What Can Cause Breast Enlargement in Man

Gynecomastia is a disorder that occurs in man, most often in puberty, which is characterized by the increase of the breasts, which can happen due to excess glandular breast tissue, excess weight or even diseases.

The false gynecomastia occurs in men who are overweight and develop enlarged breasts. In this case, there are no mammary glands along with the fat and therefore the hormonal medication are not indicated for the treatment. This type of breast enlargement in men is called lipomastia.

Gynecomastia occurs when there are the mammary glands located in a place where only there should be a thin layer of fat, and in this case, this can occur in one breast, having the name of gynecomastia unilateral, or in both breasts, being referred to as gynecomastia bilateral. When it occurs in both breasts, they, generally, increase unevenly, which damages the self-esteem of the young man.

The gynecomastia has a cure, because in puberty it is usually transient, disappearing spontaneously or can be corrected by treatment with the elimination of its cause or through a plastic surgery.


The main causes

The causes of gynecomastia can be changes in hormones, male and female, liver diseases, some medication treatments with female hormones, intake of anabolic steroids, consumption of drugs like marijuana or testicular tumours, or lung, hyperthyroidism, hypothyroidism, pleural effusion, or tuberculosis.

The remedies which have been proven to can lead to breast enlargement in men are creams or substances that contain estrogen such as:

  • clomiphene, on the basis of cannabis, isoniazid,
  • gonadotropin, growth hormone,
  • bussulfan, nitrossoureia, vincristine,
  • ketoconazole, metronidazole,
  • etomidate, leuprolide, flutamide,
  • finasteride, cyproterone, cimetidine,
  • calcium channel blockers, inhibitors of angiotensin-converting enzyme (ACE) inhibitors,
  • beta-blockers, amiodarone, metildopa, nitrates, neuroleptics,
  • diazepam, spironolactone, phenytoin, tricyclic antidepressants,
  • haloperidol, amphetamine, theophylline, omeprazole, domperidone, heparin and drugs for AIDS.

In cases where gynecomastia is caused by the use of medications, should suspend their use, if possible.

Types of gynecomastia


The types of gynecomastia include:

  • Gynecomastia grade 1, in which occurs the appearance of a mass of glandular breast tissue concentrate, such as a button, around the areola, there is no accumulation of skin or fat;
  • Gynecomastia grade 2, in which the mass of the breast tissue is diffuse, and there may be accumulation of fat;
  • Gynecomastia grade 3, in which the mass of the breast tissue is very diffuse, and there are also, in addition to the fat, excess skin at the site.

Depending on the types of gynecomastia increase of degree, the surgery is more complex.

How to identify

To identify gynecomastia simply observe the size and shape of the male chest. The increase of the breasts is often disturbing and shameful for the man, since it is associated with psychological factors, such as the embarrassment and limitations in sport and in other social activities, like going to the beach or to wear an outfit more fair.

How to treat

The treatment for gynecomastia is related with the cause. When the gynecomastia is due to hormonal imbalance, the treatment is done with hormones for the regular. An example of remedy for gynecomastia is Tamoxifen, which is an anti-estrogenic that blocks the effects of estrogens, which are female hormones.

What Can Cause Breast Enlargement in Man 1

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