Is it possible for a healthy person to have gynecomastia?

Question

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.

Answer 1

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.