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What is Gynecomastia?

Gynecomastia means more breast development in men. Studies have revealed that one out of every 3 men has excessive breast development. It may be possible to encounter this situation in old age or infancy.

However, this problem is most common in adolescence. It is known that 34 percent of Turkish adolescents have gynecomastia. This situation is not harmful to health.

However, it causes damage to the self-confidence of the person. It looks aesthetically bad. There may also be embarrassing feelings.

It is a situation that does not go away by itself. Therefore, medical treatment and, if necessary, surgical intervention is required.

What are the causes of Gynecomastia?

Gynecomastia is a condition seen when hormones are imbalanced. An imbalanced estrogen and testosterone hormones can cause this problem.

This is seen when the amount of testosterone is low and the amount of estrogen is high. There may be many factors that cause this imbalance in the body.

Sometimes these changes are natural, while sometimes different elements cause an imbalance in hormone levels. Testosterone and estrogen are hormones that enable the determination of sex characteristics in humans.

Body hair and masculinity are determined by testosterone. Estrogen hormone is secreted less in men under normal conditions. Gynecomastia occurs when the balance of these hormones is disturbed.

At what age does Gynecomastia appear?

Gynecomastia can be seen in babies, adolescents, and adults. Many male babies are born with large breasts due to the passage of estrogen from their mothers.

Swollen breast tissue will disappear spontaneously within 2-3 weeks from birth. Gynecomastia may occur due to hormone irregularities observed during puberty.

Generally, after this period, the breast structure returns to its original state. The excessive breast development seen in adults is between the ages of 50 and 69 on average. One out of every 4 men in this age group has excessive breast development.

What drugs can cause Gynecomastia?

Gynecomastia may occur due to the use of some drugs. Some of these drugs can be listed as follows:

  • Heart medications such as calcium channel blockers
  • Chemotherapies,
  • Some antibiotics
  • Ulcer medications,
  • Antidepressants included in the tricyclic group,
  • Anxiety medications,
  • Medicines used to treat AIDS,
  • Anabolic steroids and androgens,
  • Medicines preventing prostate enlargement,
  • Using drugs used in prostate cancer can cause excessive breast development.

Who are the people more likely to have Gynecomastia?

People at risk of gynecomastia can be listed as follows:

  • Those with liver, thyroid, and kidney disease,
  • Those with Klinefelter syndrome,
  • Those who use steroids and androgens to improve athletic performance,
  • Old men
  • Adolescents are at risk.

Gynecomastia can also be seen in people who use some herbal products. Especially because of the ingredients in tea tree and lavender oils found in shampoos and soaps, they can cause excessive breast development.

Which diseases cause Gynecomastia?

Gynecomastia can occur due to some diseases in the body. These diseases can be listed as follows:

  • In the case of pituitary gland insufficiency, testosterone production will be impaired. This causes excessive breast development.
  • Tumors in the testicle, adrenal and pituitary gland disrupt the hormone balance and cause excessive breast development.
  • Liver failure and cirrhosis cause hormone dysregulation.
  • People with kidney failure are also at risk.

What are the symptoms of Gynecomastia?

Gynecomastia symptoms can be listed as follows:

  • Breast tenderness,
  • Ache,
  • Swelling may indicate excessive breast development.

It is possible to make a definitive diagnosis after palpation of both breasts. A firm and approximately walnut-sized mass can be palpated behind the nipple.

Examination findings must be confirmed by USG. It is ensured that the treatment is planned by considering the examination findings together with the USG findings.

How is Gynecomastia treatment performed?

Before performing gynecomastia treatment, it is first necessary to check whether the patient has a hormonal disorder or not. If the patients think that they have a breast overdevelopment problem, they should see an endocrinologist.

Treatment options will be determined according to the person’s cause of illness. There are diseases in different classifications.

The size of the disc structure under the nipple is extremely effective in determining the treatment. If the disc age is less than 4 cm, it is recommended to wait for the development to regress.

This recommendation is made for young people only. If the patient’s complaint is longer than 4 years and the disc is up to 6 cm, then medical treatment is useful. In cases larger than 6 cm, surgical intervention is required.

The drug called Tamoxifen is most commonly used for the treatment of gynecomastia. However, before administering this drug, it is necessary to look at the age of the patient, hormone levels, and, if any, underlying medical reasons.

It is possible to see the effect within 2 weeks after drug use. It is important to monitor the patient closely while taking medication. This drug is not preferred in patients with excessive breast development for more than a year.

What is Gynecomastia Surgery?

Gynecomastia surgery is preferred because it is the most effective and definitive method in the disease. How the procedure will be done will be determined after the doctor examines the patient in detail.

Before the operation, it is necessary to make the disease classification. Because different interventions will be made according to the classification. The different types of intervention can be listed as follows:

  • In the fatty type of the disease, adipose tissue is excessive. In this case, degreasing is required.
  • There may be a mixed type of disease. In this case, both glandular tissue and adipose tissue will be excessive. Surgery and fat removal procedures are performed for the patient.
  • The firm breast tissue is felt more in the glandular type of person. Treatment is provided by surgical removal of this tissue.

It is extremely important to determine the size of the breast tissue and the excess skin. Surgical intervention will be done according to these features.

What is the process after Gynecomastia surgery?

How the process will progress after gynecomastia surgery varies according to the method of surgery. If the fat removal technique is used for the patient, it is expected that the patient will be comfortable during the healing process.

The person sees effective results after 3 weeks and does not encounter any restrictions in doing his activities. In cases where surgical intervention is required, a longer recovery period may be required.

The procedure can be performed under general anesthesia or local anesthesia. It is possible to be discharged on the same day, but if general anesthesia is performed, it is better to keep the patient under surveillance for one day.

It is completely natural to have edema and swelling in the treated area after the operation. These effects will disappear without the person needing to do anything.

Muscle pain may be felt after the operation. It is necessary to rest without doing anything for 3 days after the procedure.

Also, the arms and shoulders should not be moved too much. In this way, comfortable recovery can be achieved. You can take a shower in 3 days after the surgery, but the shower time must be short. The patient can also take short walks.

What is a Gynecomastia corset?

Gynecomastia corset is used after surgery. It is important to use this corset continuously. It is easy to use. The doctor recommends wearing a corset for an average of 2 to 3 weeks.

After the third week, you can only wear the corset during the daytime. It is recommended to wear a corset, especially when doing heavy activities. For 6 months, the corset should be worn from time to time as indicated by the doctor.

The corset is very important in terms of getting the best results of the surgery. A gynecomastia corset will help the effects of the surgery to be longer and permanent.

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