Gynecomastia or breast enlargement in men occurs due to the imbalance of some hormones in the body, mainly estrogen and testosterone, or in the context of diseases, the use of some drugs or hormones.

Large breasts in men are considered a benign disorder in most cases and only in rare cases it may be associated with breast cancer.

In cases of natural gynecomastia, patience and waiting is the best solution. In abnormal cases, if there is an underlying factor such as a disease or drug, the disease should be treated or the drug should be stopped. In congenital and genetic cases, in grade 1, medicine can be tried, and in grade 2, if the person's self-confidence is low, and grades 3 and 4, surgical treatment is recommended.

Most of the patients visiting my office talk about the lack of effect of exercise and diets in the treatment of their gynecomastia disorder. We must remember that gynecomastia tissue is not only fat, in fact, it is the presence of a type of female breast tissue in a man's body, and just as a woman's breast tissue does not disappear with exercise and diet, gynecomastia tissue is also resistant to intense exercise and dietary restrictions. is of course, on the one hand, exercise increases the level of testosterone, and on the other hand, by reducing body fat, it reduces the source of estrogen. These changes in treatment are not very visible and effective, but in the post-treatment period, they can be effective in preventing relapse.

Based on my professional experience, in patients with congenital gynecomastia, where suction was used to treat them, there was a high percentage of recurrence, and in contrast to patients who only used surgical removal to treat them, there was no return. Adherence to diet and exercise. Aerobics in order to reduce body fat mass is also effective in reducing internal estrogen and reducing the return rate of this disorder. In cases where the disease is not treated or the use of drugs or hormones is the cause of this disorder, one should expect the recurrence of gynecomastia.

The recovery period depends on the size and size of the breasts in patients. In small breasts (grade 2) about two weeks and in larger breasts (grade 3) between 3 to 4 weeks and in severe cases (grade 4) about 4 to 5 weeks for complete recovery and return to normal life in time we need During this time, the wounds are healed and the drains are removed. During recovery, the person will be able to do daily activities and light sports. Doing computer work, management and walking is unimpeded and movements related to chest muscles such as weight lifting, chest press and swimming will be limited.

Unfortunately, insurance organizations consider this procedure to be a cosmetic procedure and people have to pay the costs themselves to correct this disorder. In my opinion, gynecomastia is not a cosmetic procedure because most of the affected people come to me due to a decrease in self-confidence and some social problems.

Although gynecomastia apparently has nothing to do with obesity and thinness, and over the years I have seen all types of people visiting the office, but it seems that obesity and increased fat mass are directly related to estrogen, and maybe obese people are more prone to this disorder. .

Due to the use of anabolic steroids and testosterone in professional bodybuilders, which increases the level of estradiol in the blood and disrupts the balance of hormones, and ultimately stimulates the growth of breast tissue and gynecomastia.

Yes, and the consumption of herbs such as ginseng, ginger, maca and fenugreek is recommended. Nutrients such as zinc, vitamin D and the consumption of foods containing omega-3, fish oil and turmeric and the use of pressure gauges can be somewhat effective in reducing the severity of the disorder.