What is gynecomastia and what are the appropriate medical and surgical treatments for its proper treatment?
You may have heard of "human breasts" or "bitch breasts", which is actually a symptom that can occur in some men or young boys. Scientifically called gynecomastia, it is not something serious but rather humiliating and quite uncomfortable for the subject. Gynecomastia may be a side effect to taking certain steroids, easily controllable with good protection.
What is Gynecomastia?
Gynecomastia is a male symptom: the breast will over-develop and begin to take the shape and size of a female breast.
The main reason for male breast growth is high estrogen levels and low testosterone levels. Estrogen is a female hormone and testosterone a male hormone. This gradually causes the glandular tissue to swell, which will then form larger breasts (or breast buds). This symptom can occur in elderly men, adolescents or even babies.
This is a case that will be caused by several aspects such as kidney failure, certain drugs such as antibiotics, a hormonal imbalance or even excess alcohol. It can also be a genetic disease, transmissible between generations.
Steroids and Gynecomastia
The use of steroids is one of the main causes of gynecomastia in men. Anabolic steroid users are more likely to be subject to gynecomastia than those who do not use them.
Athletes take steroids to try to increase their testosterone levels. Normally, most anabolic steroids contain a high level of testosterone. But the body will automatically convert testosterone to estrogen, which then accumulates in breast tissue.
The conversion of testosterone to estrogen is called aromatization, which leads to the imbalance of hormones in the body. Hormonal imbalance is one of the main causes of gynecomastia.
This means that the body will have an excessive estrogen level, but a limited testosterone. With more estrogen in the body, this can strongly lead to the growth of glandular tissue. When the glandular tissue becomes larger, the excess estrogen in the body will automatically send a signal to the testes. This is why the testicles will have a slower production of testosterone. When the body is in this state, the person will have larger breasts.
The only problem here is that when the glandular tissues grow, they will not return to their original size. The enlarged breasts will remain large, even when you stop using steroids. Nevertheless, there are certain specific treatments for Gynecomastia, which are ultra effective.
How to treat Gynecomastia?
There are many remedies that can help get rid of human breasts. You can use specific medications, but the most effective and considered solution is surgery.
Treat gynecomastia with medication
Some of the common medications used to treat gynecomastia are:
• Tamoxifen (nolvadex). This is a drug that inhibits estrogen activity in the body. In other words, estrogen is present in the body but will not be active. It has been reported that it can help reduce breast size in men, it also relieves the pain caused in enlarged breasts.
• Aromatase inhibitors. It is a combination of drugs (Arimidex, Femara, Examestane…) Which normally treat ovarian cancer and breast cancer. They have also been shown to help prevent and resolve gynecomastia problems in men.
Hormone replacement or therapy
This is another remedy that may work, but in some people only. Essentially, testosterone levels will go up in people who have low levels. However, it will not work in men who have normal testosterone levels.
Treat gynecomastia with surgery
This is the most effective method, which has worked in many cases. This method is based on the two components of the breast, which are the flexible adipose tissue and, the glandular and solid tissue. The ratio of the two will be different in different patients. Some types of surgeries that are performed on patients include the following:
• Liposuction, the purpose of which is to aspirate excess fatty tissue from the breasts. If the person has a lot of fatty tissue, then an incision of about 3 to 4 mm will be made, then a small pipe is installed there. The tube is then used to aspirate excess fatty tissue.
• Excision. Technically, this involves using a scalpel to cut the body tissue.
Suppose the breast has increased due to excess glandular tissue, then excision will be the most favorable method to use. The only drawback of this method is that it leaves a scar on the body. The most common area that will have the scar will be the edge of the nipple, cut to remove excess tissue. In case there will be a need to remove more skin and tissue from the chest, then the surgeon will make a larger cut. The larger the cut, the larger the scar on the chest.
The type of surgery to be applied will be determined by the surgeon, who will need to study the patient's condition and opt for the most appropriate method.
With all gynecomastia treatments, surgery is the most effective and also the most expensive, compared to medication. In addition, the only side effect of the surgery is that it will leave you with a scar, which may gradually disappear.