Gynécomasties

Gynecomastia is a frequent disorder, sometimes painful or psychologically disturbing. Many physiologic and pathologic conditions are considered to be associated with enlargement of the male breast (puberty, ageing, various diseases and certain medications) or it may be idiopathic. Excessive serum concentrations of estrogens and/or deficient levels of testosterone, resulting in an increased ratio of estradiol to testosterone appear to be the stimulus factor for this abnormal growth of male breast tissue. Production of estrogens by adrenal or testicular neoplasmes can also result in gynecomastia. Treatment of any primary disorder or discontinuation of responsible medication will often bring about resulution of the problem. However, for moderate to severe breast enlargement of for excessive pain, regardless of the cause, surgical intervention is frequently necessary.