Regardless of male or female, the growth and development of breasts depends on the action and balance of many hormones. Under some abnormal conditions, this growth hormone metabolism is excessive or blocked, resulting in imbalance, which will stimulate breast tissue hyperplasia. Many studies have shown that the key to male breast growth and development is related to the increase of growth hormone. What are the reasons why boys get breast hyperplasia? In addition to the dominant male hormones, men's bodies also have a small amount of female hormones produced by the adrenal glands. Under normal circumstances, men's breasts are in a state of no growth and development under the control of male hormones. Due to some reasons, the level of male hormones in the body decreases, or the level of female hormones increases relatively or definitely, which may cause the proliferation of breast tissue. Breast hypertrophy in boys during puberty is a common physiological phenomenon, mostly occurring between the ages of 13 and 16. According to surveys, the incidence rate is as high as 40% to 50%. This is because at this stage of growth and development, the endocrine function of boys gradually becomes active, and while a large amount of androgens are produced, the conversion of estrogen also increases. Some boys have temporary endocrine disorders, relatively excessive estrogen metabolism, and increased sensitivity of breast tissue to estrogen, which stimulates breast tissue hyperplasia and hypertrophy. During puberty, breast hypertrophy can occur on one or both sides of the breast. Most cases are localized hyperplasia. A disk-like lump or mass often occurs under the nipple, with a diameter of about 2 to 3 cm and clear edges. It can be easily enlarged during examination. The enlarged breast may be swollen, slightly tender, and even have milk-like secretions. This physiological breast hypertrophy has no harm to health and generally does not require treatment. It usually lasts for a year or a little longer, and will naturally disappear as the endocrine function gradually improves. Causes of breast hyperplasia in boys: Liver function test damage: When it is normal, the estrogen produced by the body is destroyed and eliminated in the liver. When the liver develops symptoms, such as chronic hepatitis and cirrhosis, the kidney function is impaired, the estrogen elimination function is weakened, the body's estrogen level increases, and the breast hyperplasia is stimulated. In clinical medicine, in addition to breast hyperplasia, these patients also have other aspects of liver function test damage. Drug factors: The structure or medicinal value of some drugs are similar to that of estrogen, and they can stimulate breast tissue proliferation after taking them. For example, digitalis, vitamin D, remifentanil, spironolactone, ceramide, griseofulvin, chlorpromazine, cimetidine, methyldopa, etc. all have this effect. Patients with prostate cancer take estrogen for a long time due to the need for treatment, which is more likely to directly stimulate breast hyperplasia. This situation can be treated by reducing or avoiding the use of these drugs, and the breast will gradually respond to normal. Endocrine disease: diseases of endocrine organs such as adrenaline, pituitary gland, thyroid cysts, and abnormal metabolism may directly or indirectly act on breast tissue through other growth hormones, especially estrogen, leading to breast tissue hyperplasia. Of course, the disease caused by this reason, in addition to breast hyperplasia, will continue to have the main manifestations of corresponding endocrine disorders. |
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