Q. Please guide me with the reports if I have gynecomastia.

Answered by
Dr. Divakara P
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 17, 2016 and last reviewed on: Oct 09, 2018

Hi doctor,

I am 26 years old. My height is 5'10" and weight is 87 kg. I am having gynecomastia. I have attached the biochemical test results, laboratory reports. Please guide the treatment if I have low testosterone.

Dr. Divakara P

Diabetology Endocrinology General Medicine Internal Medicine Pain Medicine Pulmonology (Asthma Doctors)
#

Hi,

Welcome to icliniq.com.

  • Your testosterone levels are normal. But, you need to undergo further tests like serum TSH (thyroid-stimulating hormone), serum estradiol and serum prolactin for the evaluation of gynecomastia.
  • Kindly get these tests done and revert back with the reports.

Revert back with the reports to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist


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Hi doctor,

Thanks for your quick reply. Please find the results of tests that you suggested. Thyroid profile normal, serum TSH 3.87 uIU/mL (ref 0.35 - 5.50) estradiol 64.72 pg/mL, prolactin 12.9 ng/mL (ref 2.1 - 17.7), serum total protein 6.3 g/dL (ref 6.4 - 8.3), serum globulin 1.9 g/dL (ref 3.2 - 4.0), vitamin B12 152 pg/mL (ref 211 - 911) deficient, total testosterone 406 ng/dL (ref 241 - 827), serum triglycerides 168 mg/dL (ref 0 - 150), serum cholesterol 198 mg/dL (ref 0 - 200), serum albumin 4.5 m/dL (ref 3.5 - 5.2) and SGOT, SGPT and AKP are normal.

Please let me know if any further tests are necessary. I have also attached my chest images for your kind reference. Also, it would be great if you could answer my following queries. My testosterone levels are on the lower side of the reference and estradiol is also on the higher side. Is it something to be worried? Do I have gynecomastia? If yes, can it be treated through medications or surgery? To my knowledge, as gynecomastia is because of hormonal problems, will it recur even after surgery?

Dr. Divakara P

Diabetology Endocrinology General Medicine Internal Medicine Pain Medicine Pulmonology (Asthma Doctors)
#

Hi,

Welcome back to icliniq.com.

  • I went through your photos (attachment removed to protect patient identity) and it seems like you do have mild gynecomastia. But, your hormonal levels are normal and nothing needs to be done for the hormones.
  • Your vitamin B12 levels are low, but it will not cause gynecomastia. I would suggest capsule Rejunuron (vitamin supplement) every morning for two months.
  • I would definitely not recommend surgery. In fact, I would not recommend any medications also at this moment.
  • First reduce 3 to 4 kg and see the difference. If you still have gynecomastia, in spite of weight reduction kindly revert back to me.

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


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