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What is gynecomastia? How is gynecomastia treated without surgery and with surgery?

Gynecomastia is an increase in the amount of mammary gland tissue in boys or men due to an imbalance in the hormones estrogen and testosterone.Gynecomastia can affect one or both breasts, and sometimes unevenly. Hormone levels, although there are other causes as well, but in general gynecomastia is not a serious problem, but it may be difficult in this disease is the pain it causes in the breast or embarrassment from the improper view that it causes, and gynecomastia may disappear on its own without the need for surgery and this is what will We deal with it in this article.

 

What are the symptoms of gynecomastia?

  • Swollen breasts.
  • Excessive breast secretions.

Depending on the cause, other symptoms may be present.

What causes breasts in men?

Low testosterone and increased estrogen usually cause most breast conditions in men. These hormonal fluctuations can be normal at different stages in life and can affect infants and children entering puberty and older men.

The reasons are:

1- Andropause

Andropause is a stage in a man’s life that resembles menopause in women during menopause and at this stage the production of male sex hormones, especially testosterone, decreases over a period of several years. This usually occurs in middle age, which may lead to a hormonal imbalance resulting from gynecomastia and hair loss. Insomnia.

2- Puberty

Although boys’ bodies produce androgens (male sex hormones), they also produce the female hormone estrogen, and when males enter puberty, they may produce more estrogen than androgens, and this can lead to gynecomastia, but the condition is usually temporary and subsides with the rebalancing of hormone levels. .

3- Breast milk

Infants may develop gynecomastia when a man drinks breast milk from his mothers because the estrogen hormone is found in breast milk, so infants may suffer from a slight increase in estrogen levels.

How are breasts diagnosed in men?

To determine the cause of your swollen breasts, your doctor will ask questions about your medical and family medical history, and they will also examine your breasts and genitals. In gynecomastia, the diameter of breast tissue is greater than 0.5 cm. If the cause of your condition is not clear, your doctor may order blood tests to check hormone levels, mammograms or ultrasound to view the breast tissue and check for any abnormal growth and in some cases it may be necessary to do more. From tests such as an MRI, CT scan, X-rays, or biopsies.

Methods of treating gynecomastia without surgery

1- Perform a directed chest exercise

You can reduce swelling in the chest area caused by gynecomastia by practicing chest exercises, as these exercises are specially designed to tighten and tone the chest muscles.

Common exercises include:

  • Exercise around the world.
  • Pullover exercise.
  • Cable pulling exercise from top to bottom.
  • Push-Up Chest Press Down
  • Dumbbell opening exercise in a reclined chest chair.

You can do the exercises with fewer sets and more repetitions, or vice versa. For example, you can do 1 to 3 sets of 8 to 12 repetitions or 2 to 6 sets of 1 to 8 repetitions.

Once you have completed your exercise plan, try to do a 20-minute chest exercise two to three times a week. You can gradually increase the frequency and duration as your strength increases. Make sure to rest one day each week.

 

You can also build your chest muscles by practicing full-body exercises like rowing or swimming for at least 15 minutes and if you want to go this route add two rowing or swimming sessions to your weekly session.

2- Dietary changes

In some cases, swollen nipples are the result of too much estrogen and fat, and you may be able to correct this by making some dietary changes as eating healthy food may help you stay in shape.

If you want to try a low-fat diet you should:

  • Increase your intake of fruits and vegetables.
  • Eliminate severely processed foods.
  • Avoid soy products and grains.

Your doctor can provide more detailed information about what you should and should avoid when following a low-fat diet and they may also be able to recommend a diet more suited to your individual needs.

If you think your hormone levels may be the cause, you should follow a diet high in testosterone and low in estrogen, so try adding these testosterone-rich foods to your diet:

  • garlic.
  • Ginger.
  • tuna.
  • low fat milk.
  • yolk.
  • bean.
  • Berry.
  • Oysters.
  • Red meat.
  • Cruciferous vegetables.
  • Nuts.

You should also make an appointment with your doctor because hormone levels may be related to an underlying condition and your doctor may be able to recommend other treatments or prescribe medication to help regulate hormones.

3- Herbal supplements

Herbal supplements may also help reduce swollen nipples caused by gynecomastia, as some are believed to work by increasing testosterone levels.

This includes:

Anecdotal reports indicate that these herbs may help treat swollen nipples:

Some supplements can cause unpleasant side effects or have dangerous interactions with over-the-counter and prescription drugs where your doctor can discuss your individual risks and advise you on use.

It is important to purchase nutritional supplements from a reliable manufacturer. Your doctor may also be able to recommend a specific brand or product. You should always follow the dosage information provided on the label.

While research indicates that there can be health benefits, the Food and Drug Administration does not monitor the purity or quality of supplements, so it is important to speak with your doctor before you start taking supplements.

Treatment of gynecomastia with surgery

If you are not getting the results you want through diet and exercise, talk to your doctor because he will likely be able to refine your current treatment plan to better suit your needs and he can also discuss your options for surgery.The procedures below are often used to treat gynecomastia and can also be used to treat associated swollen nipples. Under other circumstances.

  • Liposuction: This surgery is used to remove breast fat, not breast gland tissue, and liposuction requires a recovery period of up to six weeks.
  • Mastectomy: This surgery removes the mammary gland tissue. Small incisions are usually used and the wound takes about four weeks to heal.
  • Non-invasive fat reduction: These treatments help get rid of excess fat cells through a local surgical procedure, where non-surgical treatments may work by freezing fat cells, or by using radio frequency or laser technology and recovery time varies from person to person but usually lasts a few days Just.
  • Tissue resection: This technique is used to remove glandular breast tissue or excess skin in order to correct more serious cases of gynecomastia. It is also needed if your areola has been reduced or if your nipple position is changed, it can take up to three weeks for healing to occur.

Some insurance plans may cover the costs of surgery, and your insurance company may be more likely to cover the costs if your doctor shows documentation of gynecomastia.

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