As a pediatrician at ONP Hospitals, I’ve witnessed countless stories of resilience and recovery, but one case stands out—little Anaya’s story. Anaya, a spirited four-year-old, came to us after a severe finger injury that happened while she was playing in the backyard....
Overview
In boys and men, gynecomastia occurs when there is an imbalance in the hormones oestrogen and testosterone, resulting in an increase in breast gland tissue. Even if one or both breasts are affected, the symptoms of gynecomastia might be unequal. Male breast cancer is the most frequent kind of cancer in men, and an estimated 50 to 65% of males globally are affected by it.
Although gynecomastia isn’t life-threatening, it may be not easy to deal with. Some men and boys with this medical issue experience discomfort and embarrassment as a result of their condition. Gynecomastia may resolve itself without treatment, and if the problem continues, medication or surgery may be necessary.
Everything You Need To Know About Gynecomastia
What is it?
Men and boys who suffer from gynecomastia have swollen glandular tissue in their breasts. When your body’s hormones are out of whack, this might happen. Because of the excess fat that accumulates in the breast, you develop “pseudo gynecomastia.” Unlike in women, male breast tissue does not grow as quickly as in women. The mother’s oestrogen may cause a little degree of breast growth in newborn newborns. Gynecomastia in newborn men almost typically resolves on its own. As males enter puberty, they create a testosterone-based male hormone known as testosterone, which is critical to their sexual development. There are male oestrogen levels, the feminine hormone that governs female traits, in men as well.
Under the nipple, gynecomastia may be visible as a button-sized growth. A breast lump may be visible, or you may feel it when you push the region. An easy-to-move and the tender-to-touch lump may be present in the breast tissue. One or both breasts may be affected by breast lumps and breast enlargement.
Why it’s done
Gynecomastia seldom causes any symptoms in males above the age of 20. There is a wide range of possible signs and symptoms, including:
- Pain, especially in teens
- Breast swelling
- Breast tenderness
- Pressing against garments causes nipple sensitivity
If you experience any of the following symptoms, you should see a doctor:
- Swelling
- Pain or tenderness
- Suffering from a nipple discharge in one or both breasts
Procedure
The majority of instances of gynecomastia resolve on their own over time without the need for therapy. In contrast, if the gynecomastia is caused by an underlying illness, such as hypogonadism, starvation, or cirrhosis, then the underlying problem may need to be addressed as well.
You may be taking medicine that’s causing the problem. If so, plastic surgeons may suggest quitting the prescription altogether or switching to a different one.
A doctor may prescribe frequent reevaluations every three to six months in teenagers who do not seem to have a known cause of gynecomastia other than typical hormone changes throughout puberty to determine if the disease is improving on its own. Gynecomastia in teens often resolves on its own in less than two years without therapy.
If gynecomastia does not heal on its own within a few months, or if it causes substantial discomfort, soreness, or embarrassment, treatment may be recommended.
Medications
Some men suffering from gynecomastia may find relief from medications that are used to treat breast cancer and other disorders. They are as follows:
- Tamoxifen (Soltamox)
- Aromatase inhibitors, such as anastrozole (Arimidex)
Even though the Food and Drug Administration has authorised these drugs, they have not been explicitly approved for men with gynecomastia (male breast growth).
Surgery to remove excess breast tissue
Surgical intervention may be recommended if the enlargement of the breasts continues to be considerable and painful after early therapy or monitoring.
The following are two gynecomastia surgery options:
- Liposuction: Breast fat is removed with this procedure, but not the breast gland tissue itself.
- Mastectomy: The breast gland tissue is removed during this sort of surgery. In many cases, just little incisions are required for the procedure, and this less intrusive form of surgery requires a shorter recovery period.
Conclusion
If you’re self-conscious about your breast size, don’t be afraid to speak to your doctor about it without feeling ashamed. Your healthcare professional will be able to identify the underlying cause of the issue. If medicine or condition is the source of the problem, medication modifications and disease therapies may be effective. Breast tissue that has swelled over time often shrinks. If you’re feeling self-conscious about your appearance, consulting with a mental health expert may be beneficial.
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Our Patients Many many happy returns of the day......... The best doctor in the world My mother was suffering from severe pain in both knees and spine. Dr. Aashish arbat sir has operated today after 15days she is doing every thing thank you Dr aashish arbat sir and team Especially the major support was from Dr Ram sir from admission to dischatge and follow ups and taken care very nicely thanku Dr. Ram sir Our Patients After enduring knee pain for the past decade, my mother sought advice from various doctors in Nagpur, Nashik, and Pune. They all recommended knee replacement surgery, but it was only when we discovered Dr. Aashish Arbat and the option of robotics surgery that we made the decision to proceed. The surgery took place on June 23, 2023, and it turned out to be an incredible experience. To our astonishment, on the morning of June 24, my mother was able to stand on her own legs and even take a few steps. This remarkable progress was made possible due to the advanced assistance of robotics arm and Artificial Intelligence. Dr. Aashish Arbat is an exceptional and highly experienced surgeon, and we are immensely grateful for his expertise. We also extend our appreciation to his colleagues, Dr. Sharma and Dr. Ram, for their excellent skills and compassionate nature. Our heartfelt thanks go out to the entire team for enabling my mother to live a pain-free life Our Patients My mother got her both robotic knee replacement from sir on Oct 2021. The team and sir have made the complete process seamless. Especially my mother was very comfortable post her surgery. Thank you Dr Arbat and team. Our Patients Our Patients Our Patients Hello. My wife has severe arthritis in her body knees since 2017. We communicated many doctors but she was not happy. We visited Dr arbat for same issue and he came up with robotic knee replacement solution which suited her accurately and she is walking 5-6km daily without hesitation and living comfortably. Thanks Dr. Aashish Arbat and his new technology.Chhaya Kate
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