Male Gynecomastia: When to Seek Surgical Consultation - Surgery

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Gynecomastia


If a male has gynecomastia, which specialty should he consult? I was checked when I was younger but have not undergone surgery.
Does health insurance cover it? I was also examined during my military service by a general surgeon who drew blood for tests, and everything was normal.
He asked me if I frequently took supplements as a child.
Since he was my superior, I didn't dare to ask more about the connection between this and the supplements I took as a child.
Is there a relationship?

Dong, 30~39 year old female. Ask Date: 2010/10/11

Dr. Huang Junxiong reply Surgery


Hello: Please schedule an appointment for the breast surgery outpatient clinic.
Thank you.

Reply Date: 2010/10/11

More Info


Gynecomastia, the enlargement of breast tissue in males, can be a source of concern for many individuals. It is essential to understand the underlying causes, potential treatment options, and when to seek surgical consultation.
Firstly, gynecomastia can occur due to hormonal imbalances, particularly an increase in estrogen or a decrease in testosterone. This condition can be physiological, such as during puberty, or pathological, resulting from various factors, including medications, health conditions (like liver or kidney disease), or lifestyle choices (such as the use of anabolic steroids or certain supplements). In your case, you mentioned that a military doctor had previously evaluated your condition and suggested that it might be related to supplements you took as a child. Some supplements, particularly those that contain phytoestrogens or hormonal precursors, can indeed influence hormone levels and potentially contribute to gynecomastia.

When considering whether to seek surgical consultation, several factors come into play. If gynecomastia is causing significant psychological distress, embarrassment, or discomfort, it may be worthwhile to consult with a healthcare professional, particularly a plastic surgeon or an endocrinologist. Surgical options, such as liposuction or mastectomy, can effectively reduce breast tissue and improve body image.
In terms of insurance coverage, many health insurance plans in the United States may cover gynecomastia surgery if it is deemed medically necessary. This typically requires documentation of the condition and any associated psychological impacts. It’s advisable to check with your specific insurance provider to understand the coverage details and any prerequisites for surgery.

If you are considering surgery, it is essential to have a thorough evaluation. This may include blood tests to assess hormone levels, imaging studies to rule out other conditions, and a comprehensive medical history review. The surgeon will also discuss the potential risks and benefits of the procedure, including recovery time and possible complications.

In summary, if gynecomastia is affecting your quality of life, it is reasonable to seek a consultation with a specialist. They can provide guidance on whether surgery is appropriate for you and help you navigate the complexities of treatment options and insurance coverage. Remember, it’s crucial to have open discussions with your healthcare provider about your concerns and any previous evaluations you have undergone. This will ensure that you receive the most informed and tailored care possible.

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