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All the resources you need to provide the best care for male patients. More than half of boys experience gynecomastia during puberty, which generally disappears as they age, and one in three adult men will develop it. Gynecomastia is when male breast tissue grows larger than usual and it begins feeling like a rubbery, firm mass under and around the nipple before it spreads across your chest.

Sometimes it only affects one side of your body but it usually affects both. This growing tissue can feel tender or painful to touch. Many men with gynecomastia feel embarrassed about their chest, which might lead them to avoid certain activities where it might be on display or clothes that highlight it. Understanding the causes of gynecomastia can help you work with a doctor to determine any underlying reasons for the condition and whether they can be treated.

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There are three main causes of gynecomastia, including hormone imbalance, certain drugs and treatments, and health issues. Gynecomastia is commonly caused by a hormonal imbalance involving oestrogens and androgens. Both men and women produce these hormones in different amounts. Estradiol is the main oestrogen and it plays an essential role in reproduction, bone health, body composition and metabolism.

If your estradiol levels are higher than your testosterone levels , it can cause gynecomastia. Hormone imbalance can occur at any age. It can be diagnosed using a blood test, and medications can be prescribed to balance your hormone levels. There are drugs and treatments that can contribute to gynecomastia because they affect the ratio of estradiol and testosterone in men, either directly or indirectly.

There are several health issues that can cause gynecomastia by affecting the balance between testosterone and estradiol. These health conditions include Klinefelter syndrome , hypogonadism, tumours, hyperthyroidism, kidney failure, liver disease and malnutrition. The treatment for gynecomastia will depend on the underlying cause of your condition, as well as the severity of the condition.

It will also depend on your concerns around the appearance of your chest. Gynecomastia and breast cancer are not the same, but both are associated with increased levels of oestrogens in the blood. However, if you have gynecomastia, you have twice the chance of being diagnosed with breast cancer. The connection between gynecomastia and male breast cancer does, however, highlight the importance of visiting your doctor if you are experiencing symptoms, as they will be best placed to diagnose the condition and set you up with a treatment plan.

Keep reading: Male breasts gynecomastia. Information provided on this website is not a substitute for medical advice.