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Suggest Treatment For Gynecomastia

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Posted on Mon, 9 Jun 2014
Question: Hi Doctor. My question is regarding Gynecomastia. I have consulted a Endocrinologist for this and he suggested some tests. After that he recommended me Gamma Linolenic Acid Capsules GLA-120 and Danogen-100. I am taking this medicines from last 20 days but there is no sign of improvement. Is this the right medicines to take? Below are the test results:
SERUM TESTOSTERONE :2.51 ng/ml
SERUM ESTRADIOL [E2] :21.87 pg/ml
T3 (TRI IODOTHYRONINE) : 131.0 ng/dl
T4 (THYROXINE) : 5.93 ug/dl
THYROID STIMULATING HORMONE (TSH) : 3.61 uIU/ml
FOLLICLE STIMULATING HORMONE (FSH) : 3.50 mIU/ML
SERUM LUTEINIZING HORMONE (LH) : 4.26 mIU/ML
doctor
Answered by Dr. Minal Mohit (43 minutes later)
Brief Answer:
very low testosterone.

Detailed Answer:
Dear XXXXXXX hi! sorry but you have very low testosterone and also low LH, FSH, which means that some problem may be at pituitary level. so you need more work up. you may need MRI for pituitary with contrast. you will also need cortisol values in fasting state 8 am sample. after this may be i can suggest you something what is the problem and what needs to be done. you are 25yrs, so what is the status of beard and moustache? what about penile erection? sex desire? are you married? children? please answer my queries so i can guide you properly. regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Minal Mohit (1 hour later)
Hi. I have a good amount of beard and moustache. I am not married yet and sex desire is also fine. I don't find any problem in erection. The main thing that I am worried is about gynecomastia. Also I want to know whether the medicines I am taking is of any use. I will surely consider your suggestions about the tests that you have mentioned. Thanks!!
doctor
Answered by Dr. Minal Mohit (20 hours later)
Brief Answer:
gynecomastia is a related problem.

Detailed Answer:
Dear XXXXXXX , hi! probably i could not explain to you probably . see gynecomastia or breast enlargement in males is a sign of high female hormones, low male hormones. the treatment is fine, danazol is androgenic so it is ok. but we must know the reason of breast enlargement so i suggested the tests. secondly the right treatment would be testosterone and for breast enlargement you might need cosmetic surgery. regards!
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

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

Endocrinologist

Practicing since :1998

Answered : 836 Questions

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Suggest Treatment For Gynecomastia

Brief Answer: very low testosterone. Detailed Answer: Dear XXXXXXX hi! sorry but you have very low testosterone and also low LH, FSH, which means that some problem may be at pituitary level. so you need more work up. you may need MRI for pituitary with contrast. you will also need cortisol values in fasting state 8 am sample. after this may be i can suggest you something what is the problem and what needs to be done. you are 25yrs, so what is the status of beard and moustache? what about penile erection? sex desire? are you married? children? please answer my queries so i can guide you properly. regards!