Obese men with enlarged fat deposits are categorised as pseudo-gynecomastia patients which is a different condition than typical gynecomastia. If you’re an adolescent or a grown-up adult with enlarged and tender chest, your healthcare provider would perform initial examination to identify if the chest tissue is glandular or fatty, crucial to proceed with gynecomastia treatment.
Glandular tissue has a network of ducts that can be felt on touch and secrete substances like milk or hormones. If initial examination fails to determine whether it’s gynecomastia or any other anomaly, mammography (closed and specialised X-Ray of inside of the chest) or ultrasound may be recommended.
Gynecomastia treatment primarily depends on severity, cause and duration as well as intensity of pain or discomfort. Check out the details below to know more about treatment measures.
Also known as pubertal gynecomastia that resolves on its own, treatment isn’t usually preferred however; few chest workouts and diet plan may be catered to the patient. Candidate would undergo examination once a month for naturally occurring changes.
Youth males with severe gynecomastia causing embarrassment or extreme tenderness at the chest, a short course of drug namely; tamoxifen or raloxifene is prescribed. The medicine blocks the effect of estrogen in the body which reduces the chest size.
Important: Some of the prescribed drugs aren’t approved by the US Food and Drug Administration (FDA) but underwent significant successful trials and risk evaluations.
In grown-up adults with gynecomastia due to pre-existing health anomaly or drug administration, surgical treatment isn’t usually recommended. Medication may be reduced or stopped immediately by the physician for gynecomastia to resolve naturally.
Idiopathic gynecomastia in men that causes extreme discomfort and last for more than three months, short course (usually three or six months) of raloxifene or tamoxifen is recommended.
- Prostate cancer subjects
In hormonal treatment for prostate cancer (androgen deficiency therapy or anti-androgen mono-therapy), gynecomastia is a common problem. There’re different treatment options available including tamoxifen drug administration and radiation therapy.
Along with the basic treatment for hormonal anti-prostate cancer, tamoxifen intake must continue every day or as directed by the primary physician. A study indicated only eight percent men taking both anti-androgen and tamoxifen developed gynecomastia.
- Radiation therapy
In some cases, radiation therapy as Gynecomastia treatment is performed even before anti-androgen is administered. Radiation therapy is performed in more or less three sessions quite identical to having an X-Ray. For high intensity of pain and extreme tenderness of the chest, radiation dosage may be enhanced as a preventive measure.
Radiation therapy V/S Tamoxifen
Medical research indicated that tamoxifen is more effective than radiation in men who’re already undergoing anti-androgen mono-therapy. This however depends on patient’s health anomaly and type of gynecomastia as in some cases, radiation therapy is more effective.
For patients with one year above persisting gynecomastia, surgery is an option to reduce the chest size. In adolescents, surgical gynecomastia treatment isn’t recommended unless pubertal period is complete as chest tissue is likely to regrow.
The above ways clearly defines various medical treatment of gynecomastia.
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