Gynecomastia: Causes, Treatment, and Recovery for Teens

Q: Gynecomastia: Causes, Treatment, and Recovery for Teens

Dear Bird： This situation requires an on-site evaluation for better judgment. <br>However, in the case of gynecomastia in males, it is advisable to observe until the end of puberty. <br>If surgery is necessary, it can be performed on an outpatient basis, allowing for same-day dis

Gynecomastia

Hello, Dr.
Wu! When I was in elementary school, my breasts were much larger than my classmates'.
I didn't care much about it back then, but now that I'm in the second year of high school, my breasts are still the same size as they were when I was younger.
I've been working on my chest muscles, but the nipples are still pointed and there are hard lumps.
At what age do these lumps typically go away on their own? If I undergo surgery, can I return to school immediately after the procedure? Also, what is the approximate cost?

niao, 10~19 year old female. Ask Date: 2005/09/30

Dr. Wu Jingtang reply Breast and Thyroid

Dear Bird: This situation requires an on-site evaluation for better judgment.
However, in the case of gynecomastia in males, it is advisable to observe until the end of puberty.
If surgery is necessary, it can be performed on an outpatient basis, allowing for same-day discharge, or with an overnight stay, depending on the situation.
Costs will vary accordingly.
Wishing you good health.
Dr.
Wu

Reply Date: 2005/09/30

More Info

Gynecomastia is a condition characterized by the enlargement of breast tissue in males, which can occur during puberty due to hormonal changes. It is essential to understand the causes, treatment options, and recovery process, especially for teenagers who may be experiencing this condition.

Causes of Gynecomastia
Gynecomastia can result from an imbalance between testosterone and estrogen levels in the body. During puberty, it is common for boys to experience fluctuations in these hormones, which can lead to temporary breast enlargement. Other potential causes include:
1. Hormonal Changes: As mentioned, puberty is a significant period for hormonal shifts. Increased estrogen levels or decreased testosterone levels can lead to gynecomastia.

2. Medications: Certain medications, such as anti-androgens, anabolic steroids, and some antidepressants, can contribute to the development of gynecomastia.

3. Health Conditions: Conditions affecting the endocrine system, liver, or kidneys can also lead to hormonal imbalances that may cause gynecomastia.

4. Substance Use: Alcohol, marijuana, and other drugs can affect hormone levels and contribute to breast tissue enlargement.

Treatment Options
In many cases, gynecomastia resolves on its own as hormonal levels stabilize after puberty. However, if the condition persists or causes significant psychological distress, treatment options may include:
1. Observation: If gynecomastia is mild and not causing discomfort, doctors may recommend monitoring the condition over time.

2. Medications: In some cases, medications that adjust hormone levels may be prescribed, although this is less common in teenagers.

3. Surgery: If gynecomastia is severe or does not improve, surgical options such as liposuction or mastectomy may be considered. Surgery can remove excess breast tissue and improve the chest contour.

Recovery and Return to School
If surgery is performed, recovery times can vary. Generally, patients can return to school within a few days, depending on the extent of the surgery and individual healing rates. It is crucial to follow the surgeon's post-operative care instructions, which may include:
- Avoiding strenuous activities for a specified period.

- Wearing a compression garment to support the healing tissue.

- Attending follow-up appointments to monitor recovery.

Financial Considerations
The cost of gynecomastia surgery can vary widely based on factors such as the surgeon's experience, the facility's location, and whether the procedure is covered by insurance. On average, the cost can range from $3,000 to $8,000. It is advisable to consult with a healthcare provider and discuss potential insurance coverage options.

Conclusion
Gynecomastia is a common condition among adolescents, often linked to hormonal changes during puberty. While it may resolve on its own, persistent cases can be treated through medication or surgery. If you are considering surgical options, it is essential to discuss your concerns with a qualified healthcare professional who can provide guidance tailored to your specific situation. Remember, you are not alone in this experience, and many young men face similar challenges during their teenage years.

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