Gynecomastia: Common Concerns and Questions Explained

Gynecomastia in males: Questions?

Hello, I am currently 26 years old.
Before I went to the military at 23, I had an ultrasound at the hospital, and the doctor explained that the left side was developing better, so it is larger.
Recently, I have noticed that my breasts are larger than before.
I would like to ask a few questions: 1.
Can gynecomastia become more pronounced or saggy due to chest muscle training? 2.
Is it common for gynecomastia to cause the areola on one side, like the left, to be larger? 3.
I occasionally experience some pain, but it is only on the left side.
Is this normal?

scott, 20~29 year old female. Ask Date: 2016/09/29

Dr. Wu Jianting reply Breast and Thyroid

In general, gynecomastia in young males is simply characterized by asymmetry and does not pose any health risks.
The size of the areola varies from person to person.
If there is persistent enlargement or the presence of a lump, a consultation at a clinic is recommended.
Whether to proceed with surgical removal of gynecomastia should be discussed with a physician, as there is no specific health insurance code for gynecomastia; decisions should be based on medical judgment.
Thank you for your inquiry.

Reply Date: 2016/09/29

More Info

Gynecomastia, or the enlargement of breast tissue in males, is a common condition that can lead to various concerns and questions, particularly among young men. At 26 years old, you are at an age where hormonal changes can still be influencing your body. Let's address your questions one by one.

1. Does exercising the chest muscles cause gynecomastia to become more prominent or saggy?
Engaging in regular chest workouts can strengthen the pectoral muscles, which may enhance the appearance of your chest. However, it is important to note that while exercise can improve muscle tone, it does not directly affect breast tissue. If gynecomastia is present, the underlying glandular tissue will not disappear simply through exercise. In some cases, if the breast tissue is significant, it may appear more pronounced when the surrounding muscle is developed, leading to a more noticeable appearance. Additionally, if there is a significant amount of fatty tissue associated with the gynecomastia, weight loss through exercise might help reduce the overall size, but it will not eliminate the glandular tissue itself.

2. Is it common for one side of the breast to be larger than the other in gynecomastia?
Yes, it is quite common for gynecomastia to present asymmetrically, meaning one breast may appear larger than the other. This can be due to hormonal imbalances, genetic factors, or even variations in breast tissue development. The fact that your left breast is larger and has a larger areola (the pigmented area surrounding the nipple) is not unusual. Many men experience some degree of asymmetry in their breast tissue, and this can be exacerbated by gynecomastia.

3. Is occasional pain in the left breast normal?
Experiencing occasional pain in the breast area, particularly if it is localized to one side, can be a common symptom associated with gynecomastia. This discomfort may arise from the sensitivity of the breast tissue as it undergoes changes due to hormonal fluctuations. However, it is important to monitor this pain. If the pain becomes persistent, severe, or is accompanied by other symptoms such as swelling, redness, or discharge, it would be advisable to consult a healthcare professional for further evaluation.
In summary, gynecomastia can be influenced by various factors, including hormonal changes, body weight, and genetics. While exercise can help improve the appearance of your chest, it may not resolve the underlying issue of gynecomastia. If you are concerned about the size of your breast tissue, the asymmetry, or the pain you are experiencing, it may be beneficial to consult with a healthcare provider or a specialist in endocrinology or urology. They can provide a thorough evaluation and discuss potential treatment options, which may include lifestyle changes, medication, or, in some cases, surgical intervention if the condition is severe or bothersome.
Understanding your body and seeking appropriate medical advice is crucial in managing gynecomastia effectively. Remember, you are not alone in this experience, and many men face similar concerns.

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