Epistemis

Gynecomastia

Specialty: Endocrine and metabolic.

  • breast augmentation in men
  • gynecomastia

Why it occurs

  • Pubertal/physiological
  • Drugs (spironolactone, antiandrogens)
  • Hepatopathy/hypogonadism
  • Testicular tumor (rare)

Initial workup

Testicular examination; liver, thyroid and hormone function if atypical.

red flags

Eccentric, unilateral, rapidly growing hard mass (rule out breast/testicular cancer).

Standard management

  • Remove causal drug — usually reverses

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousFatty dorsal hump
Area
Endocrine and metabolic
Listed causes
4
Treatment options
1
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