Gynecomastia correction methods

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  • What is gynecomastia
  • Methods of treatment of gynecomastia



  • What is gynecomastia

    Gynecomastia (gynaecomastia:. Greek gyne, gynaikos woman + mastos
    chest) - an increase of one or both breasts in men. Distinguish
    true and false gynecomastia, or pseudogynecomastia. If true
    gynecomastia, mammary gland hyperplasia resulting increased
    equity of the milk ducts and connective tissue of the gland hypertrophy, and
    pseudogynecomastia when - due to excess fat deposits in the subcutaneous
    cellulose (typically in obesity).

    One of the most
    common form is true gynecomastia or pubertal
    Youth gynecomastia that occurs during puberty when
    normal sexual development. This form is characterized by gynecomastia
    advent subareolyarnoy unilateral or bilateral swelling,
    often quite painful. This swelling may disappear on
    end of puberty, but in some cases it preserved and
    adults. Cause Gynecomastia during puberty is not known, however,
    It suggests that it is the result of a temporary imbalance between
    synthesis of sex hormones (oestrogens, androgens), and gonadotropic
    hormones and increase in blood concentration of prolactin and
    estradiol. Most boys with pubertal gynaecomastia
    breast enlargement is so small that no treatment
    It requires only approximately 7-8% of patients over 3 years
    Reserved large size breast that can injure
    the psyche of a young man.

    Gynecomastia correction methods
    True gynecomastia
    It is also noted in a number of diseases characterized by an imbalance
    between the synthesis of estrogens, androgens, prolactin and gonadotropin
    hormones (eg, when hermaphroditism, Klinefelter's syndrome, and others.).
    Described familial forms of true gynecomastia, among which distinguish
    gynecomastia, testicular atrophy is combined with, and is transmitted through the female
    line, and testicular atrophy without gynecomastia, which is transmitted through the male
    line.

    A special form of familial gynecomastia is
    so called partial androgen insensitivity syndrome - gynecomastia, combined with
    hypospadias. Gynecomastia when combined with hyperprolactinemia
    oligospermia and sexual impotence. In this form of gynecomastia sometimes
    find reshaping sella, note symptoms
    tsentalnoy lesions of the nervous system.

    gynecomastia
    often it occurs when hormonally active adrenal tumors and
    testicular producing estrogens in prostate cancer.
    Gynecomastia develops in cases involving
    intoxication or metabolic processes in the body, while
    dysproteinemia, protein starvation, diabetes mellitus, diffuse
    toxic goiter, pulmonary tuberculosis, cardiovascular
    failure, digitalis-treated (often in the recovery
    period). In chronic liver disease is caused by gynecomastia
    increasing the concentration of estrogen in the blood, the cause of which is
    distortion steroid metabolism in the liver.

    Special
    form is gynecomastia in alcoholic liver cirrhosis (syndrome
    Silvestrini - Korda), this syndrome also includes hypogonadism and
    sexual impotence. Gynecomastia can occur following treatment with drugs,
    acting on the receptors of breast tissue to estrogen,
    to increase their production or production of gonadotropins and prolactin:
    estrogen, testosterone, Chorionic gonadotropin,
    fenotiazidami. reserpine, veroshpironom. In patients with hypothyroidism,
    Addison's disease gynecomastia associated with hormonal imbalance: in the first
    case, it is a consequence of hyperprolactinaemia, in the second -
    disorders of steroidogenesis in the adrenal glands.

    Diagnosis
    is set based on the characteristic appearance of the patient,
    anamnesis (treatment of sex hormone drugs,
    veroshpironom etc.), biochemical studies.



    Methods of treatment of gynecomastia

    Conservative treatment. Conservative
    outpatient treatment is carried out under the supervision of an endocrinologist. it depends
    form of the disease. The need for treatment of adolescent gynecomastia,
    the choice of method and timing of therapeutic measures are dictated
    psychological condition of the patient. You can adhere to wait and see
    tactics, as often 2-3 years at a junior gynecomastia
    there is spontaneous regression of breast enlargement.

    AT
    recent years, attempts were made to influence the pathogenetic
    gynecomastia mechanisms with drugs suppressing the secretion of prolactin
    (Parlodel or bromocriptine) or stimulate the release of
    luteinizing hormone (clomiphene). Parlodel used in a dose of 2.5-5 mg daily for 1-6 months.

    Surgical treatment. A high volume of mammary glands and no effect on the
    conservative therapy, drug intolerance or inability to
    to wait because of the unfavorable situation psychologically recommended
    surgery (removal of the breast tissue through a periareolar
    incision or liposaktsionnym method).

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