Treatment of gynecomastia in men

Treatment of gynecomastia in young men Policy Pay by the same rules as that of teenagers. Idiopathic gynecomastia prescribed antiestrogens, such as tamoxifen, it is used in a daily dose of 10 mg twice a day for a long time. If treatment is started promptly, before the development of fibrotic changes in the breast, gynecomastia may be subject to regression. But in the absence of therapeutic effect within two months of treatment ceased.

In the case where gynecomastia is not amenable to conservative treatment, the breast is removed, since it is a serious cosmetic defect. If the patient is not bothered by the fact that it has increased the breast, the operation is not carried out - the life and health of the patient so the breast is generally not threatened.

Gynecomastia in older men is not uncommon, especially in those who have excess weight. In this case, due to lower secretion of male sex hormone androgen is an increase in the formation of female sex hormones estrogen cells, adipose tissue, and the formation of estrogens from androgens in the adrenal glands.

But not all so simple: in old age often develop gynecomastia and because of other reasons, for example because of the tumor, or medication that suppress the action of androgens. Therefore, such a patient before prescribing hormone therapy, it should be carefully examined.

Surgical treatment of gynecomastia in men older justified only in the case where there is a suspicion of malignant breast tumor.

Treatment of false gynecomastia

When false gynecomastia treatment is best to start at the endocrinologist, as in most cases the disease develops on the background of obesity. The patient is prescribed a low-calorie diet and increase physical activity is recommended. Any exercise should be appropriate to the age and state of health of the patient.

Under the supervision of an endocrinologist almost all patients can be reduced body weight. This often leads to getting rid of gynecomastia. But just as often the problem is not removed or partially removed. The fact that the fat in the breast can be placed between fibrous (connective) layers and hardly be removed from those places even with a significant weight reduction.

Another problem is the presence of "excess skin" which hangs in folds and is no less significant cosmetic defect than gynecomastia.

Therefore, the false gynecomastia False gynecomastia - a consequence of obesity   also often have to resort to surgery: the fat from the breast is removed, or by liposuction (suction using special equipment) or completely removed the entire breast along with the fat deposits and the "extra skin". Unfortunately, the cosmetic effect after such an operation is not always enough - the scars remain on the skin.

Treatment of symptomatic gynecomastia

In some cases, gynecomastia is not an independent disease, but a consequence of some other, more serious diseases. Particularly dangerous in this respect hormone producing tumor. For example, in the area of ​​the pituitary gland may develop a benign tumor prolactinoma, podutsiruyuschaya hormone prolactin, which inhibits the secretion of androgens. If the gynecomastia has developed against the backdrop of a prolactinoma, then it can only be cured by removing the tumor. It helps and conservative treatment - the suppression of prolactin secretion by various drugs, such as bromocriptine.

Gynecomastia can be developed for other pituitary tumors as well as in various diseases and tumors of the hypothalamus - all of these diseases require detection and treatment.

Gynecomastia in boys (and sometimes even in adult males) sometimes develops on the background of increased thyroid function The thyroid gland - is responsible for your hormones   - Hyperthyroidism Hyperthyroidism: increased secretion of thyroid hormone . Thyroid hormones enhance the action of estrogen and help to increase breast tissue. Low thyroid function (hypothyroidism) may also contribute to the development of gynecomastia, which is associated with increased secretion of prolactin. Gynecomastia, and in fact, and in another case it can not be cured as long as it returns to normal thyroid function.

If underdevelopment of the male sex organs are also often develop gynecomastia, which may succumb to regress during substitution treatment for male sexual hormones.

To treat gynecomastia Gynecomastia - known since ancient times   not so simple - first you need to understand the reasons for its occurrence.

Galina Romanenko

Hormonal drugs for the treatment of mastitis

Hormonal drugs are appointed only under the supervision of laboratory blood tests for hormones.

The activity of the endocrine glands are under the constant supervision of the main endocrine glands of the pituitary gland, which produces hormones that suppress the production of hormones other glands (if there are many) or stimulating their production (if a little hormones). But over the pituitary gland has a "boss", which regulates its activities - a brain region responsible for the operation of the entire endocrine system - the hypothalamus, which releases hormones that can inhibit or stimulate the activity of the pituitary gland.

All the hormonal drugs used for the treatment of mastitis, are divided into:

• antiestrogens (tamoxifen, toremifene) - drugs that suppress the work of female sex hormones of the first half of the menstrual cycle, estrogen, which contribute to the widening of breast tissue;
• androgens (danazol) - preparations based on the male sex hormones that suppress the production of pituitary gonadotropins;
• progestin (medroxyprogesterone acetate - IPA) - drugs based on progesterone - the hormone of the second half of the menstrual cycle that suppresses the effects of estrogen on breast tissue; sometimes this purpose matched hormonal contraceptives which contain small amounts of estrogens and progestogens large doses;
• drugs that inhibit the production of prolactin (bromocriptine) - pituitary hormone that stimulates milk production, sometimes it is the cause of mastitis prolactin Mastopatia reasons ;
• LGRF analogues (Zoladex) analogues or Riesling-hormone from the hypothalamus, which stimulates the pituitary luteinizing hormone, which promotes the formation of on-site burst after ovulation Ovulation - How to determine as accurately as possible?   ovarian follicle corpus luteum producing progesterone Progesterone - norm and pathology .

Note: self-hormones is strictly contraindicated, since it can lead to serious complications.

Nonhormonal drugs

In identifying mastitis doctor on the basis of survey data to decide whether to appoint a woman given hormones or can not do without it, changing her lifestyle and assigning non-hormonal drugs. It is possible, which is sufficient to increase locomotor activity, lack of stress and high loads, change in diet. When mastitis recommended lacto-vegetarian food with the exception of coffee, strong tea, cocoa, alcohol and carbohydrate (all sweet and butter), as well as smoking. To adjust the power prescribed biologically active food supplements (dietary supplements).

Furthermore, prescribers:

• Vitamins: Vitamin A inhibits the action of estrogen, thereby reducing proliferation in breast epithelium, vitamin E increases the effect of progesterone, B vitamins reduce prolactin levels, vitamin P and improve blood circulation in the mammary gland, which helps to reduce edema therein; Vitamin C also prevents the degeneration of mastitis in cancer;
• tools that increase the body's resistance and toning central nervous system (adaptogens - ginseng, Siberian ginseng, and others);
• diuretics, reduces swelling of tissue - that can cause swelling pain in the breast Pain in the breast - when to start worrying?   when mastitis;
• sedatives (valerian, Leonurus) - They normalize the activity of the central nervous system and, therefore, the endocrine system, as their work is linked);
• drugs that improve the digestive process; particularly harmful constipation, believe that this is a repeated intake has been removed from the body of estrogen;
• drugs, normalizing liver function (which is degraded in the liver, estrogens);
• iodine - may reduce the effects of mastitis; recently advised to take iodine in the form of dietary supplements (mastovit, kelp and other);
• homeopathic products (eg mastodinon);
• when severe pain in the breast before menstruation prescribed painkillers (usually nonsteroidal anti-inflammatory drugs, such as Nice).

Breast - a complex hormonal disorder that can be treated only by a doctor under the supervision of laboratory tests.

Galina Romanenko