Gynecomastia, correction methods


  • What is gynecomastia
  • Methods of treating gynecomastia

  • What is gynecomastia

    Gynecomastia (Gynaecomastia: Greek. Gyne, Gynaikos Woman + Mastos
    breasts) - an increase in one or both mammary glands in men. Distinguish
    True gynecomastia and false, or pseudoginetics. With true
    Gynecomastia Milk glands increase as a result of hyperplasia
    shared Milky Duks and Hypertrophy of the Connective Tissue of the gland, and
    with pseudoginetics - due to excessive fat deposit in subcutaneous
    fiber (usually when obesity).

    One of the most
    Often found forms of true gynecomastia is puberty or
    Youth gynecomastia that occurs during puberty at
    Normal sexual development. This form of gynecomastia is characterized
    The appearance of subareolar one-sided or double-sided swelling,
    Often pretty painful. This swelling can disappear by
    the end of the puberty period, but in some cases it is maintained
    Adults. The cause of gynecomastia in the pubertal period is unknown, however
    It is assumed that it is the result of a temporary imbalance between
    Synthesis of genital hormones (estrogen, androgen) and gonadotropic
    hormones, as well as increasing the concentration of prolactin and
    Estandiol. Most young men with puberty gynecomastia
    The increase in the mammary glands is so insignificant that treatment is not
    requires, and only approximately 7-8% of patients over 3 years
    Large sizes of the mammary glands are preserved, which may be injured
    Psyche of a young man.

    Gynecomastia, correction methods
    True gynecomastia
    It is also noted under a number of diseases characterized by imbalance
    between the synthesis of estrogen, androgen, prolactin and gonadotropic
    hormones (for example, under hermaphroditis, clanfelter syndrome, etc.).
    Family forms of true gynecomastia are described, among which they distinguish
    gynecomastia combined with testicular atrophy and transmitted on women's
    lines, and gynecomastia without tummy atrophy, which is transmitted by male

    The special form of family gynecomastia is
    so called rapenstein syndrome - gynecomastia combined with
    Hypospandia. Gynecomastia with hyperprolactinemia is combined with
    oligospermia and sexual impotence. With this form of gynecomastia sometimes
    Detect a change in the shape of the Turkish saddle, the symptoms mark
    Defeat of the Central Nervous System.

    often occurs in hormonal and active adrenal tumors and
    Eggs producing estrogens, with prostate adenoma.
    Gynecomastia develops with diseases accompanied by
    intoxication or impaired metabolic processes in the body,
    Disproteinmia, protein starvation, diabetes, diffuse
    toxic zob, pulmonary tuberculosis, cardiovascular
    deficiency treated digitalis (more often in reducing
    period). In chronic diseases of the liver, gynecomastia arises due to
    increasing the concentration of estrogen in the blood caused what is
    Perversion of metabolism steroids in the liver.

    The form is gynecomastia with alcoholic cirrhosis of the liver (syndrome
    Silvestrini - Cords), this syndrome also includes hypogonadism and
    Semi impotence. Gynecomastia may appear after treatment with drugs,
    influencing the fabric receptors of the mammary glands to estrogen,
    Increasing their products or products of gonadotropins and prolactin:
    estrogen, testosterone, chorionic gonadotropin,
    Phenothiazidami. reserpine, Veroshpiron. In patients with hypothyroidism,
    Addison disease Gynecomastia is associated with hormonal imbalance: in the first
    case it is a consequence of hyperprolactineia, in the second -
    Violations of steroidogenesis in adrenal glands.

    set on the basis of the characteristic appearance of the patient,
    Anamnous data (treatment of sex hormones,
    Veroshpiron and T.D.), data of biochemical studies.

    Methods of treating gynecomastia

    Conservative treatment. Conservative
    Treatment is carried out outpatient under the supervision of endocrinologist. It depends
    from the form of the disease. The need to treat youthful gynecomastia,
    The choice of method and the timing of therapeutic measures are dictated
    psychological condition of the patient. You can stick to the expectant
    Tactics, because most often in 2-3 years at youthful gynecomastia
    Spontaneous regression of increased milk glands occurs.

    Recent years attempts to affect the pathogenetic
    Mechanisms of gynecomastia with drugs overwhelming prolactin secretion
    (Parlodel, or Bromcriptein) or stimulating selection
    Luteinizing hormone (clomiphene). Parlohel is applied at a dose of 2.5-5 mg per day for 1-6 months.

    Operational treatment. With a large volume of the mammary glands and the absence of the effect of
    conservative therapy, with intolerance to the drug or the impossibility
    Calculate due to psychologically unfavorable situation is recommended
    Operational treatment (the removal of the tissue of the mammary glands through perialaria
    incision or liposactive method).

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