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Gynecomastia - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3492 Questions
User :   Regarding Gynaecomaestia
Doctor :   Hi
User :   hi
User :   where ur from
User :   i have few queries regarding gynaecomasestia
Doctor :   I am from Bangalore
User :   okay
Doctor :   Go ahead.
Doctor :   How old are you?
User :   are there any pills to treat gynaecomaestia
User :   i am 31
Doctor :   How long you have this condition?
User :   hope i have abnormal chest from my childhood
Doctor :   ok
Doctor :   Are you taking any medicines?
User :   nope
User :   never took any
User :   are there any medicines available for cure
Doctor :   There are no medications
Doctor :   Only surgical correction is the option
User :   cant it be reduced by exercise
Doctor :   If the Gynecomastia is caused by any causes , if we correct the cause Gynecomastia can be corrected
Doctor :   The breast is made of glands , and ducts
Doctor :   Muscles are beneath the breast glands
Doctor :   So exercise can strengthen the muscle but does not decrease the size of the glands which are already high i numbers
User :   okay
Doctor :   Are you married?
User :   yes
Doctor :   is your sexual performance affected?
User :   nope
User :   we have a 11 month baby girl too
Doctor :   ok
User :   what is the root cause of gynaecomaestia
User :   and in what case the surgery is suggestible
Doctor :   Gynecomastia results from an altered estrogen-androgen balance, in favor of estrogen, or from increased breast sensitivity to a normal circulating estrogen level.
Doctor :   Because you have normal sexual function,
Doctor :   The cause in you case is increased sensitivity of breast to estrogens
User :   okay
User :   i have seen some pills in online like gynexin...etc
Doctor :   Yes
Doctor :   There are pills again Estogens
User :   taking them is suggetible
User :   but i dont find any in india
Doctor :   You might have seen on line
User :   yes
Doctor :   But am talking about prescription medicines which are avaialable i India
Doctor :   *in
Doctor :   let me site few ex.
User :   k
Doctor :   Clomiphene, an antiestrogen, can be administered on a trial basis at a dose of 50-100 mg per day for up to 6 months. Approximately 50% of patients achieve partial reduction in breast size, and approximately 20% of patients note complete resolution. Adverse effects, while rare, include visual problems, rash, and nausea.
Doctor :   Danazol, a synthetic derivative of testosterone, inhibits pituitary secretion of LH and follicle-stimulating hormone (FSH), which decreases estrogen synthesis from the testicles.
Doctor :   Testolactone, a peripheral aromatase inhibitor, has been used with varying success rates in doses of 150 mg 3 times per day for 6 months
Doctor :   But I will remind you that all these medicines are Harmones
Doctor :   You need to consult Endocrinologist for initiation of therapy
User :   all these are to reduce gynaecomaestia
Doctor :   Yes they have been used with some success
Doctor :   Ex. Danazle resolved Gynecomastia only in 23% patients
Doctor :   success is not guaranteed
User :   can u suggest me one medicine among them
Doctor :   But my best advise, consult endocrinologists and get the treatment.
User :   i have consulted endocrinologist two years back
Doctor :   ok
User :   he told me go for a gym
User :   as i am overweight and and very excess fat in whole body
Doctor :   Ok
Doctor :   Did you do that?
Doctor :   If fat is excess go for liposuction
User :   how much will it cost
User :   for whole body
Doctor :   It depends on body part
Doctor :   I am Talking about liposuction of breast
User :   liposuction will also reduce gynaecomaestia
User :   okay
User :   how much will it cost for breast
Doctor :   if it is not real Gynecomastia but due to excess fat tissuess
Doctor :   If it is real Gynecomastita, it will only remove fat
Doctor :   Glands are not affected
Doctor :   What we want is decrease the gland size
Doctor :   That can be done thru medicines or surgery
User :   and any scars will come due to liposuction
Doctor :   no
Doctor :   Consult the endocrinologist again
User :   can u suggest some one
Doctor :   Request him medicines for a period of 6 mo
Doctor :   Do not try more than 6 mo
User :   okay
Doctor :   Where do you live?
User :   in hyderabad
Doctor :   because All hormones affect sexual function ask endocrinologist about side affects of medicines
User :   i have met one endocrinologist he took 4000 bugs
User :   he was very serious
User :   can u suggest some one
Doctor :   what is the area?
Doctor :   please leave your feed back
Doctor :   Bye
Doctor :   Hi
User :   hi
Doctor :   Tamoxifen, an estrogen antagonist, is effective for recent-onset and tender gynecomastia when used in doses of 10-20 mg twice a day.15 Up to 80% of patients report partial to complete resolution. Tamoxifen is typically used for 3 months before referral to a surgeon. Nausea and epigastric discomfort are the main adverse effects.
Doctor :   Clomiphene,14 an antiestrogen, can be administered on a trial basis at a dose of 50-100 mg per day for up to 6 months. Approximately 50% of patients achieve partial reduction in breast size, and approximately 20% of patients note complete resolution. Adverse effects, while rare, include visual problems, rash, and nausea.
Doctor :   Danazol, a synthetic derivative of testosterone, inhibits pituitary secretion of LH and follicle-stimulating hormone (FSH), which decreases estrogen synthesis from the testicles. The dose used for gynecomastia is 200 mg twice a day. Complete resolution of breast enlargement has been reported in 23% of cases. Adverse effects include weight gain, acne, muscle cramps, fluid retention, nausea, and abnormal liver function test results.
Doctor :   estolactone, a peripheral aromatase inhibitor, has been used with varying success rates in doses of 150 mg 3 times per day for 6 months. Nausea, vomiting, edema, and worsening of hypertension have been reported with its use.
Doctor :   Thank you for consulting
Doctor :   it was nice talking and chatting with you
User :   Thanks for the valuable suggestions andi
User :   bye
Doctor :   Sure, it is pleasure helping you.
Doctor :   Bye
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