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If the Gynecomastia
is present for more than 12 months, there will be lot of fibrous tissue in the breast so medicines usually do not help.
If there is treatable cause like testosterone deficiency
, correcting the cause will correct the problem.
, an antiestrogen, can be used at a dose of 50-100 mg per day for up to 6 months. Approximately 50% of patients achieve partial reduction in breast size.
, an estrogen antagonist, is effective for recent-onset and tender
gynecomastia when used in doses of 10-20 mg twice a day. Up to 80% of patients report partial to complete resolution.
However the problem can be best managed by surgical means.
Regards Dr. Jagdish