Gynecomastia is a condition that occurs in men,
through which they develop enlargement in their breast tissues. This can affect
one of the breasts or both of the breasts and is caused due to ann unbalance in
the hormones of the person, oestrogen, and testosterone.
This can develop in newborns or boys going through puberty and also in adult
males as a result of hormonal imbalance.
This problem sometimes goes away with time but in
case it persists, medication can be given or Gynecomastia
Surgery can be performed. If left untreated, this condition may cause pain
and sometimes in more serious cases may cause nipple discharge.
Every individual, male or female has both male and
female hormones. It is triggered by an imbalance in the level of these
hormones. When, the level of oestrogen which is a female hormone increases in
relation to the male hormone, androgens or testosterones. Several factors can
contribute to this hormonal imbalance. It can be due to the development of
certain conditions that reduce the effect of or decrease the secretion of the
male hormones or on the other hand, the increased effect or production of
female hormones.
Some of the causes are given below.
1. HORMONES- Both the
hormones, testosterone and oestrogen control the sexual characteristics in both
males and females. It is believed that oestrogen is a female hormone and is
secreted only in women. However, it is also found in males, although in lower quantities.
o Gynecomastia in
infants- Because of the presence of their mother's oestrogen, a large number of
male infants have enlarged breasts when they are born. Within two to three
weeks after their birth, the swollen breast tissue becomes normal as the female
hormones go away.
o Gynecomastia during
puberty- During puberty gynecomastia is caused by hormone changes and this is
very commonly occurring gynecomastia. In most boys going through puberty,
without treatment, the swollen breast tissue goes away within six months up to
two years.
o Gynecomastia in
men- For men between the ages of 50 and 80, gynecomastia becomes prevalent
again. One in four men in this age group is definitely affected by this
condition.
2. MEDICATIONS-
Anti-androgens, that are used for treating prostate cancer and prostate
enlargement. Gynecomastia can easily develop in HIV postive male because the
medications can cause the disorder. Other medications that can cause
gynecomastia include antibiotics, anti-anxiety medications, anti-depressents,
ulcer medications, heart medications and cancer treatments.
3. DRUGS AND ALCOHOL-
Some drugs such as amphetamines, meth, marijuana, heroin and methadone can
cause gynecomastia. Also, alcohol is believed to be trigger.
4. HEALTH CODITIONS-
Some health conditions can cause hormonal imbalances in men and hence, lead
them to develop gynecomastia. These health condititons include hyperthyroidism,
kidney failure, liver failure, malnutrition or starvation, hypogondanism,
tumours and also, due to aging.
Symptoms
These symptoms may develop in one or both of the
breasts.
1. When a man develops
gynecomastia they can identify it as a rubbery mass sitting firmly underneath
the nipple area. It may or may not be tender and is usually, an inch and half
across the nipple.
2. Sometimes, this is
the only symptom by which gynecomastia can be identified, but in more severe
cases, there may be some fluid discharge from the nipple.
3. In some cases, it
can also be painful.