I am a 26 years male, having enlarged male breast, which embarrassing for me. Total Testosterone level: 4.87 ng/ml. What should I do for reducing the size of my embarrassing breast?
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Gynecomastia is very common in males and even common in over weight people. Gynecomastia has both fat and gland component and the consistency depends on the body fat. Irrespective of whether it is fat or gland the treatment is same. Though not a medical problem it requires treatment for cosmetic reasons. The procedure is a day care surgery with liposuction and gland excision. No creams or tablets work for this. Contact privately with pictures.
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Please see a breast surgeon. They would examine you and if needed do a mammogram or an ultrasound. The most likely you are having gynaecomastia. It is usually pubertal in young males and it regresses spontaneously. It could also be due to hormonal imbalance between testosterone and estrogen or increased prolactin level. The normal total testosterone level is 270-1070 ng/dL. (Please confirm that it is total and not free. Free would be from 4-20 ng/dL) The cause of imbalance is mostly drugs like anabolic steroids, some antiandeogenic drugs, antipsychotics, diuretics like spironolactone, omeprazole etc. Also undescended testes, testicular atrophy, testicular tumours and liver failure could lead to the hormonal imbalance. Other causes of lump in a male breast need to be ruled out like lipoma, fibroma, bony or chest wall tumour and rarely male breast cancer. Feel free to come and see me or to contact me directly if you want to discuss this further.
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