Gynecomastia
Gynecomastia Notes
The term comes from the Greek words gyne meaning "woman" and mastos meaning "breast." Gynecomastia is an abnormal enlargement of one or both breasts in men. Gynecomastia is defined clinically by the presence of a rubbery or firm mass extending concentrically from the nipples.
The condition is relatively frequently seen in adolescent boys, and 90% of the time symptoms disappear in a few months, or, as adolescence wanes, a few years later. This condition is normally temporary and benign. It tends to remit spontaneously but, if marked, may be corrected surgically for cosmetic or psychological reasons.
It is more often the first sign of a serious disorder such as a testicular tumor. Cosmetic surgery to accurate gynecomastia is technically called reduction mammaplasty, and reduces breast size, flattening and enhancing the chest contours. The imbalance is between the stimulatory effect of estrogen and the inhibitory effect of androgen.
Estrogens instill ductal epithelial hyperplasia, ductal elongation and branching, proliferation of the periductal fibroblasts, and an increase in vascularity. Pseudogynecomastia is more often distinguished by physical examination. The fingers are then brought gradually look together along the nipple line.
Your doctor will recommend the best selection for you. Liposuction: In cases where gynecomastia is primarily the result of excess fatty tissue, liposuction techniques alone are often used. This will require insertion of a cannula, a thin hollow tube, through a number of small cuts.
Certain medications can promote breast growth. There are various liposuction surgeries that are often used; the technique most congruous in your case should be defined prior to your procedure. Alcohol and drugs can cause gynecomastia by mimicking estrogen and showy androgen production.
Excision also is required if the areola will be reduced, or the nipple repositioned to a more natural male contour. That accomplishes step one of the recovery. In 3 percent of reported cases, gynecomastia can signal lung, liver, or adrenal cancer.
The next peak of occurrence is in puberty, with a prevalence ranging from 4-69%. Another popular ulcer being treated, ranitidine (Zantac), has also been associated with gynecomastia in a single case report. In excess of 81,000 men received at least one prescription for cimetidine, misoprostol, omeprazole or ranitidine.
However, for some in this situation, can then leave them sensation out of control of their body or emasculated in some decision. Surgery to correct gynecomastia could be performed on an outpatient basis, in an office-based or ambulatory surgical facility, or a hospital setting. These decisions should be based the needs of your particular technique and in consideration of your preference and your surgeon’s best judgment.
It is important to recognize the scars the inside. The greatest risk occurred with dosages of more than 1,000 mg daily. Acknowledging the pain, moving into a new relationship with one's body and changing how he thinks the world sees him is the key to recovery and freedom. The first is the cause of the disorder.
Men may have a very difficult time speaking about their breasts to anyone, but it is the first step toward relief. Gynecomastia due to hyperthyroidism, acute hepatic disorders, or a recent onset of hypogonadism may remit in response to therapy for the underlying disorder.
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09/08/2010 DEAR DR. GOTT: I am writing in the hope you will write about theeffects of male menopause. I am 68 years old, and from time totime, my face will flush. Is this a symptom of male menopause?
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09/08/2010 Q - I am writing in the hope you will write about the effects of male menopause. I am 68 years old, and from time to time, my face will flush.
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