How to Address Gynecomastia in Young Men: A Guide for Jack

What should I do???

Dear Doctor,
I am a 24-year-old male, and I have been troubled by a condition since the fifth or sixth grade where my chest appears somewhat protruded, which I believe is what is referred to as gynecomastia.
I would like to know if there are any ways to make my chest look like that of other normal boys.
Thank you for your response!
Sincerely,
Jack

Jack, 20~29 year old female. Ask Date: 2000/12/12

Dr. Zeng Fenyu reply Internal Medicine

Please visit the endocrinology outpatient clinic to investigate the causes of gynecomastia, so that treatment can be targeted at the underlying cause.
If no specific etiology is found and the gynecomastia is indeed severe, cosmetic surgery may be considered; however, it is essential to consult with a physician first.

Reply Date: 2000/12/12

More Info

Dear Jack,
Thank you for reaching out with your concerns about gynecomastia, a condition that many young men experience. 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. It is important to understand that this condition is relatively common, especially during puberty, but it can persist into adulthood.

Understanding Gynecomastia
Gynecomastia can be caused by a variety of factors, including:
1. Hormonal Changes: During puberty, boys undergo significant hormonal changes that can lead to temporary gynecomastia. In many cases, this condition resolves on its own as hormone levels stabilize.

2. Medications: Certain medications, including those for heart conditions, ulcers, and some psychiatric disorders, can contribute to the development of gynecomastia.

3. Health Conditions: Conditions such as liver disease, kidney disease, hyperthyroidism, and tumors affecting hormone-producing glands can also lead to gynecomastia.

4. Substance Use: The use of substances like marijuana, anabolic steroids, and alcohol can influence hormone levels and contribute to breast tissue enlargement.

Addressing Your Concerns
Given that you have been experiencing this condition since elementary school, it is understandable that you are looking for solutions. Here are some steps you can take:
1. Consult a Healthcare Professional: The first step is to consult with a healthcare provider, preferably an endocrinologist or a urologist who specializes in male health. They can perform a thorough evaluation, including a physical examination and possibly blood tests, to determine the underlying cause of your gynecomastia.

2. Lifestyle Modifications: If your gynecomastia is related to lifestyle factors, such as weight gain or substance use, making healthy changes can be beneficial. Regular exercise and a balanced diet can help reduce body fat and may improve the appearance of your chest.

3. Medical Treatment: If gynecomastia is persistent and causing you distress, there are medical treatments available. Hormonal therapy may be an option if hormonal imbalances are identified. In some cases, surgical intervention, such as liposuction or mastectomy, may be recommended to remove excess breast tissue.

4. Psychological Support: It is also important to address the emotional and psychological aspects of living with gynecomastia. Many young men experience anxiety or low self-esteem due to this condition. Speaking with a counselor or therapist can provide support and coping strategies.

Conclusion
Gynecomastia is a common condition that can be addressed through various means. It is essential to seek professional advice to determine the best course of action for your specific situation. Remember, you are not alone in this, and many young men face similar challenges. With the right support and treatment, it is possible to achieve a more typical male chest appearance.

If you have any further questions or concerns, please do not hesitate to reach out to a healthcare provider. Your health and well-being are important, and there are resources available to help you navigate this issue.

Best wishes for your health and confidence,
Doctor Q&A Teams

Similar Q&A

Understanding Gynecomastia in Adolescent Males: Treatment Options and Insights

I am 170 cm tall and weigh 50 kg. I started noticing a hard lump in my chest when I was 15 years old, and it has not disappeared even now at 19. Since I am slim, the lump appears to protrude about 1 cm when viewed from the side, but it looks normal when I am cold. One side has a ...

Dr. Zhou Hongzhang reply Plastic Surgery
1. Gynecomastia in adolescent males may resolve naturally. 2. Reduce intake of: 1. Foods that may be rich in artificial or environmental hormones, such as fried chicken and fatty meats; 2. Alcohol. This may be helpful. 3. If symptoms do not improve after puberty, surgery should b...

Understanding Gynecomastia: Treatment Options and Recovery Insights for Men

I would like to ask, if a male has gynecomastia, at what age is it unlikely to resolve naturally? Additionally, if one seeks medical attention, what are the typical treatment options? Are medications involved, or is surgery always necessary? If I were to see a doctor, which speci...

Dr. Wu Jingtang reply Breast and Thyroid
DEAR Mr. Xiaobai, Gynecomastia is generally something to be monitored after puberty. There is no need to be overly concerned; the standard treatment is "observation." Medication is usually unnecessary, and surgical intervention is only considered if it significantly af...

Can Medication Help Treat Gynecomastia in Young Men?

An 18-year-old male has been consuming fried foods since the ages of 11 and 12. By middle school, he noticed that his chest started to gradually enlarge, and this has continued to the present. He visited a doctor yesterday, who ordered blood tests to check hormone levels, with re...

Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Rock: Hello, in cases of gynecomastia in males, some may experience a reduction in size while others may not. It is recommended to control diet by reducing fried foods and animal fats, avoiding smoking and secondhand smoke, and limiting caffeine-containing foods or substance...

Understanding Gynecomastia: Causes, Symptoms, and Treatment Options

Could you please tell me if these symptoms during puberty will diminish after 2 to 3 years? Although I am a bit overweight, can exercise help reduce this? Thank you for your response.

Dr. Yang Jinfa reply Breast and Thyroid
1. Gynecomastia in adolescent males peaks at ages 13 to 14 and typically decreases after age 17, usually resolving naturally one to two years later. 2. Human adipose tissue contains an enzyme that converts male hormones into female hormones, which is why obese men have a higher...