HomeAnswersEndocrinologygynecomastiaI suspect having severe hormonal imbalance. Please help.

Is gynecomastia normal in teenage boys?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Shaikh Sadaf

Medically reviewed by

iCliniq medical review team

Published At January 17, 2018
Reviewed AtFebruary 1, 2024

Patient's Query

Hello doctor,

I am a 19-year-old boy. I have gynecomastia and no facial hair at all. I also have several acne on my face and my back and chest. I think I have a hormonal imbalance. I have attached a copy of my hormone test reports. My FSH level is low at 0.74 µIU/mL, but my LH level is normal at 4.96 µIU/mL. Please help. I have attached photos for your reference.

Answered by Dr. Shaikh Sadaf

Hi,

Welcome to icliniq.com.

I understand your concern. I have reviewed the attachments (attachment removed to protect patient identity).

Although your FSH (follicle-stimulating hormone) is slightly low, your testosterone and other gonadotrophic hormones are normal, so it does not make a difference. Usually, the FSH varies depending on the time it is tested. If it bothers you, then retest after one to two months. Your gynecomastia could resolve naturally in a year or two, as some males tend to have gynecomastia in their late teens. However, it normally resolves on its own in 21 to 23 years. Your facial hair shall come gradually as you are a late bloomer that is still having the effects of puberty.

Take it easy and let your body take its normal course. Regarding acne, you can take the following:

1) Clindamycin 1 % twice a day, along with Benzoyl benzoate 2.5 % topical gel.

2) Neutrogena On-the-Spot Acne Treatment.

3) Proactiv.

You can take them until your face is clear. This will usually take three to six months.

Patient's Query

Hi doctor,

Thank you for the reply.

I have had gynecomastia for almost five years now. Should I be concerned? Is there anything that I can do?

Answered by Dr. Shaikh Sadaf

Hello,

Welcome back to icliniq.com.

No, there is no need to be concerned because gynecomastia is common in pubertal boys and resolves by 21 to 23 years. You do not have to worry unless you are more than 23 years and it is still present, in which case you can have it removed by plastic surgery.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shaikh Sadaf
Dr. Shaikh Sadaf

Endocrinology

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