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Gynecomastia (Enlarged Breast in Males)

What is Gynecomastia?

Patient Comments
  • Gynecomastia is enlargement of the male breast tissue.
  • It is common in men and boys at various stages of development and in association with certain medical conditions.
  • True gynecomastia refers to enlarged glandular tissue rather than fat (adipose) tissue.
  • The presence of fat tissue that appears in the breast area is known as pseudogynecomastia.

What Causes Enlarged Breast in Males?

In general, gynecomastia results from a hormonal imbalance in the body. All normal humans have both male and female hormones to a certain extent. Gynecomastia occurs when male hormones (androgens) are relatively low compared to the level of female hormones (estrogens) in the body. This can transiently occur during normal development of boys, resulting in gynecomastia in infants or during puberty. In these cases, gynecomastia usually resolves on its own as hormone levels return to normal.

In other cases, medical conditions or medical treatments can create the hormonal environment in the body that allows gynecomastia to develop. Examples of conditions that may be associated with gynecomastia include:

A wide range of medications have also been associated with the development of gynecomastia. Examples include the diuretic spironolactone (Aldactone), some calcium channel blockers and ACE inhibitor drugs used to treat hypertension (high blood pressure), some antibiotics, anti-ulcer drugs, and highly active anti-retroviral therapy (HAART) for HIV disease, which may cause fat redistribution leading to pseudogynecomastia or, in some cases, true gynecomastia.

Finally, alcohol and some drugs of abuse (for example, marijuana, and heroin) are known causes of gynecomastia. Lavender oil and tea tree oil, when used in skin-care products, have also been associated with gynecomastia.

Medically Reviewed by a Doctor on 9/11/2017

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Patient Comments & Reviews

The eMedicineHealth doctors ask about Gynecomastia (Enlarged Breast in Males):

Gynecomastia -- Patient Experience

Do you have gynecomastia? Tell us about your experience.

Gynecomastia - Causes

What was the cause of your enlarged breasts, and how did the condition affect you mental health?

Gynecomastia - Medications

What medications were successful in treating your gynecomastia?

Gynecomastia - Surgery

Did you have surgery for gynecomastia? Please tell us about your experience. Your recovery time, improvement in mental health, etc.

Male Breast Enlargement During Puberty; Should You Be Concerned?

Approximately half of all boys going through puberty will experience either one-sided or bilateral breast tissue swelling. The average age the condition occurs is around 13, and it may last for six to 18 months. The size of breast tissue swelling is generally about 2 cm (.78 inches) in diameter. While the underlying cause is generally benign and self-resolving, other causes should be explored.

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