Physiological GynecomastiaHome » Gynecomastia Surgery » Physiological Gynecomastia
Female sex hormone is estrogen and male sex hormone is testosterone. The imbalance between these hormones leads to some changes in the body. Our topic, i.e. gynecomastia, results from these changes. Let’s elaborate on this issue.
Beginning of gynecomastia
When estrogen, which is dominant in women, is found at high levels in men, it causes marked enlargement in the male breast. Mammary gland, which we refer to as glandular tissue, begins to swell. Patients often cannot fully understand this swelling.
They assume that they have gained weight or it is related to regular exercise. But true gynecomastia originates entirely from hormonal imbalance. Let’s try to briefly explain at which stages physiological gynecomastia can occur.
This type of gynecomastia actually occurs at a time when you might not have noticed at all. It appears immediately after birth. 60 percent of the male group suffers from infant gynecomastia. But do not be afraid, almost all of these conditions disappear in a few months. The causes are:
- Estrogen placenta is passed to the infant through breast milk.
- Liver initially has a huge impact in the estrogen increase and on the infant’s development.
The above-listed causes result in slight breast enlargement in male infants in the first months.
In adolescence, breast enlargement is observed in some boys, commonly known as pubertal gynecomastia. Likewise, in this type of gynecomastia, altered sex hormone balance occurs. Hormones considerably fluctuate in this period.
Pubertal (adolescent) gynecomastia continues until the age of 20. If it does not disappear, the mammary gland is removed surgically and the breast is reduced.
Since fatty (adipose) tissue consists of the transformation of male sex hormone, i.e. testosterone, into female sex hormone, i.e. estrogen, pubertal gynecomastia is more common and frequent in overweight adolescents.
Old age gynecomastia
Depending on old age, testosterone production may decline. Enzyme aromatase, especially abundant in fatty tissue, can convert testosterone to estrogen. These two reasons may cause male breast enlargement. This type of gynecomastia is generally more common in overweight and obese patients.
Gynecomastia may be triggered by intracorpoeral and extracorporeal factors. Internal factors are discussed above. However, there are also some external factors. These can alter the hormonal balance in the body. These factors are some medications.
- Cardiac medications
- Illegal substances (cannabis, heroin)
- Long-term alcohol consumption
- Some skin and hair care products
Except infant gynecomastia, types of gynecomastia negatively affect a man because no man wants to have feminine large breasts. This has various problematic aspects. For example, when the patient goes to the seaside or pool in the summer, he feels bad and assumes that everyone is staring at him.
The size of his breasts is visible through his tight clothes and shirts. This is another difficulty that affects a man when choosing his clothes.
Adolescent periods are the most active period of men. Being teased and mocked by friends can put a man in a very difficult situation.
Preventing male breast enlargement
If the problem originates from the above reasons, i.e. gynecomastia caused by hormonal imbalance, we regret to inform you that it will require a surgical solution. It is not possible to balance the hormonal structure with diet or exercise. A short surgery to excise the glandular tissue in the breast area is the only solution.