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Gynecomastia

4-minute read

Gynecomastia is a condition where males develop enlarged breasts – often called ‘man boobs’. It's very common and usually not serious. However, if gynecomastia is causing you a lot of embarrassment, it can be treated with medicines or plastic surgery.

What is gynecomastia?

Gynecomastia (sometimes spelled gynaecomastia) is a swelling of the breast tissue in boys and men. It can affect just one or both breasts. It's often caused by a natural imbalance between the hormones oestrogen and testosterone, especially after birth, during puberty and as you get older.

Gynecomastia is very common - more than half of all boys develop the condition during puberty, and it normally disappears as they grow older. About 1 in 3 older men will develop it.

Gynaecomastia can also be caused by medicines that affect hormones. These include anabolic steroids, heart medicines, antibiotics, chemotherapy medicines and some medicines used to treat depression, high blood pressure, stomach ulcers and prostate cancer. Marijuana and alcohol can also cause enlarged breast tissue.

Your doctor can advise you about whether stopping taking a medicine might help with gynecomastia, but never stop taking a medicine without medical advice.

Other causes of gynecomastia include rare genetic conditions, kidney or liver disease, or tumours in the testicles or adrenal gland.

Illustration showing the difference between gynecomastia (left) and a normal male chest (right).
Illustration showing the difference between gynecomastia (left) and a normal male chest (right).

Gynecomastia symptoms

Gynecomastia causes enlarged breasts that feel rubbery or firm. The swelling spreads from underneath the nipple outwards over the breast area. It can sometimes be quite tender. Gynecomastia can cause the breasts to sag and stretch the areola (the dark skin surrounding the nipple).

It's different from enlarged male breasts caused by being overweight. These are due to excess fat in the breasts.

It's also different from male breast cancer, which is usually on just one side, not always around the nipple, and feels hard or firm.

Usually gynecomastia isn't serious, although it could indicate another underlying medical condition – and many men find the condition embarrassing and difficult to cope with.

Gynecomastia diagnosis

you are worried about enlarged male breasts, the first step is to talk to your doctor. They will ask if you are taking any medicines or drugs and may order a blood test or a mammogram.

Other tests may include a CT or MRI scan, an ultrasound or a biopsy to take a small sample of tissue from the breast.

Gynecomastia treatment

Gynecomastia often goes away by itself. This can take about 6 months to 2 years. If it's being caused by medicines, stopping the medicine will improve the gynecomastia. If it's caused by an underlying medical condition, treating that condition may lead to an improvement.

If the gynecomastia is painful or causing you a lot of embarrassment, other treatments are available. There are several medicines that have been shown to reduce breast size in men, but they don't work for everyone.

Another option is breast reduction surgery to remove fatty tissue from the breast or to remove the breast gland tissue.

You will need to ask your doctor for a referral to a plastic surgeon, who will assess whether surgery can help you. It may not work well in people who are overweight. Surgery may leave small scars around the areolae.

In the case of boys, it’s best to wait until they have stopped developing before considering surgery.

When to seek help

It is important to see your doctor if you have:

  • swelling
  • pain or tenderness
  • a nipple discharge from one or both breasts

If your gynecomastia is upsetting you, it may be worth considering counselling and support from other people who have the condition. Your doctor can suggest where to get support.

More information

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Last reviewed: February 2019

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