Gynecomastia is the medical name of breast growth in men.
Difference of Breast Growth in Man and Woman
There is basically no difference between male and female breasts from the newborn period to the onset of adolescence. London Male Breast Hypertrophy As a result of the effects of hormones rising with the onset of puberty in girls, breast development starts about 1 to 2 years ago in girls. The androgen / estrogen imbalance in the male does not allow a significant breast growth.
Causes of Breast Growth in Men
Most gynecomastia occurs during adolescence. In adolescence, 35-65% of men have gynecomastia problems. This ratio decreases to 8% in the late adolescence period. However, with the advancement of age, the incidence of gynecomastia increases again to 30%. why this type of nozzle is called the growth observed in adolescent and juvenile gynecomastia is a hypersensitivity to a deterioration in the mammary gland or hormone physiology. For hormonal reasons, growth of the mammary gland structures, increased connective tissue and edema occur. These people come to the doctor because of breast swelling, pain, suspicion of cancer and uncomfortable appearance.
Breast growth in men is often seen when there is no cause. However, there are many factors that can cause this: diseases in which testosterone production decreases (Kleinfelter Send., Orshiectomy Bö), diseases in which estrogen production increases (Testicular tumors, adrenal tumors), Obesity, Diseases disrupting liver function, Thyroid function disorders, Renal failure, Anabolic steroids (anabolan, primabolan, sustanon ..), some stomach medications (containing cimetidine), alcohol use, use of marijuana and heroin in some antidepressant medicines, taken during bodybuilding can cause breast growth in man.
In order to say that men have breast growth
In males, breast growth is usually bilateral and is often a benign change. To be called gynecomastia breast growth should be more than 2 cm.
Breast Growth During Adolescence and Breast Growth in Adulthood
In adolescents, 90% of breast growths, which are seen in 35-65% of men, return to normal. It is usually the growth of the mammary gland rather than fat accumulation. Breast growth seen in 35% of men after adolescence usually does not improve spontaneously. The mammary gland has an increase in fat mass rather than growth.
What should be done in men with breast growth complaints
If there is breast growth in men, the reasons for this should be investigated before surgical treatment. If any cause is detected firstly the breast growth should be treated after the elimination of the cause. However, if a healthy adult has a long history of gynecomastia, it is not necessary to carry out long-term research.
If the growth of the mammary gland is unilateral, it should be more carefully investigated and no pain. Mammography should be performed and biopsy should be taken if necessary.
If there is no reason for breast growth, the patient should be given ultrasound after the examination to determine the type of breast growth and whether it is caused by adipose tissue or mammary gland tissue.
Treatment of Breast Growth in Men
In order to determine the treatment of breast growth in men, it is necessary to classify breast growth. Breast growth in adolescence is less than 4 cm in diameter and no complaint is applied to the patient.
If the diameter of the breast growth is 4 cm or larger; If the complaints are smaller than 4 cm, but the drug treatment is applied. With or without treatment, 75% of the breast growth seen in adolescents in the first 2 years, 90-95% returns to normal in the first 3 years. Therefore, it is not correct to perform surgery immediately in adolescence gynecomastia.
5-10% of gynecomastia in adolescence does not return to normal. Surgical treatment is required if breast growth is greater than 6 cm or continues despite drug treatment.