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Exams and Tests
Gynecomastia is usually diagnosed by a physical examination. The presence of breast tissue greater than 0.5 cm in diameter is characteristic of gynecomastia. In addition to a physical examination, a careful medical history is also important to help assess the cause of gynecomastia.
The doctor may order tests, such as blood tests or imaging studies, to help establish the reason for gynecomastia. Mammography is indicated if there is any suspicion of male breast cancer.
Treatment of gynecomastia is not always necessary since transient gynecomastia, such as occurs during puberty, generally resolves on its own without treatment within three years. If medications are the cause of gynecomastia, stopping the offending drug can be effective in reducing gynecomastia. Treatment of any underlying medical conditions is also important. Both medications (see below) and surgery have been successfully used to treat gynecomastia.
Self-Care at Home
A variety of chest compression garments and vests are available to help minimize discomfort and/or improve cosmetic appearance if desired.
Medications are most effective when used in the early stages of gynecomastia, because the enlarged breast tissue often becomes scarred after about 12 months. Medications are not likely to be effective at reducing scar tissue, and surgical removal is the only possible treatment.
Treatments for gynecomastia have not been extensively studied, so data showing their effectiveness are limited. No drugs have yet been approved by the U.S. Food and Drug Administration (FDA) for treatment of gynecomastia. In general, two types of medications have shown promise for the management of gynecomastia:
Medically Reviewed by a Doctor on 9/8/2014
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