Male Breast Issues: When to Seek Medical Advice - Breast and Thyroid

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Male breast issues


Since sixth grade, I have noticed that the area around my breasts is more prominent than the rest of my chest.
When I press down, I can feel small movable lumps that can be pinched.
This phenomenon occurs on both sides of my chest, and now that I am in the ninth grade, it has not gone away.
Is this normal?

liù, 10~19 year old female. Ask Date: 2019/03/11

Dr. Yuan Tianmin reply Breast and Thyroid


This is more related to developmental issues.
Some young boys may experience similar situations, and it might be worth waiting a bit longer, as it could improve over time.

Reply Date: 2019/03/11

More Info


Male breast issues, particularly gynecomastia, can be a source of concern for many young men. Gynecomastia is characterized by the enlargement of breast tissue in males, which can occur due to hormonal imbalances, particularly an increase in estrogen or a decrease in testosterone. This condition is relatively common during puberty, as hormonal changes can lead to temporary breast tissue growth. However, if the condition persists beyond adolescence, as in your case, it may warrant further evaluation.

Given your description of the breast tissue being firm, movable, and present on both sides, it is likely that you are experiencing gynecomastia. While it is not uncommon for this condition to resolve on its own, especially during the teenage years, persistent gynecomastia can sometimes indicate underlying health issues or hormonal imbalances that may need to be addressed.

When to seek medical advice is a crucial question. If you notice any of the following symptoms, it is advisable to consult a healthcare professional:
1. Persistent Enlargement: If the breast tissue has not decreased in size after puberty (typically around 18 years of age), it may be time to seek evaluation.

2. Pain or Discomfort: If you experience significant pain, tenderness, or discomfort in the breast area, this should be assessed by a doctor.

3. Changes in Appearance: Any sudden changes in the shape or size of the breast tissue, or the presence of lumps that feel different from the surrounding tissue, should be evaluated.

4. Associated Symptoms: If you experience other symptoms such as nipple discharge, changes in libido, or signs of hormonal imbalance (like fatigue or mood changes), these could indicate a need for further investigation.

5. Psychological Impact: If the condition is causing you distress, embarrassment, or affecting your quality of life, it is important to discuss these feelings with a healthcare provider.

In terms of potential complications, persistent gynecomastia is generally not associated with serious health risks, but it can sometimes be linked to underlying conditions such as liver disease, hyperthyroidism, or tumors that affect hormone levels. Therefore, a thorough evaluation, including a physical examination and possibly blood tests to check hormone levels, may be necessary.

Treatment options for gynecomastia vary depending on the severity of the condition and the underlying cause. If the gynecomastia is due to hormonal imbalances, addressing the underlying issue may help. In cases where gynecomastia is persistent and bothersome, surgical options such as liposuction or mastectomy can be considered to remove excess breast tissue.

In summary, while some degree of breast tissue development is normal during puberty, persistent changes warrant medical evaluation. If you have concerns about your breast tissue or if it is causing you discomfort or emotional distress, it is advisable to consult a healthcare professional. They can provide a comprehensive evaluation and discuss potential treatment options tailored to your specific situation. Remember, seeking help is a proactive step towards understanding and managing your health.

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