Gynecomastia is the growth of mammary glands of female type in men. The degree of manifestation of mammary glands may range from 1 cm up to a full sized female breast. Violation does not bring physical discomfort to a man, but introduces an imbalance in the male form and causes psychological discomfort.
Gynecomastia has three types:
Gynecomastia can vary by the type of localization. It can be single-sided, with an increase of only one of the glands, or two-sided, when the tissues increase evenly on both sides.
The disease is classified according to the reason that it has caused.
Physiological pathology may develop in infants, adolescents and the elderly people.
Gynecomastia as a result of testosterone deficiency
It may be developed when there is insufficient production of the hormone or there is a prevalence of estrogen or reduction of the organism’s susceptibility to it.
Causes of occurrence:
Gynecomastia as a result of taking drugs.
The risk group includes athletes who take drugs for increasing of muscle mass. The development of gynecomastia may come as a result of formulations containing testosterone. Also a number of drugs for the treatment of prostate diseases, antifungal drugs, drugs for tuberculosis or tricyclic antidepressants may be the reason for the violation.
There are 3 stages of the disease and complexity of the therapy depends on the degree of desolateness.
If we divide the disease into periods, the formation of breast enlargement takes an average of up to 1 year. During this period, it is possible to eliminate the problem by conservative treatment. If you do not start treatment, the glandular tissue overgrown as a result of inflammation can be replaced by connective tissue and continues to grow uncontrollably. In this case, it needs a surgery.
In some cases the problem can result in malignant transformation. The risk group includes men and elderly people who suffer from gynecomastia for a long time without proper treatment. Alarming symptoms include bloody discharges from the nipple, seals in tissues, pain in lymph nodes.
If the violation occurs in patients during their in adolescence life and has no lingering symptoms, the diagnosis is limited to inspection. In other cases, in the presence of complications such as itching and discharge from the nipple, a set of activities can be assigned to the patient.
The following is included in the diagnostics:
In order to ask for help timely, it is necessary to carry out self-diagnosis. It is necessary to examine the mammary gland for enlargement or the presence of seals visually and by the touch, check for nipple discharges and pain in the subaxillary lymph nodes.
Methods of treatment depend on the stage of the disease and its type.
Treatment of false types
For the treatment of false gynecomastia that has developed less than a year ago, conservative methods were prescribed for the patients. Doctors recommend stop drinking beer and strong alcohol as well as eating foods with a high content of carbohydrates and fats. A number of exercises that activate weight loss are appointed as well. These include running, cycling classes and orbitrek, push-ups and swings with arms with using the dumbbells.
Treatment of true type
The administration of drugs designed to normalize the hormonal balance is prescribed for a man. The multivitamin is prescribed as well. If the violation is caused by the medicines, which are prescribed as a therapy for other diseases, their replacement with other drugs is made.
If the pathology is observed for more than a year and there is a risk of malignant transformation, the operation is performed. False type is being removed by the surgeon by means of liposuction - operation of pumping of the breast area adipose tissue. True type is eliminated by mastectomy. During the procedure the plastic surgeon makes an incision in the areola and removes the glandular tissue through it. The cosmetic seams are applied on the breast after the plasty. Tissues extracted during surgery may be further directed for examination in order to exclude the possibility of malignant transformation.