It is the development of breast or breast like tissue or fat in the chest wall in males.
It is also known as male breasts or male boobs or male chest,The main indication of treatment is social embarrassment.
It is most commonly seen in today's era in males with obesity and it is induced by obesity.
Fat is known as one of the largest endocrine organ in the body and has severe functions including secretary functions.Excess fat in the body is responsible for peripheral aromatization of androgens(male Hormones)Estrogens(female Hormones),in addition obesity is known to reduced Testosterone levels and increased Estrogen levels can gives rise to development of breasts in males with obesity .There is also associated fat deposition with it in the chest wall.
The diagnosis is obvious by visual impression and sometimes Gynaecomastia may be associated with pain or discomfort during exercise.
INVESTIGATIONS : since Gynaecomastia may be caused due to various diseases like obesity where estrogen levels increase or testosterone levels increased,through investigations are performed to diagnose the basic course.
various other disease like thyroid disorder,renal or liver disease,certain drugs or tumors may also cause Gynaecomastia.
In obese males,Hypogonadism or pseudohypogonadism can be an association and mainly due to the excess fat in the body giving rise to increase levels of estrogens and leptin.
The treatment is mainly focus on weight management.
This condition is also known as MOSH syndrome or male obesity secondary Hypogonadism.
1. Diagnosis and Treatment basic course
2. Treatment of obesity.
Early treatment of Gynaecomastia can resolve with correction of the course and appropriate management of obesity.
It is the most common procedure for removing the breast fat ,liposuction is a laser technology based on ultrasound .It is minimally invasive treatment and can be day care .occasionally,a small incision is made in the areola or circular position of nipple and the thick glandular tissue is removed through it.this procedure is called subcutaneous Mastectomy.
It helps the person to restore the contour of the chest wall and helps body sculpting.
A hernia can be usually detected with a physical examination. We may also recommend a few tests to be done in order to further assess the patient’s condition and the root cause of the hernia. Mentioning them below
Live talk on Obesity and Gynaecomastia By Doctor Shashank Shah