Here you’ll find additional answers to questions about gynecomastia. They will also physically examine your chest and genitals. Depending on the cause, there may be other symptoms as well. When entering puberty, they may produce more estrogen than androgens. Andropause is a phase in a male’s life that’s similar to menopause in a female. In some cases, you can have surgery to remove the tissue. If you’re concerned about your estrogen levels, speak with an endocrinologist or a functional medicine specialist for help. Males need some estrogen for their sexual and reproductive health. It’s rare for your levels to be high because of the estrogen you’re producing. Unopposed estrogen is called estrogen dominance in some medical literature. If high estrogen levels increase your cancer risk or worsen cancer you already have, your provider may recommend more aggressive treatments. High estrogen can disrupt reproductive processes, cause unpleasant symptoms and increase your risk of certain conditions. Dr. Delgado, MD is a world-recognized plastic surgeon and specialist in the treatment of male breast enlargement, also called gynecomastia. No, gynecomastia is not precancerous and does not increase breast cancer risk. Pseudogynecomastia is the accumulation of fat in the male breast area without glandular tissue growth. To manage gynecomastia during testosterone replacement therapy (TRT), you should maintain a balanced diet rich in fruits, vegetables, lean proteins, and whole grains. During these appointments, your doctor will likely perform a physical examination of your breast tissue to check for signs of enlargement and palpable masses. To prevent and manage symptoms of gynecomastia, schedule regular health check-ups with your physician. Mastectomy, or the removal of glandular breast tissue, and liposuction, to remove excess fatty tissue, are two surgical options. Soy-based products, flaxseeds, and even some types of dairy have been linked to increased estrogen production. Reducing alcohol intake, processed foods, and excessive carbohydrates can all help minimize the risk. Aromatase inhibitors (AIs) are a critical weapon in the fight against gynecomastia. Through consistent testing, you can adjust your treatment as needed, catching any imbalances before they lead to unwanted side effects. Regular blood testing is an invaluable tool in preventing gynecomastia. The initial step is to rule out pseudogynecomastia by careful history taking and physical examination. Hassan Murad, MD, MPH, Division of Preventive, Occupational and Aerospace Medicine, Mayo Clinic, 200 First St SW, Rochester, MN (). Dr. Mark Gruszynski MD is one of the premier gynecomastia surgeons in Arizona. If you notice breast enlargement, tenderness, or other changes, do not feel embarrassed or discouraged. By identifying the root cause of your gynecomastia, we can discuss solutions that fit your lifestyle and goals. In some instances, your provider may need to adjust your medications. Your provider can help you address a hormone imbalance based on what’s causing it. After menopause, high levels are more common if you have overweight/obesity. Discuss this information with your own physician or healthcare provider to determine what is right for you. Preventive strategies focus on hormone monitoring, appropriate dosing, lifestyle factors, and early symptom recognition. Long-standing glandular tissue changes may require additional interventions if persistent. Most patients do not develop it, especially with proper hormone monitoring. As men age, they become more susceptible to testosterone deficiency and gynecomastia because their testosterone levels naturally decline (often before they reach age thirty). Higher levels of IGF-1 have been found in boys who developed pubertal gynecomastia.In men, the connection between low testosterone and gynecomastia can occur for multiple reasons. Older men may develop gynecomastia as their testosterone levels decline in later years. When changes occur in the level of testosterone, gynecomastia can occur in one or both breasts. It is estrogen that fuels breast development, which is why males have less breast growth than females. Men have significantly higher testosterone levels in their bodies than women, who have more estrogen. For persistent gynecomastia, surgical options include liposuction to remove excess fatty tissue or mastectomy to remove the breast gland tissue.
