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Medical treatment for gynaecomastia

Resolved Question:


can it is possible to cure gynecomastia by medicine without any surgey

Age 23
Weight 68kg
Thane maharashtra

Category: Endocrinologist

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Category: Diabetologist
 18 Doctors Online

Hello,

Thank you for your consult at DoctorSpring.com.

In one line - yes, it depends on what is the cause, and how big it is! So I would ask to upload a couple of pics (side profile and front).

Detailed answer -

For suspected gynecomastia, one has to first confirm if it is true gynecomastia (breast tissue) or fat which can done by ultrasound and fine needle aspiration cytology studies.

One should rule out use of drugs like spironolactone, digoxin, cimetidine, testosterone, estrogen gels by female partner, and alcohol abuse.

History of loss of libido, erectile function and on examination, loss of pubic and axillary hair, decreased beard growth and testicular size should be noted.

One should test for testosterone levels, LH, FSH, thyroid functions, liver functions, kidney functions and karytotype (if klinefelters syndrome is suspected).

Medication used for treatment of small size, with predominant glandular structure gynecomastia is anti-estrogen drugs like Tamoxifen. However, it may not be effective if breast tissue is large, and mostly fibrous.

Minimally invasive surgery by plastic surgeons is a good option.

Hope it helps, please feel free to discuss further.

Regards
Col (Dr) J Muthukrishnan, SM
Senior Adviser (Med & Endocrinology)


Patient replied :

photo as per u required


Hello,

I have not received the photo. Kindly click on upload while asking follow-up question or email to [email protected] for Doctor only access.


Patient replied :

photos as per you required


From the pictures, it appears to be a significant gynecomastia.
It may not respond to medical therapy alone.
After the necessary tests, as I have mentioned, this may require a surgical management.

Take care


Dr. J Muthukrishnan
Category: Diabetologist
Experience: 
Fellowships/Training: 
1. 10th Asia-Pacific Pediatric Endocrine Society  Fellows meeting, Seoul, Korea, Oct 2008
2. Eighth ICMR Course on Genetics and Genetic Counseling – Jul 2008 – SGPGI, Lucknow
3. Annual Certificate Course on Endocrinological Laboratory Techniques at National Institute of Nutrition (ICMR) Hyderabad,India, ( Aug-Sep 2006) 
Fellowship: Endocrinology, Diplomate of National Board, National Academy of Medical Sciences, New Delhi, 2008, Medwin Hospital, Hyderabad
Senior Residency: Diplomate of National Board (General Medicine), National Academy of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, 1997-2000, Armed Forces Medical College, 2nd position in University
Medical School: MBBS, Armed Forces Medical College, 1992
Dr. J Muthukrishnan and 4 other Medical Specialists are ready to help you

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