What are the Causes of Gynecomastia?

Gynecomastia is a medical disease in which males acquire big breasts similar to those of women. This illness can affect any male, regardless of age (from babies to teens, adults to elders). Doctors and clinicians working in this field have recently described it as a developing global concern.

Understanding The Primary Causes

Before learning about the causes of gynecomastia, you must first understand the various forms. Doctors and scientists categorize it into three types: physiologic, pathologic, and pseudo type.

(i) Causes of the Physiological Type

According to a study published in NCBI by Ronald S. Swerdloff et al., the physiologic type can occur at three different stages of a man’s life.

The first phase is the newborn stage, during which the mother’s progesterone levels rise, causing the breasts to grow.
The second step is puberty, which causes boys to produce less androgen than they should.
(According to the survey, approximately 60% of boys experience this.)
In the third phase, men with high total body fat and peripheral aromatase activity get larger breasts.
(According to the study, 35-55% of elderly males experience this.)

(ii) Causes of Pathological Type

When a man’s breast tissue has an elevated estrogen-to-androgen ratio, we label it pathologic. This condition has several causes, including:

Increased estrogen production

When males’ bodies produce more estrogen than is required, it decreases LH activity. As a result, the development of female-like breasts is directly stimulated. This increases the formation of glandular tissues in the chest.

Decreased testosterone production

A male’s serum testosterone levels may be lower than normal due to birth factors or disorders such as hypogonadism or Klinefelter syndrome. In that circumstance, guys may grow breast tissues, resulting in gynecomastia.

Diseases / Tumors
Some disorders, including as chronic kidney disease, cause high gonadotropin levels in the bloodstream. In some malignancies, such as Sertoli cell tumors, Leydig cell tumors, and adrenal tumors, the blood shows elevated estrogen levels and low testosterone levels. In this situation, the guy will develop larger breasts.

Drugs or medications

Did you know? Prescribed or unprescribed medicines, as well as hazardous substances, account for around 20% of male breast cases worldwide. Regardless of whether a medicine is classified as category 1, 2, 3, or 4, unique chemical constituents in it alter blood estrogen or estrogen-precursor levels, causing male breast development indirectly.

According to Stanford Medicine, the usage of steroids and antidepressants may also result in masculine chest development.

(iii) Causes of the pseudo-type

Pseudo-gynecomastia is a condition in which a male develops man boobs as a result of fat cell buildup. In this situation, the male will not exhibit enlarged glandular tissue in the chest region. Instead, they have sagging or obese cells that distort their breasts.

This syndrome is caused by lifestyle changes, often changing food habits, a lack of physical fitness, and eating an unhealthy diet every other day. In countries with higher obesity rates, such as the United States, at least 50% of males will grow breasts.

Clinical diagnosis is crucial!

We refer to breast growth in guys as gynecomastia, regardless of whether it is caused by glandular or fat tissue. So, as soon as you feel it, experience breast tenderness, or notice it thrusting out against your clothes, go to your nearest cosmetic healthcare clinic, get it checked out, and begin the process of male chest reduction.

Check out the video demonstrating the results of Gynecostia surgery.

Dr. Sreelatha leads Silkee.Beauty, a premier aesthetic healthcare clinic in Chennai. In Chennai, the clinic has served a wide range of aesthetic demands, including hair transplantation, rhinoplasty, and gynecomastia.

You may now have a thorough understanding of the causes of gynecomastia, the biologics involved, and the following measures. Stay tuned for additional information!