Q. Is gynecomastia normal in teenage boys?

Answered by Dr. Shaikh Sadaf and medically reviewed by iCliniq medical review team.

 

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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.


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Dr. Shaikh Sadaf
MBBS., MRCGP INT., PGDIP ENDOCRINOLOGY AND DIABETES,LONDON UNIVERSITY
Diabetology, Endocrinology

Hello,

Welcome to icliniq.com.

I have gone through the attachments (attachment removed to protect patient identity).

It appears that 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 in a year or two naturally as some males do tend to have gynaecomastia in their late teens which normally resolve on its own by 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:

  • Clindamycin 1% twice a day along with
  • Benzoyl benzoate 2.5% topical gel
  • Neutrogena On-the-Spot Acne Treatment
  • Proactiv

You can have these once daily for as long as your face is cleared.

This will take usually three to six months.

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

 

Thank you doctor,

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

 

Dr. Shaikh Sadaf
MBBS., MRCGP INT., PGDIP ENDOCRINOLOGY AND DIABETES,LONDON UNIVERSITY
Diabetology, Endocrinology

Hello,

Welcome back to icliniq.com.

No, there is no need to be concerned because gynaecomastia is common in pubertal boys and it resolves by 21 to 23 years.

You do not have to worry unless if you are more than 23 years and it is still present in which case you can have it removed by plastic surgery.

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

 
 
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