Treatment of Gynecomastia

Breasts are secondary sexual characteristics that we normally use to identify human gender. Generally speaking, male breasts develop very slowly or even not at all compared to females. However, some male friends have excessive estrogen in their bodies or an imbalance in the ratio of estrogen and testosterone, which leads to breast development, causing physical discomfort and negative psychological effects. So when we encounter this situation, what are the treatment methods?

1. Dihydrotestosterone enanthate 200mg, intramuscular injection once every 3 to 4 weeks. One group reported that after 3 months of treatment, the breast shrank by 67% to 78%. During the treatment period, plasma DHT increased, and the levels of LH, FSH, T and E2 were suppressed. They returned to normal after 2 months of discontinuation of the drug. There was no recurrence of the disease after 6 to 15 months of follow-up observation. At present, it is still in the trial stage, and no DHT preparation is available on the market.

2. Tamoxifen (tamoxifen) can bind to the estrogen receptors in the target tissue and block the effect of estrogen. The usual dose is 20 mg/d, taken orally in divided doses. Some people report that the breasts shrink significantly after taking the drug for one month. If the effect is not significant, the dose can be appropriately increased.

3. The mechanism of action of clomiphene is similar to that of tamoxifen (tamoxifen).

4. Testosterone lactone inhibits aromatase and blocks the conversion of testosterone to E2 in the periphery. Some people report that 450 mg/d, taken orally in divided doses, has significant therapeutic effects. No adverse reactions were found. After taking the medicine, the △4A level increased significantly, T, DHEA and E1 increased slightly, the △4A/E1 ratio increased, and the LH, PRL and E2 levels did not change significantly.

5. Chinese medicine Traditional Chinese medicine believes that male breast development is caused by liver qi stagnation and phlegm and dampness in the body. The treatment method should be to use drugs that soothe the liver and regulate qi, strengthen the spleen and resolve phlegm. Some people report that Xiaoyao Powder can be effective up to 90%, but unfortunately there is a lack of comparison.

6. Mammoplasty Due to the irreversibility of long-term delayed gynecomastia, mammoplasty is still an important means of treating this disease. Generally, a circum-areolar approach is used to remove the subareolar breast tissue.

Gynecomastia is a common disease. If a male friend finds that he has symptoms of breast development, there is no need to filter, because this is a very normal clinical development phenomenon, and this phenomenon is not irreversible. As long as you patiently and actively cooperate with the doctor's treatment, it can be completely cured and return to normal.