Dr. Kusumakar Srivastava
Diabetology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am 43 years old. I am suffering from many things related to my body. I have been most of my lifetime having man boobs. My boobs are not proportional to the ratio of the fat in my body. I used to go to gym to battle that. This helped in getting my chest in a more firm shape, but never smaller. In my 30s, I kept trying to battle against that only with sport, but the results were always marginal with no real gain. This affected my attraction to women and caused me a lot of depression. Now in my 40s, the problem is getting even worse. They are growing bigger and I am finding it harder to go to the gym because of the shame. Now, I am overweight to some extend and the boobs problem is the most prominent in my body. I read that this could be because of hormonal disorder or bad diet system. I changed my diet a few times before and even when I lose weight my chest barely gets effected. I did not try anything with hormones. What could be the reason of this problem and how can I solve it? I hope you can help.
Hi,
Welcome to icliniq.com.
This is mainly due to increased estrogen hormone and also can occur because of hormonal imbalance. This can be treated with medicines and if not treated, then very conservative operative procedures are there. But, I need a snapshot picture of the affected area before that.
Patient's Query
Hi doctor,
Thank you for the answer. Here is a picture.
Hi,
Welcome back to icliniq.com.
I will take care of your problem as much as I can and I have seen the photo (attachment removed to protect patient identity). You have to understand that there are two types of gynecomastia (male breast enlargement). One is due to drugs if you are taking. Tell me if any medicines or drugs you are taking as I can judge them and stop them. The second type is due to imbalance of estrogen, LH (luteinizing hormone) and testosterone hormones. So, I need some test for them and we can start the treatment as per their reports. Again, if there is any discrepancy in these reports, then we have to either add new hormones or withdraw it. So, if you are not relieved by medical management, then you have to contact a plastic surgeon for a minimally invasive endoscopic subcutaneous mastectomy.
I request you to get the following investigations done.
Remember, it is a very common problem and as aging occurs the problem continues to increase, but there is nearly complete management of this problem. So, if both of us will start working from today, then we can surely overcome the problem.
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Diabetology
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