Gynecomastia is a type of pathology which is enlarged male breast tissue and usually occurs in stages of human life in which he goes through hormonal changes, may be the childhood, adolescence or old age.
Usually, this type of benign condition is caused by different hormonal changes, which may include estrogen increase or decrease in androgens (testosterone).
In some cases, gynecomastia may be associated with other diseases, which should be ruled out before making a diagnosis. The other pathologies may be tumors, drug use, congenital syndromes, thyroid disease, liver disease, lung and testicular cancer. Since in some cases, gynecomastia is present only as a symptom.
Statistically the vast majority of cases of gynecomastia occur during puberty and get better without surgery. Babies can suffer this disease and usually temporarily is related to maternal hormones. There is a classification of degrees that may have gynecomastia:
- Gynecomastia grade 1 : A small amount of increase in breast tissue without extra skin.
- Gynecomastia grade 2 : Moderate breast enlargement can be seen with or without extra skin.
- Gynecomastia grade 3 : Type exceptional enlargement of the breast with extra skin.
The way to diagnose this problem, besides the physical exam and complete medical history, is conducting blood tests including liver function and hormone studies, a mammogram, urine tests, complete, and the consultation with an endocrinologist.
In some cases, depending on the age of other patients may need further testing. The treatment will be determined by your doctor, who will consider a number of factors such as age, health status and medical history. It is also very important that the state of disease, and whether the patient is intolerance certain drugs, procedures or therapies.
When gynecomastia is due to excess weight, the best solution is to diet, sports and aerobic exercise, and these are the best options to end the problem.
In other cases surgery is the only way to definitively resolve this condition, but if you are a teenager it is recommended to wait two years to let that happen a natural regression of breast tissue.
The surgical procedure is relatively simple, the surgeon will make marks on the skin to indicate the areas to be removed, proceed to remove the excess tissue.
Lipectomy may be performed, making a suction that allows the gradual decline of the edges of the fabric, the other alternative is endoscopic surgery, with it examines the inside of the breast and proceeds to remove the excess.
Anyway, it will always be the doctor who will determine the most suitable alternative to end this problem and in many cases regain lost self-esteem.

