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What is the best approach for gynecomastia at 20?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 20 years old and have been experiencing an enlarged area on my right chest that I believe may be gynecomastia. I first noticed this when I was 17, and unfortunately, it has not improved over time. I am hoping to get some guidance on what steps I should take next.

Please help.

Thank you for your guidance.

Answered by Dr. Ayyala Somayajula Sai Sudha Meghana

Education:

MBBS

Professional Bio:

Dr. Ayyala Somayajula Sai Sudha Meghana is a medical graduate with one year of clinical internship experience across various specialties including dermatology, family medicine, gynecology, ophthalmology, ENT, urology, and preventive care. She is trained to manage a wide range of conditions—from common concerns like skin and hair issues, PCOS, infections, and fatigue to chronic diseases such as diabetes and hypertension. Her approach is practical, empathetic, and patient-centered, focused on helping you understand and safely manage your symptoms.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

One-sided breast enlargement, starting in adolescence and not having improved over several years, is at your age often consistent with gynecomastia, which is the growth of breast tissue related to hormonal changes during puberty.

While this usually fades after one or two years for many teenagers, long-standing tissue does not usually shrink on its own. It is generally harmless, but it could be uncomfortable or make someone self-conscious.

It is a good idea to see a healthcare professional, such as a general physician or an endocrinologist, who can examine you to rule out less common causes, and they may recommend routine hormone or health tests if necessary.

If no underlying issue is found and the appearance continues to bother you, a specialist can discuss possible treatment options, which may include surgical correction. You should maintain a healthy lifestyle to support overall well-being, but it usually cannot reverse long-standing gynecomastia. Since this has been present for several years, an in-person medical evaluation can help you understand your options and decide on the best next steps.

I hope the information helps.

Kindly revert so I can assist you further.

Thank you.

Medically reviewed by iCliniq medical review team
Published At February 19, 2026
Reviewed At February 19, 2026

Education:

MBBS

Professional Bio:

Dr. Ayyala Somayajula Sai Sudha Meghana is a medical graduate with one year of clinical internship experience across various specialties including dermatology, family medicine, gynecology, ophthalmology, ENT, urology, and preventive care. She is trained to manage a wide range of conditions—from common concerns like skin and hair issues, PCOS, infections, and fatigue to chronic diseases such as diabetes and hypertension. Her approach is practical, empathetic, and patient-centered, focused on helping you understand and safely manage your symptoms.

This doctor is not available for online consultations on the platform anymore.

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Education:

MBBS

Professional Bio:

Dr. Ayyala Somayajula Sai Sudha Meghana is a medical graduate with one year of clinical internship experience across various specialties including dermatology, family medicine, gynecology, ophthalmology, ENT, urology, and preventive care. She is trained to manage a wide range of conditions—from common concerns like skin and hair issues, PCOS, infections, and fatigue to chronic diseases such as diabetes and hypertension. Her approach is practical, empathetic, and patient-centered, focused on helping you understand and safely manage your symptoms.

This doctor is not available for online consultations on the platform anymore.

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