Q. All my reports are normal but I still have gynecomastia. What could be the reason?

Answered by
Dr. Sumit Srivastava
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 10, 2017

Hello doctor,

I had prolactinoma diagnosed with secondary hypogonadism. I was treated with cabergoline and hydrocortisone for a few years and then taken off hydrocortisone when the adrenals began to function properly. My most recent blood tests came back normal, and I was tested for loads of other things including an MRI that shows no further growth. On paper, I am healthy and normal. But, I still get gynecomastia symptoms. My left nipple continues to be puffy, sensitive and at times causes a discomfort with dull aches.

Dr. Sumit Srivastava

General Medicine Internal Medicine
#

Hello,

Welcome to icliniq.com.

  • Gynecomastia could be due to a testosterone deficiency, thyroid disorder or adrenal insufficiency in your case.
  • Since your prolactin levels are normal and there is no further growth, it is no longer due to the prolactinoma.
  • I would suggest you have your serum testosterone, thyroid hormone levels and serum basal cortisol levels measured to rule out their deficiency as the cause for your symptom.

For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician


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