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Man boobs:

Man boobs are usually a benign growth or enlargement of the male breast area around the nipple, resulting from a proliferation of the glandular component located in the breast. Gynecomastia is defined clinically by the presence of a hard rubbery or firm mass extending concentrically from the nipples. Fat deposition without glandular proliferation is termed pseudo gynecomastia. Although Gynecomastia is usually bilateral, but can also be unilateral.

Man boobs are a swelling of the breast tissue in males. It is caused by an imbalance of the hormones estrogen and testosterone. Babies, young boys going through puberty and older men often develop Gynecomastia from normal changes in their hormone levels. Less often, Gynecomastia is caused by a health condition such as liver disease, low testosterone production or a thyroid problem. Certain medications and illicit drugs, (steroids), that raise estrogen levels also can cause Gynecomastia.

Man boobs arn't a serious problem unless it's a sign of an underlying health condition, but it can be tough to cope with. Men and boys with Gynecomastia sometimes have pain or tenderness in their breasts and may feel embarrassed or unhappy with their bodies. Breast cancer is found in less than 5% of most cases.

Causes of Man boobs:

24% Persistent pubertal Gynecomastia

10%-26% Drugs (most common-Anabolic Steroids).

25% No detectable abnormality

8% Cirrhosis or malnutrition

8% Primary Hypogonadism

3% Tumor related (Testicular)

2% Secondary Hypogonadism

2% Hyperthyroidism

1% Chronic renal insufficiency

Dealing with Man boobs:

The treatment for Gynecomastia depends on several factors. First is to determine the cause of the disorder. If the man boobs is drug-induced, discontinuance of the drugs may be all that is needed.

If it is pubertal, careful waiting is in order, since in most all patients the condition will resolve spontaneously.

Gynecomastia that is due to hyperthyroidism, acute hepatic disorders, or a recent onset of hypogonadism may remit in response to therapy for the underlying disorder.

The second consideration is whether the man boobs is an incidental finding, detected only by the physician, or is brought to the attention of the physician by the patient himself. Mild asymptomatic Gynecomastia detected only through physical examination requires no therapy other than treatment of the underlying cause.

A third factor to consider is the length of time the Gynecomastia has been present. A number of studies have shown that man boobs present for less than six months usually demonstrates an active, or florid, histologic picture, characterized by marked ductal epithelial hyperplasia, proliferation of the periductal mesenchymal tissue, and periductal edema.

In general, the indications for treatment include: isolated pain and tenderness, severe embarrassment or emotional disturbance. The most uniformly effective therapy at any stage is surgical removal of the glandular tissue through a periareolar incision. In patients with a large amount of adipose tissue in the subglandular area, suction-assisted lipectomy may be performed at the time of surgery to improve the cosmetic results.

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