Gynecomastia is a benign condition in males, which occurs due to proliferation of glandular elements resulting in concentric enlargement of one or both breasts.
It can be seen during puberty, due to transient relative imbalance between estrogen and testosterone.
Usually this condition can resolve by age 18 years when adult androgen and estrogen ratios are achieved.
If gynecomastia persists even after 18 years better to get evaluated.
By clinical assessment to estimate the testes volume, and by investigations like estimation of levels of testosterone, estradiol, gonadotropins etc and by doing karyotype, the possible cause of problem can be identified and treated.
Usually the mainstay in treatment of pubertal gynecomastia is sympathetic reassurance because of the benign nature of the condition.
Surgery is needed only in boys who are having persistent gynecomastia even after completing of puberty or after completing 18 years.
It can be seen during puberty, due to transient relative imbalance between estrogen and testosterone.
Usually this condition can resolve by age 18 years when adult androgen and estrogen ratios are achieved.
If gynecomastia persists even after 18 years better to get evaluated.
By clinical assessment to estimate the testes volume, and by investigations like estimation of levels of testosterone, estradiol, gonadotropins etc and by doing karyotype, the possible cause of problem can be identified and treated.
Usually the mainstay in treatment of pubertal gynecomastia is sympathetic reassurance because of the benign nature of the condition.
Surgery is needed only in boys who are having persistent gynecomastia even after completing of puberty or after completing 18 years.
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