Can Medication Help Treat Gynecomastia in Young Men? - Breast and Thyroid

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Can gynecomastia in men be resolved by seeing a doctor and taking medication?


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 results expected next week.
If there is a hormonal issue, will taking medication help the chest return to normal over time?

shi yan, 10~19 year old female. Ask Date: 2015/08/05

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 substances.
Maintaining a normal lifestyle is important, as staying up late and insomnia can also be related.
Environmental hormones can have an impact as well, including exposure to plasticizers, cleaning agents, and chemicals.
Wishing you peace and health.
Sincerely, Dr.
Chou Chia-Cheng, Chief of Surgery, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/08/05

More Info


Gynecomastia, or the enlargement of breast tissue in males, is a condition that can occur during puberty due to hormonal changes. It is often characterized by an imbalance between testosterone and estrogen levels in the body. In young men, this condition can be particularly distressing, both physically and emotionally. Your situation, where you have noticed breast enlargement since the age of 11 or 12, is not uncommon, as many boys experience some degree of gynecomastia during their teenage years.

When it comes to treatment, the approach largely depends on the underlying cause of the gynecomastia, which can include hormonal imbalances, certain medications, or lifestyle factors such as diet. In your case, since you mentioned a preference for fried foods, it’s worth noting that diet can play a role in hormonal health. However, the primary concern is whether there is a hormonal issue at play, which you are currently investigating through blood tests.

If your blood tests reveal elevated estrogen levels or low testosterone levels, your doctor may consider medication as a treatment option. Medications such as selective estrogen receptor modulators (SERMs) or aromatase inhibitors can sometimes be prescribed to help restore hormonal balance. These medications work by either blocking estrogen receptors or decreasing the production of estrogen in the body, which can help reduce breast tissue size.

However, it is important to note that not all cases of gynecomastia require medication. In many instances, gynecomastia resolves on its own as hormonal levels stabilize after puberty. If your condition is mild and not causing significant discomfort or psychological distress, your doctor may recommend a watchful waiting approach, monitoring the situation over time.

In cases where gynecomastia persists beyond puberty or is associated with significant pain or psychological distress, surgical options such as liposuction or mastectomy may be considered. These procedures can effectively remove excess breast tissue and are typically reserved for cases that do not respond to medical treatment.

In summary, medication can potentially help treat gynecomastia in young men, particularly if hormonal imbalances are identified. However, the effectiveness of treatment will depend on the specific hormonal profile and the underlying cause of the condition. It is crucial to follow up with your healthcare provider after receiving your hormone test results to discuss the best course of action tailored to your individual situation. Additionally, maintaining a healthy lifestyle, including a balanced diet and regular exercise, can support overall hormonal health and may help mitigate symptoms.

Lastly, it’s essential to approach this condition with patience and understanding, as many young men experience similar challenges during their development. Seeking support from healthcare professionals and discussing your concerns openly can help you navigate this period more comfortably.

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