Breasts in Men

The breasts can enlarge if you are overweight, simply because fat has settled there. They can also enlarge because the actual breast tissue is overdeveloped; this is called gynaecomastia.

To decide which it is, lie flat and grasp your ‘breast’ tightly between your thumb and forefinger. Then gradually move your finger and thumb towards the nipple. If you can feel a firm, rubbery disk-like mound of tissue which is more than 2 cm across, and which seems to be stuck to the back of the nipple and to the pink area surrounding the nipple (areola), it is likely that the breast tissue is overdeveloped. The area may feel tender. Usually both breasts are equally affected, but sometimes development of one is more obvious than the other.

If one breast is more enlarged than the other, ask your doctor to check it; breast cancer is rare in men, but it can occur. If there is no distinct mound of tissue under the nipple, it may simply be that you are too fat.

Breast Growth in Infants

Breast growth (one or both),is very common in newborns and is, in most cases, the result of exposure to the mother’s hormones via breast milk. Gynecomastia lasts for a few days or a couple of weeks. Sometimes, in rare cases it can continue up until the child is 2 years old.

The care of a health care professional should be sought as you would with any abnormal changes in the very young. They will be able to offer information and advice and monitor the situation. If the condition persists medical investigation will be required.

Gynaecomastia or Male breasts can cause severe mental tension in boys leading to:

• Withdrawal from friends groups
• Reluctance to expose themselves at swimming pools
• Loss of interest in family group activities etc
• Loss of focus on studies
• Introvert personality development to the extent that some boys may go into depression as well
• Rarely it may lead to suicidal tendencies

How Breasts Develop

Even a newborn baby has some basic breast tissue, which started to develop when it was a 6-week-old fetus. Before puberty, the breasts are the same in girls and boys. They consist of tiny branching tubes embedded in packing tissue. The glands for making milk have not yet formed.

At puberty, hormone levels start to rise. In females, the main hormone is oestrogen (the ‘female hormone’). Oestrogen makes the tubes thicken, lengthen and become more branched, and also stimulates the development of glandular lobules.

In men, the main sexual hormone is testosterone. This is made mainly in the testicles. The level of testosterone rises at puberty to 30 times the level it was previously. Men normally also have a small amount of oestrogen; at puberty, it rises to only three times the level it was before. This often makes the breast tissue grow slightly in teenage boys (see below), but eventually the high levels of testosterone take over completely and prevent the oestrogen having any further effect on the breast. Therefore glandular lobules do not form in men. Instead, the breasts flatten out, and remain as a collection of tubes in packing tissue, just as they were before puberty.

Breast Enlargement in Men

It seems that breast tissue is very sensitive to the balance between oestrogen and testosterone in the blood. If there is either a fall in the testosterone level or a rise in the oestrogen level, the breasts will be stimulated to grow.

Obesity is a common cause. If you are overweight, the breasts will of course be larger because they are more fatty. In addition, fat produces oestrogen which stimulates breast development.

Medications are the other most likely reason. Some drugs have an oestrogen-like effect on the breast, and some block the effect of testosterone. Oestrogens are easily absorbed through the skin; men have developed breasts after using anti-balding scalp creams containing oestrogen, and even by absorption through the skin of the penis from a partner using a vaginal oestrogen cream.

Alcohol abuse upsets both sides of the oestrogen–testosterone balance. It stimulates the liver to clear testosterone from the blood, so testosterone levels fall. It probably also reduces the ability of the liver to break down oestrogens, so levels rise. Fortunately, the liver can often recover if alcohol intake is reduced.

Tumours are a rare cause of breast enlargement. Breast cancer can occur in the male breast, but is usually on one side only. Tumours in other parts of the body can sometimes produce hormones that make the breasts grow and may also cause erection problems and/or oozing of milk from the breast. If you have these symptoms, it is essential that you see your doctor straight away.

Gynecomastia Causes

The condition can occur naturally or as a side effect of anabolic steroids and other medications. It has also been implicated with the excessive use of marijuana. The use of anabolic steroids is especially implicated. Of course not all steroids will cause it, only the ones that aromatize. Anadrol, Sustanon and Dianabol are especially known causes. Some others are weaker stimulators and are dose related.

When gynecomastia occurs naturally, it is a slower process and usually consists of both glandular and fatty tissue. Anabolic steroid induces gynecomastia occurs much more rapidly and is usually a sheet of pure glandular tissue. Of course there is a range between these extremes.

When the body senses too much testosterone or a testosterone like substance, it tries to reduce the level by a process called aromatization. This converts the testosterone to estradiol, an estrogen like substance. All men have some glandular tissue. If there is also genetic receptor sensitivity, the increased estradiol level will stimulate this tissue to grow.

Gynecomastia Symptoms

The primary symptom of gynecomastia is enlargement of the male breasts. As mentioned before, gynecomastia is the enlargement of glandular tissue rather than fatty tissue. It is typically symmetrical in location with regard to the nipple and may have a rubbery or firm feel. Gynecomastia usually occurs on both sides but can be unilateral in some cases. The enlargement may be greater on one side even if both sides are involved. Tenderness and sensitivity may be present, although there is typically no severe pain.

The most important distinction with gynecomastia is differentiation from male breast cancer, which accounts for about 1% of overall cases of breast cancer. Cancer is usually confined to one side, is not necessarily centered on around the nipple, feels hard or firm, and can be associated with dimpling of the skin, retraction of the nipple, nipple discharge, and enlargement of the underarm (auxilary) lymph nodes.

Herbal Treatment for Breast Problems in Men

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