Treatment of gynecomastia is performed after a preliminary examination by its results. Physiological gynecomastia (infants, youth, elderly) in most cases does not require treatment. Other types of gynecomastia is treated by conservative or surgical methods.

How to treat gynecomastia

Gynecomastia treated according to the results of the survey. Basically the treatment is reduced to the hormonal correction and treatment of diseases that cause gynecomastia Gynecomastia - known since ancient times . Held both conservative and surgical treatment of gynecomastia - in the latter case, the formation of or the entire gland is removed from the cosmetic purpose, or to eliminate complications.

Adolescent gynecomastia, true (diffuse or nodular), false - all of these species require different approaches to treatment.

Treatment of adolescent gynecomastia

How to get rid of gynecomastia? It's not so easy. Physiological adolescent gynecomastia Adolescent gynecomastia - hormonal changes the body   growing almost half of young people aged about 14 years and does not require treatment. But it requires a survey to exclude various pathologies that could cause growth of breast tissue. It is important to detect such abnormalities as early as possible and as much as possible to treat. Is the treatment of gynecomastia in the home, but strictly on prescription.

So, hypoplasia Hypoplasia - a congenital malformation of the fetus   (hypoplasia) gonads require hormonal correction - teenager appoint male sex hormones that stimulate the development of the sex organs. If the disease is detected or swelling of genitals, pituitary, hypothalamus, adrenal glands, liver, thyroid, about something conservative treatment of the disease, and the tumor was removed.

In some cases, adolescent gynecomastia becomes recurrent (persistent) nature - it requires a correction. Medications for gynecomastia appoint a doctor. The most common persistent gynecomastia develops when excessive formation of the enzyme aromatase in the adrenal glands, which promotes the conversion of male sex hormones in women. In this case, prescribe medications that inhibit the action of aromatase, for example, thiamine bromide (vitamin B1). For the correction of hormonal disorders Hormonal disorders - oversupply and a lack of equally dangerous   Vitamin B1 appoint 1 mL intramuscularly every other day, a course of treatment - 20 injections. Often this treatment is combined with the appointment Aevitum (combined preparation, which consists of vitamins A and E), 1 ml a day - a total of 20 injections (Aevitum stimulates the secretion of male sex hormones). The whole course of treatment can be repeated after a two-month break. Total spend up to three such treatments.

In identifying the levels of excess female hormones estrogen prescribed anti-estrogen drugs such as klomifentsitrat - three courses for 10 days with intervals of not less than one month. Inhibits the action of oestrogens may also tamoxifen - it competitively binds to estrogen receptors in the mammary glands, not allowing them to bind to estrogen. The drug is given for a long time, up to six months.

If the inspection in the blood of a teenager found an increased content of the pituitary hormone prolactin, then prescribe bromocriptine, which inhibits the secretion of prolactin. The same effect has vitamin B6, which is administered in the form of a course of injections a day (a total of 30 injections). The treatment is repeated after two months, you can spend the whole three courses.

If enough blood teenager testosterone, anabolic steroid hormones administered in combination with spasmolytic Halidorum for 1, 5 months. Halidorum enhances the action of male hormones. The course of treatment is repeated three times at intervals of two months. It stimulates the secretion of male hormones and zinc sulfate.

Stimulate the secretion of male hormones may also be by acting on the impact on the hypothalamic-pituitary system. For this purpose, there are different amino acids (glycine, piracetam, glutamic acid, etc.), drugs that improve cerebral blood flow (cavinton, aktovegin), with the energy properties of vitamins (B vitamins, ATP). With the same purpose appointed physiotherapy: electrophoresis with potassium iodide transorbital (on the part of the eye), bitemporal inductothermy.

If there are signs of teenage obesity is to reduce body weight, which can not be achieved without reducing the size of the mammary glands, is assigned to a low-fat diet and a set of therapeutic exercises.

Much gynecomastia difficult to conservative treatment, so it is best to start at the age of 15 years. Therefore, quite often there is a need to appoint a surgery. Operation for gynecomastia is to remove the mammary glands. To avoid such post-operative complications, such as severe scarring incisions made during surgery in the areola (where scars are thin and invisible) or armpits - they are less noticeable.

Signs of breast cancer is the appearance of the lump, nipple discharge, any change of color and shape of the breast, an increase in the nearby lymph nodes (axillary). There are other signs that are typical for a particular form of cancer. When these symptoms should immediately seek medical attention.

How to start breast cancer

Very often, breast cancer begins unnoticed in women after 35-40 years. Cancer in younger women is developing much less common, but more severe. The right and left glands are affected equally often. Bilateral breast lesions found a little over 10% of women with breast cancer (breast cancer). Sometimes a second defeat cancer is metastatic.

The first symptoms of breast cancer may be very similar to any other disease of the body - kistu¸ nodal mastopathy, benign tumor. To identify breast cancer at an early stage will help only a thorough examination. But for this woman should promptly seek medical attention.

What should alert a woman and get to see a specialist? First of all, any changes in the breast - appeared nodules (often cancer are painless), discharge from the nipples, the pain of unknown nature, wrinkled skin in one area, changing its color, the skin in the form of orange peel and so on. That is, any changes in the breast should be consulted with a breast surgeon.

Not all of them will be cancer, but early treatment of breast cancer can significantly reduce the risk of developing breast cancer. Identification MRZH at an early stage is secured cure this disease. If you start the process, then the prognosis is much worse.

BC may have knots and diffuse (spread) shape.

The main features of nodular breast cancer

Most often the first sign of breast cancer The first signs of breast cancer - are not always visible   it is the appearance of the seal. Attentive to his woman can find herself in the breast tumor. The size of the tumor has usually reached 2-5 cm in diameter. The tumor and the doctor may detect during routine inspection or examination of other diseases.

When the nodal form of breast cancer in dense breast tissue appears painless knot with a rough surface and indistinct contours. Tumor thus often rubbed toward the skin, so the skin above it becomes wrinkled and sometimes retracted. After a while, there is swelling of the skin of the nipple and areola (the areola).

In the propagation of the tumor on the milk ducts of the nipple retraction comes with its deformation. With the spread of deep skin crevices lymph edema of the skin above the tumor appears as a symptom called "orange peel" - edematous area of ​​dense porous skin. If palpation of iron fixed in relation to the pectoral muscle, which means that it is in it sprouted.

In breast cancer, nipple discharge can occur. They usually appear at squeezing the nipple and can be transparent, yellowish or bloody. This symptom should be especially alert and to force a woman to see a doctor.

Finally, the main signs of breast cancer is increasing and some soreness nearby lymph nodes located in the armpit.

The shape of the breast cancer can be changed, one of the glands can expand, deform due retracted nipple Inverted nipples - if a problem is when breast-feeding?   or retracted section of skin and so on.

The main features of diffuse forms of breast cancer

To diffuse forms of breast cancer are edematous infiltrative, and mastitopodobnaya rozhepodobnaya and armored cancer.

Edematous and infiltrative mastitopodobnaya forms are more common during pregnancy and nursing Breastfeeding - a personal choice   feeding. The tumor is growing rapidly in size and metastasizes Metastasis - danger everywhere   in nearby lymph nodes. Mastitopodobnuyu form of the disease is always suspect in the development of mastitis (inflammation of the breast) in older women. Mammary gland with the swells, becomes inflamed, the body temperature rises, that is, there are all the signs of mastitis.

Rozhepodobny cancer easily mistaken for erysipelas, since in this case there is a number specific to faces signs: swelling and redness with irregular tongue-shaped edges and a local increase in the temperature of tissue. Tumor site with the probe can not always. Characterized by inflammation of the lymphatic vessels in the form of red stripes, which are located on the skin in their turn.

When armored breast cancer is reduced in size in comparison with a healthy, limited mobility, the skin above the dense, uneven surface, reminiscent of armor.

When you see any changes in the breast, women should consult a doctor immediately.

Galina Romanenko