What is male breast enlargement?

As we all know, the size of men's breasts cannot be compared with that of women, because women's breasts begin to develop from puberty, while men's breasts are actually flat except for being a little bigger due to obesity. However, in clinical practice, there is a disease that specifically manifests itself in men's breasts also growing continuously, and this is not caused by obesity. So, what is male breast thickening?

Gynecomastia is a common clinical disease. It is generally considered abnormal to touch breast tissue in men, except for three cases: transient gynecomastia in newborns, breast enlargement during puberty, and occasional gynecomastia in older men.

Causes

Male breast development is caused by increased estrogen secretion or decreased androgen/estrogen ratio. Excessive estrogen is the main cause of male breast development. Giving men exogenous estrogen preparations, such as estrogen treatment for prostate cancer patients, long-term use of estrogen by transgender men, and excessive estrogen secretion by adrenal or testicular tumors can all lead to breast hyperplasia.

Clinical manifestations

Men have palpable breast tissue on one or both sides, which is disc-shaped or diffusely enlarged, sometimes accompanied by enlarged nipples and areolas. Local pain or tenderness may be felt, and a small amount of white secretions may be seen when the nipples are squeezed. Pathological gynecomastia caused by organic diseases should also have clinical manifestations of the primary disease.

treatment

1. Dihydrotestosterone enanthate 200 mg, intramuscularly once every 3 to 4 weeks.

2. Tamoxifen can bind to the estrogen receptors in the target tissue and block the effect of estrogen.

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

4. Testosterone lactone inhibits aromatase, blocking the conversion of testosterone into E2 in the periphery.

5. 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.