Gynecomastia is a condition of male breast enlargement. As a result of this condition, male patients feel socially and psychologically pressured.

Therefore, male patients with gynecomastia may feel the need to wear loose clothing, hesitate to change their clothes in dormitories and public areas, feel uncomfortable going to the beach, and also have difficulty moving comfortably in gyms.

Just as breast enlargement affects women socially and psychologically, it may have an even greater impact on men, causing more psychological and social pressure than in women.

What Causes Gynecomastia?

The most common cause of gynecomastia is idiopathic, meaning there is no specific reason for it. The next most common cause is generally classified as physiological conditions. To explain further:

The main cause of physiological gynecomastia is an increase in estrogen in relation to testosterone hormone balance. In males, these physiological conditions are observed at the age of 3,

  • Neonatal period: which occurs due to estrogen passed from the mother to the baby after birth and usually resolves within 1 month.
  • Puberty: which occurs in adolescent males due to excessive hormone secretion and imbalance during puberty.
  • Senile gynecomastia: which occurs in males over 65 years of age due to hormonal imbalances.

Apart from these reasons, gynecomastia can also be caused by testicular tumors, thyroid diseases, kidney failure, cirrhosis, etc. Additionally, addiction to alcohol, heroin, marijuana, and the use of hormonal medications can also lead to gynecomastia.

Types of Gynecomastia:

Gynecomastia can generally be categorized based on its content into 3 tissue types:

  • Florid type: In this type, both breast tissue and fat tissue are present in varying proportions. It is commonly seen in the early stages of gynecomastia.
  • Fibrous type: In this type, the breast contains mainly dense fibrous connective tissue, and breast and fat tissue are minimal. This type is seen in cases of long-standing gynecomastia.

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