Why Understanding the Cause of Gynecomastia Matters
Gynecomastia affects 1 in 3 Indian men. But not all chest enlargement is the same. Some cases are glandular, others are fat (pseudo gynecomastia), or a mix of both. Identifying the root cause helps plan the right treatment: gland removal, liposuction, or both.
Common Causes of Gynecomastia in Men
i. Hormonal Imbalance
- Low testosterone or high estrogen
- Seen in puberty, aging, or conditions like Klinefelter syndrome
- May resolve on its own in teens, but persistent in adults
FAQ: Can hormones cause gynecomastia?
Yes, especially when estrogen dominates over testosterone.
ii. Pseudo Gynecomastia (Chest Fat)
- Caused by excess fat, not gland
- Soft, spreadable tissue
- Common in overweight or post-weight-loss men
- May need liposuction
FAQ: Can I reduce chest fat with exercise?
Yes, but liposuction helps if fat is stubborn or causes sagging.
iii. Medications & Supplements
- Steroids, testosterone boosters
- Antidepressants, ulcer drugs
- Herbal oils like tea tree, lavender
iv. Medical Conditions
- Liver disease, kidney failure
- Thyroid disorders
- Hormone-secreting tumors
v. Lifestyle Factors
- Alcohol, marijuana
- Obesity, crash dieting
- Chemical exposure (plastics, cosmetics)
vi. Idiopathic Gynecomastia
- Cause unknown
- Often found in adults without medical history
- Treated effectively with cosmetic surgery
What Should You Do If You Have Gynecomastia?
Book a consultation with Dr. Milan Doshi for:
- Hormonal evaluation
- Physical exam + ultrasound
- Treatment plan tailored to your grade and chest anatomy
