Gynaecomastia, also referred as “man boobs” is commonly found in teenage boys and older men. It is a condition that causes swelling of men’s breasts and become larger than normal.
It can be defined as the presence of >2 cm of palpable, firm, subareolar gland and ductal breast tissue. It may occur at any time and there are a number of causes, some physiological and others pathological.
Gynaecomastia is estimated to be present at least a third of men, in a life time.
Once breast tissue is stimulated to grow, it leads to a proliferation of breast ducts and fibroblastic stroma. If the stimulus to proliferation continues, then the ducts and fibroblastic stroma are replaced by fibrosis and Gynaecomastia becomes well established and irreversible.
The signs of Gynaecomastia vary from person to person. It can be a small amount of extra tissue around the nipples or a more prominent breast size. In some cases, the breast tissues can be tender or painful but this is not the case always.
Means usually there are no causes found.
Gynaecomastia can have several causes
Hormone imbalance can cause breast growth in men. However, some growth in breast is not due to extra fat from being overweight. Therefore, doing more exercise or losing weight may not help improving the condition. Having said this, a common cause for Gynaecomastia is attributed to being overweight (Obese) which can increase the levels of Oestrogen.
In rare cases, Gynaecomastia can be caused by:
If there is any doubt ultrasonography or mammography may help
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