I had gynecomastia at the age of 15 and it persisted till now at the age of 28. Due to this I have puffy nipples and I am losing confidence. Does it affect my fertility? I am planning to get married and it really concerns me. How can I get rid of puffy nipples?

Dr. Sharath Kumar CSexologist41yrs exp

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For Gynecomatia: Most cases of gynecomastia regress over time without treatment. However, if gynecomastia is caused by an underlying condition, such as hypogonadism, malnutrition or cirrhosis, that condition may need treatment. If you're taking medications that can cause gynecomastia, your doctor may recommend stopping them or substituting another medication. In adolescents with no apparent cause of gynecomastia, the doctor may recommend periodic re-evaluations every three to six months to see if the condition improves on its own. Gynecomastia often goes away without treatment in less than two years. However, treatment may be necessary if gynecomastia doesn't improve on its own or if it causes significant pain, tenderness or embarrassment. Medications Medications such as tamoxifen (Soltamox), raloxifene (Evista) and aromatase inhibitors (Arimidex), may be helpful for some men with gynecomastia. Surgery to remove excess breast tissue If you still have significant bothersome breast enlargement despite initial treatment surgery is advised. Two gynecomastia surgery options are: Liposuction. This surgery removes breast fat, but not the breast gland tissue itself. Mastectomy. This type of surgery removes the breast gland tissue. The surgery is often done endoscopically, meaning only small incisions are used. This less invasive type of surgery involves less recovery time.  

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