Do Doctors Treat Pubertal Gynecomastia?

Pubertal gynecomastia is a condition that more than 65% of males experience at some point in one or both sides of the chest. Gynecomastia is an increase of glandular breast tissue in males. This starts behind the nipples and is often painful to the touch. Glandular breast tissue is not the same as adipose tissue (fat); glandular breast tissue is firm to the touch. The growth of this tissue is normal.

Most 14 year old boys experience gynecomastia to some extent. By 17 years of age pubertal gynecomastia usually has gone away on its own. It is estimated that less than 5% of these cases do not disappear naturally.

Since the growth of breasts is a feminine trait most males are highly embarrassed by it. During body changes that are included in puberty most young men are self conscious. Having the stress of puberty along with growth of breasts is a psychologically and emotionally taxing experience. Other males can be cruel if they notice gynecomastia, referring to the condition as 'bitch tits' or 'man boobs' because of the appearance.

Teens who have this condition often have to wait it out. For most cases this tissue will shrink on its own. Decreasing risk factors may help speed up the process. Things like steroids, drugs and some medications which have been known to cause the condition would need to be eliminated or in the case of prescribed medications, finding an alternative medicine. Hormonal changes in the body are usually the cause of breast tissue growth. Increases in estrogen and a decrease of androgen levels can also cause bring about the condition. To date, the reason for this change in hormone levels is not always clear.

Seek medical advice if breast tissue of 0.5 cm or more is present for a year or more. Many doctors want the teen to wait for three years or until 17 years of age before they treat gynecomastia.

Interestingly, over the past decade the number of men seeking treatment for gynecomastia annually has increased by more than 100%. With this increase some doctors will start treatment on younger patients. Treatment should include lab work and visiting an endocrinologist. If you are concerned you should discuss your options with your family doctor.