Gynecomastia Surgery: Impact on Erectile Function

Surgical excision of gynecomastia?

I would like to ask about the difficulty in achieving an erection after undergoing surgery for gynecomastia.
Prior to the surgery, everything was normal, but after the procedure, this issue arose.
I have consulted with other doctors, and most say it is unrelated, but one mentioned that the removal of breast tissue could affect erectile function.
I would like to know if there is a connection.
I am quite anxious and confused about this situation and don't know what to do.

Huang, 30~39 year old female. Ask Date: 2022/01/11

Dr. Xu Wencang reply Urology

Further evaluations and endocrine tests can be performed.

Reply Date: 2022/01/11

More Info

Gynecomastia surgery, which involves the removal of excess breast tissue in males, is generally considered a safe procedure with a low risk of complications. However, concerns about postoperative erectile function can arise, especially if there are changes in sexual health following the surgery. It is important to understand the potential factors that could influence erectile function after gynecomastia surgery.

Firstly, it is essential to recognize that gynecomastia itself can be associated with hormonal imbalances, particularly elevated estrogen levels or decreased testosterone levels. These hormonal changes can affect sexual function, including erectile ability. If a patient experiences erectile dysfunction after surgery, it is crucial to consider whether the underlying hormonal issues were present before the surgery or if they have developed as a result of the surgical procedure or recovery process.

The surgical removal of breast tissue does not directly affect the erectile function since the tissues involved in erection are primarily located in the penis and are not anatomically related to the breast tissue. However, psychological factors can play a significant role in sexual function. If a patient is anxious or stressed about the surgery or its outcomes, this can lead to difficulties in achieving or maintaining an erection. Anxiety about body image or concerns about changes in sexual performance can contribute to erectile dysfunction.

Moreover, the recovery period after surgery can also impact sexual function. Pain, discomfort, or changes in body image can lead to decreased libido or erectile difficulties. It is important for patients to communicate openly with their healthcare providers about any concerns they have regarding their sexual health after surgery. A thorough evaluation may be necessary to rule out other underlying causes of erectile dysfunction, such as psychological factors, medication side effects, or other medical conditions.

In some cases, hormonal therapy may be recommended if hormonal imbalances are identified as a contributing factor to erectile dysfunction. Testosterone replacement therapy, for example, can help restore normal testosterone levels and improve sexual function. However, this should be approached cautiously and under the guidance of a healthcare professional.

In summary, while gynecomastia surgery itself is not directly linked to erectile dysfunction, various factors, including hormonal changes, psychological stress, and recovery-related issues, can contribute to difficulties in achieving or maintaining an erection. It is advisable for patients experiencing these concerns to consult with their healthcare provider for a comprehensive evaluation and tailored treatment options. Open communication about sexual health and any changes experienced post-surgery is crucial for addressing these issues effectively.

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