Gynecomastia

Gynecomastia

What is gynecomastia?

Gynecomastia means enlargement of breast tissue in male.This may occur during three distinct age period:

1)transiently at birth

2)again beginning with puberty and declining during the late teenage years

3)in adults over age 50years.

In the new born ,it is caused by stimulation from maternal hormones.A milky secretion(witch milk) maybe produced:;the condition disappears within  a few weeks.

During adolescence ,as many as 60% of boys may develop some degree of gynecomastia ,either unilateral  or bilateral and if bilateral,often with  varying degree of growth between the two sides.

It is consider a normal nonpathological condition and usually disappears within 18 month.Hormonal assays should be performed only if the condition appears before puberty ,persists longer than 2 years,or is associated with other signs of endocrine disorder.

In older men,the condition can be  caused by pituitary or testicular tumors,medication such as spironolactone or antiandrogens or cirrchosis of the liver causing enhanced activity (due to delayed liver catabolism) of naturally produced oestrogens.

Treatment:

Therapy depends on then cause.Because gynecomastia has a high rate of spontaneous regression ,medical therapies are most effective during active proliferative phase.To help alleviate the acute embarrassment from the condition adolescence boys may suffer,they should be reassured that the problem will go away.Tender breasts should be treated with analgesics.As a final stage, surgery should be done.

Some other causes:

-Taking certain drugs such as ranitidine,ketaconazole having gynecomastia as a side effect.

-Eating large amount of injected chicken,that means those chicken which given antibiotic to grow .

Bodybuilding and Gynecomastia

-Using androgenic substance such as steroids for bodybuilding.Steroid such as sustanon,deca durabolin have high testosterone level which will convert into estrogen ..Normal testosterone level is about 22.5micromml .If its exceed more than 50 -70micromml,there’s high chance for it to convert into estrogen.To over come it, bodybuilders should take antiestrogenic drugs such as nolvadex or tamoxifien during the period of steroid usage.During the post cycle, clomifine is highly recommended to bring back the normal testosterone  level. Increase estrogen level will elevate the risk of gynecomastia.

During the usage of steroid, a mild tender will be felt at chest area,around nipple.A small lump can be feel in the nipple.At this stage,all types of steroid should be stopped and antiestogens should be consume However,gynecomastia by steroid is irreversible .So be careful before you take any type of steroids.