Unfortunately, many men for one reason or another are faced with such a condition as gynecomastia.Of course, for the life of this pathology is not dangerous, but, nevertheless, the disease is able to deliver a lot of trouble and unpleasant experiences.After all, gynecomastia in men leads to serious psychological problems, as the owner of breast enlargement have to hide this defect from others.
What is gynecomastia in men?
gynecomastia doctors call an increase in one or both of the breasts in men.Moreover, the increase may be different breast - one to ten centimeters.On average, the size of four centimeters.This pathology gives a man a lot of trouble, because the defect is strong enough visible through the thin fabric of his shirt or t-shirts.
Often there is a true gynecomastia caused by too much growth of glandular breast tissue.But obesity is often seen as nazyvaemayalozhnaya gynecomastia in men, due to the strong body fat in the chest area, and in particular, breast.
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gynecomastia in men: causes
Experts studying a common pathology, as gynecomastia, confident that its causes are many.One of the main causes of this defect are the diseases accompanied by disorders in the endocrine system.These include the following diseases:
- partial androgen insensitivity syndrome;
- testicular tumors;
- adrenal and pituitary tumors;
- Klinefelter's syndrome;
- testicular feminization.
also gynecomastia in men may occur in leprosy, dystrophy, cirrhosis or cancer of the bronchi.That is why you need to consult a qualified doctor when the first symptoms of gynecomastia.
There are drugs that promote the appearance of this disease during chronic administration.These include drugs such as digitalis, reserpine, spironolactone and others.Also, quite often there is gynecomastia bodybuilders.The emergence of this disease in these men is not associated with weight training or with special sports nutrition, and with taking anabolic steroids.
Because of these drugs in the body of a man is formed of female sex hormones, which provoke the development of breast pathology.Therefore gynecomastia from steroid may well occur in men, heavily involved in bodybuilding.
Most often gynecomastia develops during periods of hormonal changes in the body, namely, in infancy, in adolescents 12-15 years old and in older men older than 45 years.This is called physiological gynecomastia.
Sometimes this pathology develops in men involved in sports, while a sharp limitation of physical activity.Indeed, during the training reinforced the balance of hormones in the body somewhat disturbed in favor of a hormone called testosterone.If there is no load, and poor psychological state of the athlete, the number is already in the body of female hormones increases, which leads to gynecomastia.
gynecomastia in men: symptoms
When gynecomastia is developing, especially breast augmentation.Doctors are three stages of the disease:
- proliferating (developing).It lasts no more than four months;
- Intermediate.It flows in the period from five to twelve months.At this stage breast sufficiently strongly increasing in size;
- fibrous.In the breast is formed adipose and connective tissue, the breast is compressed somewhat and appearance becomes much like a female.
most commonly observed bilateral gynecomastia, but sometimes pathology develops in only one gland.On palpation of iron in this case, there is a local seal.Also, when probing may cause pain.
Sometimes the nipple can be released secret.There and asymmetric development of the testes.Sometimes gynecomastia is accompanied by changes of the thyroid gland and abdominal organs.Often men complain of itching, bloating and heaviness in the breast area.
Diagnosis and treatment
In order to make a correct diagnosis a surgeon, first of all, conducting a thorough examination of his patient.Held as chest X-ray, ultrasound of regional lymph nodes and mammary glands, adrenal computed tomography and blood analysis, including studies of hormonal profile.
Treatment can be either conservative or surgical.As a rule, in most cases still be conservative therapy on an outpatient basis.Drugs prescribed by the doctor-endocrinologist.If there is a nodal gynecomastia in men, it is a reduction mammoplasty.
gynecomastia in men: implications
Typically, physiological gynecomastia resolves on its own, without leaving any negative effects.If the disease provoked any medication, after their withdrawal pathology also disappears.In other cases, the prognosis and outcome of the disease depends on the cause of this pathology.It should be borne in mind that the development of gynecomastia can be a factor in such a dangerous and serious illness like cancer.