, when they enter puberty, some hormonal changes or imbalances are usually seen that can lead to gynecomastia ; a sedentary life and obesity can also influence the appearance of this condition. Similar to what happens with newborns and babies, gynecomastia usually goes away on its own over time.

Gynecomastia treatment

In most cases, especially in children and adolescents, the problem usually disappears on its own, so it is not necessary to apply any type of treatment or surgical procedure. However, there may be cases in which treatment is necessary ; generally these cases are due to a strong psychological impact on the patient or the persistence of gynecomastia over time.

The treatments that exist for gynecomastia can be of two types, one of them is pharmacological, while the other is through surgery or operation.

Pharmacotherapy

Pharmacological treatment is the most common, since on very few occasions it is usually necessary to perform an operation for gynecomastia. In the case of drug treatment, drugs are usually given that control or inhibit estrogen receptors in the mammary glands , by preventing estrogen from taking effect in this area, abnormal growth of the breasts is controlled and therefore the gynecomastia disappears.

Another type of medication widely used to treat gynecomastia are those drugs that lower the levels of estrogen in the body , while increasing the concentration of testosterone. However, this type of treatment, depending on the medicine used, can lead to side effects, such as weight gain.

Gynecomastia operation

The second type is about a surgical treatment . It should be borne in mind that this type of procedure is seldom practiced; This is because a surgical procedure is only performed in cases where there is a serious psychological impact, the condition lasts over time or, in more serious cases, the presence of breast cancer or some other complication is suspected.

On the other hand, the operation can occur in various ways depending on the case of gynecomastia that the patient presents; so the doctor must determine in advance what is the necessary process for each patient.

If the cause of the enlargement is a prominent glandular excess, that is, an excess in the size of the mammary glands, it will be necessary to remove this excess with the help of a scalpel . If it is accompanied by excess fat or tissue, it is most likely that liposuction will also be performed .

In the event that the gynecomastia consists only of excess fat or tissue, it will only be necessary to perform liposuction to eliminate the problem. This is usually the most common case and therefore the most performed operation for gynecomastia.

Where can this operation be performed?

A gynecomastia operation can be performed in any clinic, however, the most common thing is that you have to go to an aesthetic center, since it is in these places where these types of surgical procedures are usually done more frequently.

Some of the centers where you can have a gynecomastia operation are:

  • FEMM Surgery and Aesthetic Medicine in Madrid.
  • Castro Veiga Plastic Surgery in Madrid.
  • Patricia Gutiérrez in Valencia.
  • Zurich Medicine and Aesthetic Surgery Clinics in various regions of Spain.
  • Palacios Ortega in Navarra.
  • Clinimagen in Las Palmas.
  • FLG Clinic in Alicante.
  • Alfabara Clinic for Aesthetics and Weight Loss in Cádiz.
  • Massana Clinics in various regions of Spain.

What is the price of this operation?

The costs of a gynecomastia operation usually vary according to the case of each patient and other factors, such as the team of surgeons, the equipment used, the operation time and the operating room where the operation is performed.

As for an average price, this will vary greatly depending on the aforementioned factors, however, consider that you can spend at least € 2,000, since prices are between € 2,000 and € 4,500 depending on where you get it. perform and the type of gynecomastia you have.

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Hello Readers, I am Nikki Bella a Psychology student. I have always been concerned about human behavior and the mental processes that lead us to act and think the way we do. My collaboration as an editor in the psychology area of ​​Well Being Pole has allowed me to investigate further and expand my knowledge in the field of mental health; I have also acquired great knowledge about physical health and well-being, two fundamental bases that are directly related and are part of all mental health.

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