The main methods of treatment for gynecomastia

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Table of contents

  • Manifestation of the disease in newborns and adolescents
  • Gynecomastia in the adult period
  • Operative methodology
  • Why should I heal?

If a man develops gynecomastia, treatment should begin as soon as possible, since the problem is associated with profound hormonal changes in the body of a man. The causes of the phenomenon are diverse. Treatment of gynecomastia in men depends on the age of the patient, the features of the course of the disease.Therapy includes hormonal drugs, exercise and restrictions in the use of certain products

Manifestation of the disease in newborns and adolescents

Gynecomastia in newborns is considered a physiological cause caused by maternal estrogens. At this age she goes on her own several days after birth. If this does not happen, then before you treat the abnormal enlargement of the mammary glands, you need an additional examination of the baby. It is carried out to identify possible congenital disorders - anarchism, cryptorchidism or hermaphroditism, whose treatment is performed surgically.

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How does the disease manifest in adolescents? The pubertal form of gynecomastia, as well as the infantile form, is caused by abrupt changes in the hormonal background in the growing child. If she appeared, the doctor can prescribe an observation, but not immediately prescribe medications, because this pathology can also go on independently. The doctor's observation is necessary for six months - during this time either positive dynamics or the need for hormonal correction are revealed. In this case, the following drugs are prescribed:

  • Danazol;
  • Clomiphene;
  • Testolactone.

Also used are other drugs that increase the production of their own androgens in the body. If they are ineffective, prescribe a product containing natural testosterone, allowing to restore the hormonal background to normal. It is important in time to prescribe treatment for teenage gynecomastia, because it can be a harbinger of more serious problems.

Gynecomastia in the adult period

Gynecomastia in men in adulthood is a symptom of profound hormonal changes. Before taking medications, you need to undergo a complete examination and establish the causes of the disease.

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If the disease is caused by a decrease in the production of androgens, then hormonal drugs are prescribed-stimulators for the production of androgens and natural testosterone. Recommendations for a healthy lifestyle and proper nutrition can be given, which will contribute to the growth of testosterone levels in the blood. It can be recommended eating foods rich in protein - meat, milk, caviar, eggs and refusal of alcohol, especially from beer. Useful may be the selection of the most effective set of exercises.

Gynecomastia in men can be caused not only by a decrease in the level of androgens, but also by an increase in the number of female hormones. In this case, anti-estrogens are prescribed - drugs that reduce the production of female sex hormones in the male body (Tamoxifen, Nolvadex). This therapy can be combined with androgenic treatment.

If gynecomastia caused the intake of medications that have a negative effect on the hormonal background of the male body (cardiac glycosides, antiviral drugs for HIV-infected people, diuretics), the problem is solved by canceling or replacing the medicine for more safe.

Pseudogynecomastia is a breast enlargement due to fatty tissue, not glandular tissue. It can occur in men who have a sedentary lifestyle and who abuse alcohol. In most cases, it is treated with a lifestyle correction - by selecting a set of exercises, changing the diet. Drug therapy is extremely rare.

In the elderly, gynecomastia is possible due to a physiological decrease in the level of androgens. It is not considered a pathology and in most cases does not need treatment. The patient can be recommended wearing corrective linen - it allows you to avoid a cosmetic defect and partially slow the development of gynecomastia.

Operative methodology

Surgical treatment of gynecomastia is prescribed if conservative therapy does not have a positive effect. Before the operation, it is necessary to undergo a survey to determine the safety of this method for the patient. Practice several types of mastectomy:

  • endoscopic;
  • with the preservation of the areola;
  • with liposuction.

Endoscopic mastectomy refers to non-traumatic operations, which, if necessary, can be performed under local anesthesia. Operative access is provided through a small puncture just below the nipple area. With the help of special tools, excessively expanded tissue is removed. This operation is applicable with a slight increase in the breast in the early stages of the disease.

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Mastectomy with areola conservation is performed through a small incision near the nipple area. It is more traumatic than endoscopic, but allows you to remove more tissue. This is the most frequent operation with gynecomastia. It is used in cases where the volume of pathologically enlarged tissues is too large for endoscopic surgery, while treating the disease moreradical operation for any reason is unacceptable.

Mastectomy with liposuction is the most effective and radical treatment for gynecomastia, used in case of neglected disease or a high risk of malignant degeneration of the breast. In this case, completely removes the tissue of the breast - subcutaneous fatty tissue. After the operation, scars remain, but it reliably avoids complications.

The postoperative period of all types of mastectomy proceeds relatively easily. The discharge from the hospital is carried out 2-3 days after endoscopic surgery or mastectomy with preservation of the areola and 5-6 days after the operation with liposuction. At this time, it is recommended wearing a special corrective underwear, which allows you to maintain muscle tone and quickly restore the normal shape. Light physical exertion is allowed immediately after discharge from hospital, a full recovery occurs within a month.

Why should I heal?

Gynecomastia in men is dangerous for its complications. It signals of deep hormonal disorders, which can lead to a decrease in sexual desire, infertility and cancer of the gonads. In addition, gynecomastia itself can give impetus to cancerous degeneration of breast tissue. Symptoms of such a degeneration are an increase in lymph nodes in the armpits and on the neck, the appearance of discharge from the nipple, the appearance of densified areas under the skin of the breast.

Nevertheless, even with physiological gynecomastia, it is advisable to see a doctor in time to notice signs of her transition to a chronic form and cure the disease.

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If the gynecomastia is physiological, then it passes independently for a short period of time. This causes the boy or man psychological discomfort, so it is necessary to use psychotherapeutic methods of treatment.

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