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Suggest Treatment For Gynecomastia

Posted on Mon, 24 Nov 2014

Question: I have man boobs. If I was fat I'd understand but im thin and in good shape. This has been a problem since I was about 12. Im 19 now and still embarrassed to take off my shirt. Im 5'11" . And cant afford much. But if there's a good way to get rid of it I need to know! Working out doesnt help... when I was a kid I was diagnosed with gynecomastia.

Answered by Dr. Binu Parameswaran Pillai (1 hour later)

Brief Answer:
MAny causes

Detailed Answer:
Good day,
Noted your concern.
Male breast enlargement is very common during puberty ( pubertal gynecomastia) and usually it settles by 13-14 years. If it extends beyond that age, we must evaluate further for hormonal issues. There are many causes of breast enlargement in males. Certain medicines, Marijuana and other illicit drugs, liver issues, hormonal problems etc can cause this. Excess fat accumulation in chest area can mimic gynecomastia. How is your erection and ejaculation? DO you get regular sexual thoughts ( libido) ?
Regards
Binu

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (6 hours later)

sex drive lacking. erection and ejaculation not to good. ive smoked marijuana since 15

Answered by Dr. Binu Parameswaran Pillai (2 hours later)

Brief Answer:
Endocrinology consultation

Detailed Answer:
Hi XXXXXXX
It is quite possible for Marijuana to cause this if you use it often. If your sex drive is low, i would recommend to meet an endocrinologist so that he can examine you and advice you further. I do relize the affordability issue. But at some poit of time, you may need it in a public hospitl facility even if it involves some waiting time. Please try to get an endocrinology reference from your primary doctor . In the interim, you may consider stoppping Marijuana.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (13 hours later)

Its not so much boobs as I said before. My nipples are puffy most the time and get smaller and hard when it's cold out.

Answered by Dr. Binu Parameswaran Pillai (15 hours later)

Brief Answer:
Bormal response to cold

Detailed Answer:
Sorry for the delay in the reply. Was out of station.
Nipples standing out when it is cold outside is a normal response. Not to worry. If you dont have much glndular tissue around the nipple, please dont bother much.
Most men have this response as well as women
Regards
Binu

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (53 minutes later)

No, I was talking about them being puffy.is there another alternative to surgery?

Answered by Dr. Binu Parameswaran Pillai (4 minutes later)

Brief Answer:
nope

Detailed Answer:
There is no alternative for the nipple being just puffy. But of you had gynaecomastia there were medicines which you could have tried. However in your case they are not helpful

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar