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Enlargement of breasts in men - Gynecomastia

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Enlargement of breasts in men – Gynecomastia

Enlargement of breasts in men – gynecomastia


In some men and young adolescents, one or both breasts
enlarge, resulting in an unusually large breast. This condition is called

The enlargement of breast in men occur at adolescence
in fifty to seventy percent of all gynecomastia cases. The underlying reason is
mostly natural changes in estrogen and testosterone. A short-lasting
gynecomastia can be observed in infants. This condition occurs when maternal
estrogen hormone persists in blood for a while.

A similar condition is faced in middle-aged and older
men. Aging (resulting in changes in hormone levels) or below listed medications
cause enlargement of breast(s) in men.


Gynecomastia is usually caused by natural changes in
hormonal balance of the body. Therefore, gynecomastia is most commonly
diagnosed in adolescents. Abnormally high estrogen – the hormone that regulates
female sex characteristics – and abnormally low testosterone – the hormone that
regulates male sex characteristics – leads to abnormal enlargement of breast in

In addition, below listed medications and substances
may cause gynecomastia:



  • Heart medicines
  • Anti-anxietic agents
  • AIDS medications
  • Tricyclic antidepressants
  • Chemotherapy
  • Drugs used in treatment of peptic ulceration
  • Marihuana and heroin
  • Amphetamines and steroid agents

Finally, medical conditions that influence blood level
of testosterone, aging, heavy alcohol consumption and liver, kidney and thyroid
diseases are among factors that lead to gynecomastia.


The definite cause of gynecomastia may not be always

Determination of the underlying cause and final
diagnosis requires a detailed examination by an endocrinologist and/or general

The detailed physical examination is usually followed
by analysis of hormone levels in blood and imaging studies (mammography,
computed tomography, magnetic resonance imaging) to visualize the abnormal
enlargement of breast(s).

After all those tests and studies are completed, the
underlying cause is determined and the final diagnosis of gynecomastia is made,
but it is possible to determine no etiological factor.


Gynecomastia usually does not cause a symptom,
excluding enlargement of breast and varying degree of tenderness. In some
advanced stage cases, pain and discharge from nipple of one or both breast can
be seen.

As the condition may spontaneously regress over time without
need to a treatment, your endocrinologist or general surgeon may first consider
treatment of underlying cause or follow-up for a particular period, if no
etiological factor can be found.

Inability to determine a causative factor, absence of
spontaneous regression, occurrence or aggravation of pain, discharge and
tenderness and social reasons may point to surgical treatment of gynecomastia.

Gynecomastia arising out of breast cancer is extremely
rare in men. However, if your doctor has concerns about a tumor, it is
necessary to verify or rule out cancer by mammography and biopsy.

If you want surgical treatment of gynecomastia, please
consult our plastic surgeons for techniques, expectations, and potential risks.

You should discuss aim with our plastic surgeons and
endocrinologists in order to get most realistic and satisfactory outcomes
before deciding surgical treatment of gynecomastia.

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Corporate DetailsSince 1992, Medicana Health Group sustains its progression on the way to determine the standards of future healthcare services. Today, Medicana Health Group, which carries on its activities especially in Istanbul and Ankara, constantly provides the most advanced healthcare services in all aspects of health in Konya, Samsun, Sivas and Bursa through its 12 hospitals and 6500 employees on average. Medicana Health Group not only pioneered the development of health tourism in our country, it also became one of the important centers in treatment of international patients in multidisciplinary healthcare. In order to provide sustainable healthcare services, many offices have been established at important locations of the world..

At hospitals of Medicana Health Group; healthcare services, which are fully compatible with the Service Quality Standards of the Ministry of Health and accreditation standards of the Joint Commission International (JCI), are provided in the equal quality with the world’s leading institutions, through its principle based on patient safety and efficient and quality patient care and treatment.

Medicana Health Group, which aims to provide healthcare services to every segment of society at international standards, increases the patient satisfaction with its transparent, reliable and compassionate approach for the patients, and thus, the Group has been regarded as one of the most valuable brands in our country and has received the title of the health institution mostly preferred by the patients, through its quality in healthcare services.

The primary aim of Medicana Health Group is to be a healthcare facility that continuously improves its productivity through its vision “closely following the most advanced and leading infrastructures and developments”. In addition, it aims to follow the development of healthcare services in Turkey and in the world and to adopt the internationally recognized methods and practices and offer these methods and practices to patients.

Medicana International Istanbul (February 20, 2010), Medicana International Ankara (February 27, 2010), Medicana Camlıca (October 27, 2007) and Medicana Bahcelievler (May 22, 2008) are JCI-accredited hospitals, and Medicana Avcılar Hospital is a member of American Society for Quality and Medicana Kadıkoy Hospital (October 2017).

Medicana Health Group is a member of the Association of Private Hospitals and Medical Institutions. It is awarded the status of baby-friendly hospital by UNICEF and the World Health Organization.We wish a healthy, quality and good life.

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