Surgery to remove mammary glands in males when appointed

Learn about treatment of gynecomastia in men without surgery. Men called gynecomastia occurring disorders in the hormonal background, it affects about 30% of the population. Gynecomastia - is not a sentence, it is well treated in many ways.

In medical practice for the treatment of gynecomastia in men used drugs are the following classes:

• androgenic;
• trifeniletilenov derivatives;
• aromatase inhibitors.

All drugs tested and have a high efficacy in the treatment. But along with all the benefits of their properties, and they have a huge list of contraindications, why prescribe the drug should only be a specialist in a strictly individual basis.

Among the drugs androgen class should allocate Proviron. Its action is aimed at reducing the number of the steroid hormones aromatization thereby decreasing the concentration of estrogens and androgens increases.

In this regard, the growth of the mammary glands in men stopped, and the ratio of sex hormones come back to normal.

In rare cases, there is that chronic administration of the drug can occur liver tumors, however if the patient was appointed Proviron, it must undergo periodic special medical survey.

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With regard to derivatives trifeniletilenov, among them the most popular is considered the drug tamoxifen. It has on one side a blocking action on the receptors on the surface of cells of the mammary glands, which is an obstacle for the active exposure of estrogen on cell growth.

On the other hand, this medicament increases the production in the pituitary luteinizing hormone, which in turn increases the testosterone in the testes. This is what leads to the normalization of concentrations between estrogen and testosterone in the male body.

Among the existing contraindications special list should include the following:

• if the patient has diabetes;
• diseases of the circulatory system;
• there are problems with the kidneys;
• Reduced functionality of the blood coagulation;
• individual intolerance of any of the components of the composition.

Anastrozole - a medical preparation, which is the strongest and most prominent representative of aromatase inhibitors. In carrying out the reception of the drug blocked the enzyme aromatase, in connection with this transition is terminated androgens to estrogens, and mammary glands stop its rapid growth.

Side effects Anastrazole include:

• manifestation of joint pain;
• reduction in growth of muscle tissue;
• the appearance of osteoporosis.

But, as practice shows, these side effects do not find space for his displays at the correct observance of all rules of a course of treatment.

True and false kind

As is known, gynecomastia in men can be of two types - a false and true, depending on what the cause was provoked by her appearance.

True development is characterized by hypertrophy of the glandular tissue and stroma. But the false is the result of obesity, that is in the breast of the patient there is a massive deposition of adipose tissue.

The emergence of physiological gynecomastia can be caused by a number of the following reasons:

• while reducing the level of male hormone (testosterone), and increase the female (ergosterona);
• the presence of diffuse toxic goiter;
• in the development of HIV infection;
• pulmonary tuberculosis;
• the presence of benign prostatic hyperplasia;
• In the case of cardiovascular disease;
• increase prolactin secretion at pituitary tumors;
• the presence of Addison's disease;
• at hobby human drugs (particularly heroin and marijuana);
• in cases of existing alcohol dependency.

In addition, you need to know that every man, getting to a certain age group, can purchase this pathology. Most often, in this case, no treatment is necessary, and it passes some time alone.

In total there are 3 age periods:

• newborn - swelling of the mammary glands is manifested in the first days of life and usually resolves on its own by the end of 2 weeks of life;
• pubertantny - aged between 13 and 14 years of age, normal changes disappear within a year;
• elderly - an increase in the size of the breasts usually occurs in men over the age of 50 years, this fact is caused by decreased production of testosterone in the body.

Symptoms and signs of the disease

Of course, in order to fight the enemy, it is necessary to know in person. Very luckily in this disease all the signs of external and if the patient pays enough attention to yourself, you'll notice they will not make any difficulty.

The symptoms of gynecomastia in men include:

• a significant increase in mammary glands in diameter (from 2 to 15 centimeters);
• increases nipple, areola pigmentation occurs, its size in diameter is in the values ​​of 2 to 3 centimeters;
• in rarer cases, one can observe the fluid discharge from the nipple area with gentle squeezing it, it is of a type very similar to human colostrum;
• increases the sensitivity of the nipple;
• a sense of the state of discomfort when wearing clothes, especially overlying plan.

Each patient should be aware that there are only 3 stages of the disease:

• developing - its length is about 4 calendar months and at this stage it is possible to easily rotate the disease in the opposite direction;
• intermediate - occurs within 4 months to 1 year;
• fibrous - at this stage almost all ways to return the men beyond the norm become useless.

In addition, in cases where the patient is inspected doctor several other symptoms, which include:

• change in breast skin;
• When the feeling there is a seal in the gland;
• from the nipple area allocated bloody fluid;
• armpits was an increase in lymph nodes.

It may indicate the presence of breast cancer and, therefore, the patient must necessarily pass additional tests.

To which the doctor ask

Many people wonder which doctor should seek a man for suspected gynecomastia. In the cases of the female population is much simpler - they are involved in breast mammolog. But for a strong half, separately address this problem doctor humanity, not yet.

Since the appearance of the disease is directly related to changes in hormonal background, the need to go to the endocrinologist.

It is this specialist should assign a patient number of diagnostic measures which need to go through a mandatory basis:

• donate blood for biochemical analysis, the result of which will be revealed the level of testosterone in the body and its direct relationship to estrogen;
• US scrotum and breast;
• CT scan of the lungs, brain MRI, and adrenal glands.

All these procedures will help to establish the true cause of the disease and find the right patient for optimal therapeutic treatment.

A source: http://FeedMed.ru/bolezni/endokrinnye/ginekomastiya-muzhchin-lechenie.html

Treatment of gynecomastia by surgery or without

In some cases, when diagnosed with gynecomastia, surgery is the only treatment option. In most cases, gynecomastia occurs in men who have problems with excess weight, so during a mastectomy is usually made even liposuction.

The goal of surgery with breast enlargement in men is the removal of excess glandular or fatty tissue and glands to bring in a normal physiological state. After the operation the cut tissue samples compulsorily sent for histological examination to exclude breast cancer.

Treatment of gynecomastia without surgery

Before proceeding with the surgery, try to treat the disease with the help of conservative therapy.

If gynecomastia is true (that is, breast augmentation is due to proliferation of the glandular tissue), the prescribed drugs, which regulate the hormonal metabolism (increase testosterone production and at the same time suppress the synthesizing of female genital hormones). In addition, if there is evidence, overturned the administration of drugs that can cause the development of gynecomastia.

When false gynecomastia, the cause of which is the growth of adipose tissue cancer, a positive result may occur after administration to a patient hypocaloric diet combined with moderate exercise loads.

It should be remembered that all of the above methods of treating gynecomastia possible only at the initial stage of the disease, even when the process can be reversed. If the treatment is started after the process of proliferation of breast tissue it has become irreversible, that resorting to more drastic treatments.

One of these methods is liposuction, during which excess fat is removed from the patient's pectoral glands. Advantage of this technique is that it is minimally invasive.

But liposuction is useless if there is no expansion of fat and glandular tissue. And in the case of false gynecomastia liposuction is usually used as an adjunct to surgery.

Indications and contraindications for surgical treatment of gynecomastia

Indications for surgical treatment of gynecomastia in men:

• nodular or diffuse form of the disease, in the case of if you can not completely exclude the possibility of breast cancer;
• any form of disease, in which a man feels pain in the breast;
• nodal gynecomastia (in adolescents may be monitored and conservative treatment of the disease within 12 months, surgery is indicated if there is no improvement).

Contraindications to surgical treatment of gynecomastia in men:

• blood diseases associated with the violation of its coagulation;
• severe somatic diseases;
• infectious diseases in the acute stage, during which accompanied by a rise in temperature.

Preparation for surgery

Prior to the surgery for the removal of gyno doctor performs medical history, interrogates the man, conducting a full examination of the patient using a variety of laboratory and instrumental methods.

During the interview, the doctor asks if the patient has a chronic illness, how long ago it started to grow breasts, if he had to do any operations in the past, what preparations to accept the man at the moment, if he had any allergies to any medications, and so Further.

After that, the patient is sent to the blood and urine tests, as well as the coagulation do (to avoid diseases associated with impaired blood clotting, in which surgery contraindicated).

This is followed by a blood analysis on hormones, as well as ultrasound and chest X-rays. This is to ensure that after the operation it was possible to evaluate the result.

Patients who smoke need to quit the habit for at least 14 days prior to surgery. Otherwise tissue healing after the operation will proceed very slowly, which is fraught with the development of complications.

How is surgery performed?

That surgical treatment of gynecomastia is the primary method of disposal of this pathology. It is assigned to the case, if conservative treatment is not possible or does not give any positive result.

In adolescents, the operation is carried out not earlier than one year after the start of gynecomastia, because there is a possibility of self-healing, without conducting any treatment.

The goal of surgery is excision of excess fat and glandular tissue and giving the mammary glands of the normal form of men.

Select the type of surgery depends on the type of gynecomastia (it is set during a breast ultrasound).

There are three basic techniques of surgery for gynecomastia:

1. Simple. During such an operation is performed removing the breast with the nipple and areola. It applied this technique is quite rare, because such intervention causes severe cosmetic defect.
2. Subcutaneous. Performed a dissection of the breast skin, and then deletes all the excess tissue of the breast. Often this technique is combined with liposuction.
3. Endoscopic. It is minimally invasive surgery, performed with a special instrument - the endoscope. This type of operation is indicated for men with small size breast.

Removal of gynecomastia in men is a fairly simple operation. Its duration is 60-90 minutes. Type of anesthesia depends on the type of intervention (usually a local anesthetic).

The operation is performed in a hospital. Initially made of skin antiseptic treatment. Then, the place where the operation is carried out, limit sterile linen. The surgeon makes an incision in the areola area and removes the excess glandular tissue and skin. If the patient is obese, liposuction is performed in parallel.

Before the end of surgery, a drainage and sutured wounds, which were formed during the operation. Removed tissue compulsorily sent for histological examination, during which they are tested for the presence of cancer cells.

a man is usually allowed to go home already the day of surgery, and he visited the doctor only on the days when he was appointed dressings. Swelling and inflammation of the mammary glands are quite fast. However, there is a risk of postoperative complications.

possible complications

After some time after the operation may develop in men of complications such as:

• Scarring (occurs when the hematoma, or if infection is listed in the wound);
• congestive pneumonia;
• soft tissue swelling;
• fat necrosis;
• bleeding, hematoma, bruises;
• damage to the muscles, nerves and blood vessels;
• blood clots;
• wound infection;
• pigmentation of the skin;
• slow healing of the wound surface;
• changing the shape of the breast, the appearance of asymmetry;
• loss of sensitivity of the skin at the site of surgery.

The postoperative period

The patient may have to go home the day of surgery. Then he must come to the appointed days dressings. The sutures are removed after 7-10 days after surgery. If the patient experiences discomfort and pain not strong, it shows the intake of analgesics.

Within two to three weeks after surgery a man should wear a compression garment to prevent the development of edema and hemorrhage.

One of the cutting-edge technology is a non-invasive laser liposuction

Sometimes during the postoperative period the patient in the area where operation is conducted, the liquid begins to accumulate. In this case, its removal is performed using puncture. Otherwise, the formation of a gray, which only can be removed surgically. Patient discharged about three weeks after the operation, to the normal load it can come back in a month.

A source: http://grudi.pro/zabolevaniya/muzhskie/lechenie-ginekomastii-s-pomoshchyu-operacii.html

Gynecomastia: Surgery to remove the men - the price and reviews

Gynecomastia - an unpleasant and frightening disease in which there is an abnormal breast enlargement in men.

Typically, this happens due to hypertrophic changes of both the glands and abnormal growth of physiologically normal adipose tissue.

Gynecomastia, surgery and even the risk of cancer - these words often sound like a death sentence for a fairly young men.

Reviews men themselves about this disease, indicate that most of the stronger sex experience, believing that this diagnosis - it is an absolute indication for surgery to remove some of the breast.

But in reality, everything is so hopeless and scary as it may seem at first glance?

Indeed, the operation to remove the tumor with gynecomastia, in some cases, may be the only true and proper solution to the problem. But whether such an operation is always needed, and whether in all cases require removal of the tumor in the mammary gland of men - we will investigate.

Why there is gynecomastia?

Gynecomastia condition often occurs in boys during puberty when the hormonal status of the child is not yet fully formed.

In this case, there are painful compression in the breast, there may be itching and swelling of the glands. The size of the increase, own breast, as a rule, does not exceed four centimeters.

This condition can often spontaneously disappear almost immediately after the end of puberty, and do not require treatment, reviews teenagers themselves, is fully confirmed.

Quite often Gynecomastia occurs in men who have previously been in professional sports, and who, for one reason or another were forced to leave the sport.

The disease develops in athletes as a result of too sharp decline in the level of physical activity, and as a result practically constant psychological strain.

Just causes of gynecomastia can become endocrinopathies different etiology. It can be various congenital disorders in men, in the section of andrology. Gynecomastia can often be accompanied by:

• Cancers of the bronchi.
• Such disease such as cirrhosis.
• Development of dystrophy of different etiology.
• Such a disease like leprosy (the old name it - leprosy).

Among the drugs which can contribute to the development of the disease is called: different antiandrogen drugs, tranquilizers, antidepressants, antibiotics, anabolic steroids, and the so-called steroid drugs.

It is believed that treatment of the disease can only be surgically. And all, because in some cases when the disease was treated with testosterone preparations was observed only backfire.

In addition, when the hormonal treatment of gynecomastia (and this has been proved by scientists), dramatically increases the risk of developing cancer.

Reviews practitioners suggest that hormone treatment of the problem, in most cases, can not lead to a positive effect.

Such actions can only lead to disturbance of blood supply to tissues in the so called the stagnation and the subsequent emergence of malignant tumors in the mammary glands.

Types of surgical treatment of this pathology

In all cases, the correct choice of method of operation for a given disease will depend on the amount (on the zoom magnification) of the breast.

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The same technique of operation which will be carried out to remove the tumor with gynecomastia, depends on the number of proliferating subcutaneous fat. It is important when choosing a method of operation and to take into account the need for (or lack of such a need) skin tightening.

The cost of the various options for surgical treatment is significantly different in this pathology.

So, the price of this procedure in various clinics can range from seven hundred euros to fifteen thousand euros, the equivalent of the ruble. Abroad, these procedures can be even more expensive.

Typically, when the true or when mixed form gynecomastia, when there is only a slight increase in breast tissue is shown operation subcutaneous mastectomy.

Moreover, mastectomy, in this case, is called the surgical operation in which removal is carried out most male breast (or removing a certain part thereof).

The main essence of this operation - it is not only the removal of the breast itself. Just remove during mastectomy to be fatty tissue, in which lymph nodes are (Considered probable sites of metastasis with degeneration of malignant tumors in form).

Sometimes, depending on the doctor mastectomy embodiment may also require the removal of small parts, and possibly greater pectoral muscle.

But when lipomastii (embodiment surgery, recommended when the problem of false forms) two options are possible surgical correction. It may be possible:

• Liposuction, when performed cosmetic or bariatric correction in order to change, a surgical procedure, the nature of fat on the breast of men.
• And lipectomy when subcutaneously removing excess fatty tissue formed in the breast of the patient.

Since the cost of such surgical correction is high enough, not all men are rushing to apply for a correction, trying to use a special compression garment.

However, doctors insist that the specialized compression garment can only be used in the postoperative period.

A source: http://OMastopatii.ru/o-zabolevanii/operativnoe-lechenie-pri-ginekomastii.html

Removal of gynecomastia - everything about the operation

Some men concerned about gynecomastia - enlarged breast size. If your breasts enlarged, do not be afraid to seek help from a plastic surgeon. In this there is absolutely nothing to worry about. Like any other anatomical disorder (heel spur, a deviated septum, etc.), Gynecomastia can be easily and quickly fixed.

Operation of the corrective anatomical defect usually lasts no more than one and a half hours. Thereafter, the patient can go home and then come to the clinic only for dressings.

The results of the surgery will be visible immediately after surgery and persist for life. So whether or not to postpone his visit to a plastic surgeon? Not to renew their dissatisfaction with their own appearance, to a professional - he quickly solve your problem.

We have special rates for the treatment of gynecomastia. The cost of getting rid of this defect is 48 000 rubles. This amount includes: local anesthesia, surgery, being in

hospital room, the dynamic observation of the patient after surgery. Compression garment you will get a gift!

What is gynecomastia?

Gynecomastia is called breast enlargement that occurs due to the proliferation of fat or glandular tissue, observed in cancer pathology, diseases of the endocrine system, as well as long-term treatment of some medical funds.

The most common reason for the increase in male breast is an imbalance of estrogen and testosterone - male and female sex hormones. Other typical causes of this pathology are constitutional features and heredity.

The normal male breast cancer have a minimum amount of glandular and fatty tissue. But some factors can provoke them hypertrophy as a result of which these glands droop and begin to resemble women's breasts are small. The only effective method of operation is to solve this problem.

The causes of breast enlargement in men

Often the cause of this phenomenon are anabolics (steroids), who unknowingly accept men who want to quickly pump up their muscles. If the course of taking these drugs is carried out not too balanced, contained in these preparations, androgens cause the growth of the breast. However, in this case, despair not worth it - all can be corrected.

The causes of gynecomastia can also become factors such as heredity, disruptions in the functioning of the endocrine system, the reception of drugs, a number of chronic diseases, tumors in internal organs and hormonal imbalance.

Breast augmentation can be in adolescents and adult men. This phenomenon is at any age accompanied by psychological and physical discomfort.

Types of Breast Augmentation

When true gynecomastia has dense breast lobed structure. The patient feels a sense of fullness and heaviness, and pain. Sometimes it clears the contents released from the nipple.

Pseudogynecomastia (false gynecomastia) accompanied by the growth (two-sided) fatty breast tissue. On palpation and painful soft iron. This variety of the disease usually occurs after a dramatic weight loss, as well as obese men.

Mixed gynecomastia is characterized by an increase in breast cancer and the growth of subcutaneous fat.

What are the contraindications to surgery?

Before making a decision about the possibility of surgery specialist determines whether the patient has a contraindication to its conduct. Contraindications are capable of becoming:

• Serious diseases of the cardiovascular system.
• Acute infectious diseases.
• Chronic kidney disease, liver and lungs.
• Obesity high degree.

Preparation for surgery

After consultation with a specialist and anamnesis the patient is assigned to several surveys. Before passing the required tests the patient must make an operation because tests are valid for twenty-one days from the time of delivery.

Preoperative evaluation includes:

• a blood test for syphilis, HIV, hepatitis B, C;
• CBC, comprising determining the number of platelets and coagulation time;
• blood chemistry;
• analysis on the blood group and Rh factor;
• Consultation endocrinologist;
• chest x-ray;
• Ultrasound examination of axillary lymph nodes and breast;
• Other studies based on the evidence.

The operation to remove gynecomastia: training, especially of, the postoperative period

Respond to all the typical questions asked by patients in such cases (how much such an operation as it goes, what it depends on, and so forth.), We have tried in this article.

Ask any questions you may have you can during the consultation.

Male smokers, we strongly recommend you to stop smoking for a couple of weeks before the operation: the nicotine slows down the process of soft tissue reconstruction.

On the day of surgery, you will need to come to our clinic. You will be accommodated in a comfortable room. After the registration of all necessary documents and signing the consent to this operation, we will do some photos with which can later be objectively assess the results. Then our specialist will make the preoperative marking.

How is surgery performed?

The operation associated with the removal of gynecomastia in men, is considered to be fairly simple. She went on an hour and a half. In this operation, local anesthesia is generally used.

The meaning of this surgery is to remove the excess breast tissue. The volume of tissue to be removed is determined on an individual basis.

Before the surgery, the patient's skin specialist processes with modern antiseptics and sterile linen limits the operative field.

Then he makes an incision in the areola area on a pre-applied marking excised and glandular tissue (in case of need also removes excess skin).

If there is an excess of subcutaneous fat, the doctor performs liposuction, which delivers the smooth contours without failure. Installing operation is completed drainage and overlaid on the cosmetic postoperative wound seam.

Deleted breast cancer, we always sent to histological examination, to make sure they do not contain abnormal cells. The patient on the day of surgery usually goes home and then visits the clinic at appointed days for dressings.

We would like to warn you that for gynecomastia correction, as with any other surgical intervention, complications are possible: swelling, inflammation, the formation of rough scars, blood clots, pigmentation, asymmetry, full or partial necrosis of the areola, and nipples. In most cases, swelling and inflammation are fast enough.

Features of the postoperative period

The duration of the recovery period is about four weeks. Remove sutures are not necessary, as for mending wounds using absorbable sutures.

Slight pain stoped using analgesics. To create an adequate compression in the postoperative period should wear compression "vest" or fixing bandage.

Within a month after the operation of physical activity should be avoided.

To summarize the above:

• Gynecomastia is an anatomical disorder can be easily corrected.
• Surgery to remove the gynecomastia is a fairly simple and takes less than half an hour.
• This operation is carried out under local anesthesia.
• Go home the patient can usually have to-day operations.
• The result you will notice immediately. Wear a compression garment you will have only three weeks.
• Within a month after the operation you will be able to start physical exercise.

A source: http://602070.ru/uslugi/19-udalenie-ginekomastii-vse-ob-operatsii.html

Breast enlargement in men - the norm or pathology?

Normal breast men are a vestige, as in the course of evolution have lost their main purpose.

They are different from women's lack of functionality and views.

Occasionally found breast enlargement in men.

This pathology is called gynecomastia and occurs due to hormonal imbalance, when levels of female sex hormones in the body is significantly higher male.

For reasons of appearance, gynecomastia is classified into:

• physiological;
• pathological;
• idiopathic.

physiological gynecomastia

She, in turn, can be divided into three types according to age characteristics.

1. gynecomastia newborns. There is more than half of healthy male infants in the first weeks after birth, and due to the estrogen that the child has received from the maternal organism during its intrauterine development. It does not require treatment and usually goes away by the end of the first month of life.
2. Gynecomastia puberty. It affects up to 60% of boys adolescence. It occurs due to hormonal changes and lasts from one to two years, rarely lasts longer. It passes without treatment, but sometimes it takes on the form of stable and persists for more than 2 years.
3. Gynecomastia elderly. Its cause is also hormonal changes during the period when it is male menopause. testosterone index due to age-adjustment has been steadily declining, and the female hormones become overweight.

Pathological gynecomastia

Its name speaks for itself. In most cases it is a symptom of serious illnesses.

First of all, we can talk about congenital diseases of male testes, which lead to a drop in testosterone: anorchidism and Klinefelter's syndrome, and the second - on the previous infection, trauma and the presence of cancer processes.

Chest men with gynecomastia

Other causes of gynecomastia can be:

• chronic renal insufficiency;
• malfunction of the thyroid gland;
• pituitary disease;
• liver disease;
• overweight.

There is another category of reasons. This reception of a list of drugs.

Gynecomastia arises as a side effect of the treatment:

• veroshpirona type diuretics that inhibit androgen activity;
• medicines for high blood pressure, otnosyaschimimisya categorized as calcium channel blockers;
• means heart failure type hood and enalapril;
• individual antibacterial and antifungal agents (Trichopolum and Nizoral);
• pills against stomach ulcers (omeprazole);
• gormonosoderzhaschimi drugs that are prescribed for prostate cancer;
• antihypertensive drugs (dopegit);
• HIV antiretroviral agents;
• tranquilizers and other drugs.

idiopathic gynecomastia

This is a condition where the cause of the changes in male mammary glands impossible.

Persistent malnutrition also includes a list of factors that could cause problems with male mammary glands.

In this regard, it is impossible not to draw attention to the value of the normal mode for men's health food.

symptoms

Gynecomastia often manifested by an increase in both breasts, some at least - one (30% of cases). This is due to the proliferation of glandular (true gynecomastia) or adipose tissue (pseudogynecomastia).

When true during the breast becomes slightly edematous, sensitive even to the touch of clothing. There is a feeling of fullness, which in rare cases, gives a milky discharge from the nipple.

False Gynecomastia is an increase in the size of the breast and is not accompanied by pain and other unusual feelings because it has (with few exceptions) non-hormonal nature, and occurs on the background of the general obesity.

Suffering from gynecomastia can mark a decrease in libido, as sex drive is directly dependent on the level of testosterone in the blood, and he is usually low.

Not be discounted and men's feelings about the aesthetic imperfections related to pathology. It also explains the decline in sexual interest.

Among the symptoms of gynecomastia, there are some who find it is necessary to literally run to run to the doctor:

• A unilateral increase in breast cancerFollowed by a change of color in the chest, forming a solid seal and abnormally large axillary lymph nodes. Especially should alerted bloody discharge from the nipple. These may be signs of cancer.
• Swelling of the testicles and change shapeAppearance uncharacteristically high voice tones, the total or partial loss of facial hair, the emergence of irritability and crying spells for no particular reason. These signs indicate giperestrogeniey (significant excess of the norms of female sex hormones, the effects of which can be infertility).

Diagnostics

If you suspect that there is a gynecomastia procedure following diagnosis:

• Preliminary inspection and palpation of the breast;
• Ultrasound, and if necessary - mammography and biopsy;
• blood test for certain hormones;
• Ultrasound of the testicles,
• adrenal examination by computed tomography;
• consultations with specialists (oncologist, urologist, endocrinologist, etc.).

treatment is given on the results of diagnostics.

Gynecomastia, which lasts for a long time, significantly increases the risk of breast cancer in men glands.

gynecomastia treatment

Treatment options are selected taking into account the causes of the disease.

The happiest when oncological processes confirmation is not found, and it is hoped that the gynecomastia will pass without treatment, doctors observe dynamics within six months.

If the speakers are not present or it is negative prescribers. Usually it gormonosoderzhaschie drugs that allow to normalize blood levels of testosterone.

The issue of treatment of gynecomastia, occurred in patients receiving drugs that solve their replacement by others, or change the dosage.

In the treatment of breast pathology provoked visceral endocrine diseases or disorders, emphasis is placed on treating the underlying disease.

When cancerous pathologies, surgical treatment.

Men with severe gynecomastia, lingering for a year or more, with scarring, doctors may suggest surgery to correct breast size. Plastic surgeons remove the breast cancer, a physiologic contour continue breast will look quite aesthetically pleasing. The same option is considered, if the medication does not produce results.

Pseudogynecomastia plastic surgery methods adjusted by removing excess adipose tissue in the breast.

This radical method. But sometimes a man just enough to lose weight and the problem go away by itself.

As always, do not stay aside and traditional medicine.

It offers options to actively treat problems of the mammary glands in males:

• Ginseng root - one of the miracle - means. Its ability to increase testosterone and affect a man's strength has long been known. Experts advise not to use it in tablets (such is the pharmacy), and in-kind - to eat a piece every day. Or make a tincture with the addition of yohimbe, oat straw and gingko biloba. They say that helps, if you drink a tincture 60 days.
• lovage. He is credited with medicinal properties that affect the awakening of sensuality and sexual interest. Furthermore, grass has proven tonic effect. Traditional healers offer prepared from the root of this plant wine and eat a little every day.
• Thyme. There is a story that the infusion of this plant Polish Queen Bona poila Sigismund husband thus, it is to be old was in good shape, rarely sick, and could be proud of their sexual opportunities.
• herbal infusion from Siberian ginseng, raspberry leaf and licorice root. It is recommended to make and take small meals throughout the day.

Unequivocally deny the useful properties of public money it would be wrong, because they have been tested for centuries and generations.

Another thing is, how high is their effectiveness in the treatment of gynecomastia in each case. The expediency of such a therapy can only assess the treating physician.

Do not experiment with your health, engaging in self-medicate. Even well-known and proven medications taken uncontrollably on its own initiative, may aggravate the disease and give severe side effects.

A source: http://gormonexpert.ru/zhelezy-vneshnej-sekrecii/molochnye-zhelezy/uvelichenie-u-muzhchin.html

Gynecomastia in men

Gynecomastia - a breast enlargement or prostate in men. True gynecomastia due to proliferation of glandular tissue (mammary tissue), false Gynecomastia is associated with massive fat deposits in obesity, which increases the volume of the chest gland.

symptoms

When gynecomastia neonatal period marked engorgement and slight increase in the mammary glands, sometimes with molozivopodobnymi secretions.

In other forms of gynecomastia mammary glands can be increased from 2 to 10 - 15 cm in diameter and weight to reach 160 g

Increases nipple, the areola becomes pigmented and sharply expanded to 2-3 cm in diameter. In rare cases, there are a milky discharge from the nipple.

Usually painless swollen glands, may experience a feeling of pressure, increased sensitivity of nipples, discomfort when wearing clothes.

In unilateral gynecomastia increases the likelihood of tumor lesions of the breast. Hormone-active tumors that produce estrogen and human chorionic gonadotropin, cause a rapid increase in the mammary glands, their pain and the feeling of fullness.

Gynecomastia induced hyperprolactinemia, accompanied oligospermia, impotence and symptoms of central nervous system lesions.

During gynecomastia are three stages:

• developing (proliferating) - initial change, the first 4 months, when possible regression of gynecomastia with appropriate medical treatment;
• intermediate - is characterized by the maturation of glandular tissue; It takes place from 4 months to a year;
• fibrous - noted the appearance in mammary gland connective and fatty tissue; regression of the pathological process is practically impossible.

The appearance of bleeding from the nipple, seal in the gland, cancer of the skin changes, ulcers, enlarged axillary lymph nodes suspected causes of breast cancer.

Causes

Gynecomastia occurs in men as a result of hormonal imbalance in which estrogen levels (Female sex hormones) increases compared to the level of androgens (muzhskihpolovyh hormones).

Gynecomastia can occur in healthy boys in the neonatal period, adolescence, old age. This is called physiological gynecomastia.

Physiological gynecomastia usually disappears on its own.

In 60-80% of newborns marked swelling of the breast, this is due to the influence of maternal estrogen, entering the body of the child in utero. Usually disappears on its own within 2-4 weeks.

Pubertal gynecomastia occurs in 30-60% of boys 12-14 years, in most cases, double-sided, sometimes accompanied by discharge from the nipples, caused by temporary changes in hormone levels.

Typically, such gynecomastia regress within 12-24 months.

Sometimes gynecomastia develops during puberty, persists for more than two years, and it is called persistent pubertal gynecomastia.

Gynecomastia in the elderly in men 50-80 years of age due to a decrease in testosterone levels and the prevalence of female sex hormones.

However, in some cases, gynecomastia in men can be a symptom of serious illness. In the first place, to cause gynecomastia diseases of male reproductive organs (testicles), accompanied by a decrease in testosterone.

They may be congenital: Klinefelter syndrome, anorchidism (absence of one or both testicles) testosterone synthesis defects.

By the acquired pathology of the male reproductive system include trauma, infections (mumps, orchitis), decreased blood flow, testicular cancer.

The cause of gynecomastia in men may be to increase the production of estrogen in some testicular tumors, horionkartsinoma, bronchogenic lung cancer, true hermaphroditism, feminizing adrenal tumor (adenoma or carcinoma)

Sometimes gynecomastia is a symptom of diseases of internal organs, endocrine glands.

For example, gynecomastia may accompany chronic kidney failure, hyperthyroidism (increased thyroid function), hyperprolactinemia (raising pituitary prolactin due pathology), malnutrition, starvation, liver cirrhosis, obesity (available aromatase enzyme in adipose tissue, which contributes to the conversion of testosterone estrogens).

evidence

A characteristic feature of this disease is that it is difficult to determine to what doctor to go with gynecomastia. In addition, it is noted that gynecomastia, as the disease is not always properly assessed by doctors, despite the relatively large number of cases. In desperation, a man torn between the doctors, the patient forwards to each other.

From endocrinologist oncologist, a surgeon from him, and even the urologist. This even has some sort of correct, because in each of these areas there are points of contact related to gynecomastia. It happens that gynecomastia occurs in people who take anabolic steroids, in this case, needs a medical specialist in sports medicine.

In other words, only a complex approach to the problem and gynecomastia particular patient can conduct adequate diagnosis and appropriate treatment. The physician should have a very good understanding of all of these professions actively collaborate with these experts, to receive adjacent consultation.

The patient should have a clear idea about the possibility of non-surgical treatment of gynecomastia. Thus skill possessed only by specialists mammologists (Breast assistants)

Gynecomastia real need necessarily be distinguished and separated from false gynecomastia (lipomastii), wherein the increase of adipose tissue results in an increase in mammary gland.

When the true gynecomastia breast enlargement is due to hyperplasia equity lactiferous ducts and hypertrophic processes in the connective tissue of the gland, and is actually an increase in glandular and stromal tissue.

True gynecomastia is physiological (in newborns, pubertal and senile) and pathological.

Gynecomastia is observed in more than half of healthy boys aged 13-14 years (pubertal gynecomastia). The prevalence of gynecomastia in men under the age of thirty years, reaching 30% in men over 45 years old - 50%.

All this is due to an excess of estrogen in the male steroid hormone produced mainly follicular apparatus of the ovaries in women and the adrenal cortex in both sexes. In healthy men, estrogens are also produced by the testes, but in small quantities.

Gynecomastia in newborns due to the circulation of the blood in the placenta and excess estrogen is rarely sustainable.

The cause of the most common pubertal or adolescent gynecomastia is excessive activity aromatase - an enzyme of the adrenal glands, because of which the male sex testosterone is converted into the female estrogen.

Treatment

Gynecomastia is a benign hyperplasia of the breast in males. This is not a disease but rather a symptom of some irregularities that have taken place in the body. Therefore, in itself overly large breasts are usually not harmful to health, however, can cause serious complexes in men.

Conservative treatment of gynecomastia to reduce the volume of the breast is held at the initial stage of the disease. With the help of hormone therapy can normalize the testosterone and estrogen balance.

Treatment with surgery is mainly cosmetic in nature and is used in the following cases:

• gynecomastia puberty does not disappear by itself in 3-4 years after the appearance of the earliest symptoms;
• gynecomastia, unyielding conservative treatment;
• gynecomastia in the syndrome of excess aromatase activity;
• idiopathic gynecomastia and Klinefelter syndrome.

During operation of breast adipose tissue is removed, in extreme cases, cut the excess skin mass. Due to this, the breast returns to the correct form.

Surgical treatment of gynecomastia can be carried out in healthy and emotionally balanced men of all ages. The best candidates are those with firm and elastic skin of the chest. Surgery is contraindicated in men with obesity, abuse alcohol taking drugs, especially anabolic steroids.

When for surgery to reduce male breast is taken by qualified plastic surgeon, complications occur rarely. However, there may be: infection, skin damage, surface irregularities, bleeding and fluid accumulation in the surgical site. For some patients, characterized by a temporary loss of sensation of the nipple, limb numbness. These symptoms usually disappear within a year.

Diagnostics

In order to avoid the development of the disease, it is necessary in the first few months to be diagnosed, then the doctor will explain how to treat gynecomastia.

At the beginning of the disease it is necessary to address to the endocrinologist to examine the body, which will conduct analysis of the hormonal status of the patient.

A blood test will help to clarify the amount of estradiol, prolactin, creatinine, nitrogen, urea, and other elements that affect the hormonal person.

In order to eliminate the possibility of manifestation of testicular tumors in the case of increased testosterone, do ultrasound of the scrotum. To exclude the possibility of cancer biopsy breast. To determine the type of gynecomastia is performed breast ultrasound.

During the survey conducted a full examination of the patient, analyze the severity of secondary sexual characteristics, the condition of the testicles and palpation of the breast.

A complete picture of the patient's health, is also important in the examination for the diagnosis play a major role data on the use of all kinds of drugs, the presence of another illness, drug and alcohol dependence.

Early treatment of symptoms of the disease to avoid long-term treatment and possible surgery. Since the percentage of lesions gynecomastia is high enough at any age, is very carefully monitor changes in the body and follow the diet and the use of medications, and other drugs.

Operation and removal

Indications for surgical treatment of this disease are as follows:

• If a person suffers from gynecomastia for more than one year;
• Very noticeable cosmetic defect;
• The large size of the breast;
• Lack of effect of conservative treatment.

Thus, sometimes the only way to cure this disease as gynecomastia in men - operation. This method involves the removal of breast tissue through periareolar access. Sometimes doctors perform fat removal via liposuction. Sometimes it is shown and use of two of these methods.

In the so-called pseudogynecomastia, ie the deposition of fat in the breast area, employs a laser non-invasive liposuction. Thus, one of the most effective treatments for such diseases as gynecomastia in men - operation: the price, which may vary in different clinics.

Important in the treatment of gynecomastia - timely access to qualified doctors. After all, only an experienced doctor is able to make a diagnosis, determine the stage of disease and appropriate treatment.

After operation

After the operation, most of the men were satisfied. "Feminine" chest disappears, getting the natural contour of the male breast. Along with this goes a lot of psychological problems and complexes. When you wake up after the surgery, you will feel pain in the operated area, however, is very weak.

Eliminate the pain will help you analgesics that doctor prescribes. Accordingly, the next day you can go home. You must come to the examination and bandaging doctor at the scheduled time.

Do not worry, after surgery the treated area will swell, there may be slight swelling - be careful when moving, do not move quickly or drastically.

Constantly wearing a bandage, a compression garment (day and night) - it is a prerequisite for the preservation of the achieved results of the operation. seams tension can be caused if you raise your hands above your head - you do not need to. After surgery, regardless of whether liposuction or endoscopy, you will be stitched.

Seams can be imposed either by conventional bioresorbable yarns, in the second case, the joints will be removed after 10-12 days. The recovery period lasts 3-4 weeks. During the rehabilitation period is necessary to be very cautious and careful not to make any sudden movements with his hands.

Each patient within 3 weeks after the operation must wear a bandage fixing.

During the rehabilitation period, we can not speak about sports - renew their can be no earlier than 3 weeks, and after consulting a physician.

Swimming, gym, fitness - all loads must be minimized and increase evenly, depending on your state of health. After surgery, almost no seams visible.

In the case of endoscopy incision is made in the armpit hair growth in the area and it will be visible only a little, when you raise your hands.

If you had performed liposuction will remain small barely visible point on the puncture site.

Edema and swelling disappear completely after 4-5 weeks, and the final result of surgery for gynecomastia can be estimated not earlier than 6 months - it was then formed breast contour.

During surgery for gynecomastia varies considerably breast size, up to 50%.

Surgery for gynecomastia - a great way to eliminate not only the disease but also the psychological complexes, related to visits to public places, such as a sauna, pool, beach. Few people understand that the "feminine breasts" can spoil the great love life, because the man just shy of this and concentrate on the problem.

After the operation on it can be easy to forget! Cosmetic effects of surgery for gynecomastia is excellent - you never think that you have had this problem!

true

True gynecomastia may be physiological and pathological. Physiological gynecomastia occurs in infants, adolescents and elderly men. Many doctors emphasize that physiological gynecomastia - the norm, since it occurs when a man or boy is going through hormonal surges.

True gynecomastia physiological newborns arises from the action in the body of the baby residual female hormones. During adolescence, the occurrence of a disease associated with an unstable balance of sex hormones.

In old age, the true physiological gynecomastia is also not uncommon, as in this age men disturbed the balance of testosterone and estrogen.

One-way

In unilateral gynecomastia in men increases the likelihood of tumor lesions of the breast. As a rule, hormone-active tumors that produce human chorionic gonadotropin and estrogen, cause a rapid increase in mammary glands, their pain, as well as a feeling of fullness.

A source: http://proendocrinology.com/blz/gnmt/ginekomastiya-u-muzhchin.html