Gynecomastia Case : 31 Years Old Bilateral Breast Swelling Treated

Gynecomastia is a male breast condition, which is caused due to several reasons. The main reason behind this condition is the excessive growth of the female hormone called estrogen. To get more information, you need to read this article carefully, so that you can get the right treatment according to your condition.

Are you suffering from Gynecomastia condition? If yes, then you are in the right place, here you will surely get the right treatment for your condition. Before the treatment, we want to clear your all doubts, and we tell you a story of a patient who is suffering from gynecomastia. In this article, you are also read how we treat his condition with gynecomastia surgery.

Let’s have a look at case 1.

Case 1

A man of 31 years visited us and he was suffering from increasing bilateral breast swelling. This condition is known as gynecomastia and he felt too low as well as embarrassed due to this condition. In addition, he also too distressed by the appearance also, suffering from too much pain on breast palpation. To get the he asked us several questions such as-:

Question 1-: What are the causes of breast swelling in males?

Answer-: Well, there are several causes of swelling in the male breast, which is mainly caused due to excess growth of glandular breast tissue in males. This condition results in too much pain as well as swelling. Some people experience this condition due to being overweight and certain medications include-:



  • Amiodarone
  • Spironolactone
  • Digoxin


  • Anti-androgens (eg bicalutamide, flutamide)
  • 5-alpha reductase inhibitors (eg finasteride, dutasteride)
  • Gonadotropin-releasing hormone (GnRH) agonists
  • Oestrogens


  • Ketoconazole
  • Metronidazole


  • Haloperidol
  • Diazepam
  • Tricyclic antidepressants
  • Chemotherapy


  • Alcohol
  • Tetrahydrocannabinol
  • Anabolic steroids

Question 2-: How would you differentiate the possible causes?

Answer-: Well, the causes of gynecomastia condition are differentiated according to the type of condition. If you are suffering from true gynecomastia, then you will experience a rubbery as well as firm tissue present in the nipple-areolar. It is basically a bilateral, and Bilateral male breast cancer is rare. In certain cases, it may be too difficult to differentiate the gynecomastia and breast malignancy. If you are suffering from a severe condition, then you need to undergo the assessment with mammography and biopsy.

Question 3-: What type of tests are needed to examine gynecomastia?

Answer-: If you are suffering from severe gynecomastia, then we may recommend you to go with liver function tests in order to find the evidence of cirrhosis, thyroid function tests, and electrolytes/urea/creatinine to know about chronic renal failure. And blood test is also recommended to know about the levels of-:

  • blood human chorionic gonadotropin (hCG)
  • luteinizing hormone
  • follicle-stimulating hormone
  • testosterone
  • oestradiol
  • prolactin.

This content was originally published here.

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