Gynecomastia is a condition that causes the breast tissue in males to enlarge. Type 1 gynecomastia caused by hormonal imbalance is the most common. “Type 1 Gynecomastia treatment without surgery is possible in certain patients” according to Dr.  Deepesh, an expert gynecomastia surgeon in India.

He further explains,” Type 1 gynecomastia is caused by an imbalance between the hormone’s testosterone and estrogen. In males, testosterone is produced by the testicles and is responsible for the development of male characteristics such as facial hair, muscle mass, and a deep voice. Estrogen is produced in small amounts by the testicles and is responsible for the development of female characteristics such as breast development.”

“In type 1 gynecomastia, there is an excess of estrogen or a deficiency of testosterone, or both, which can cause the breast tissue to enlarge. This type of gynecomastia is usually not painful and can be treated with medication or surgery.”

 

Why does this situation arise?

Type 1 gynecomastia can be caused by a variety of factors, including natural changes in hormone levels during puberty or aging, certain medications, and underlying health conditions such as liver or kidney disease. It is important to consult a healthcare professional for proper diagnosis and treatment of gynecomastia.

Gynecomastia is a condition in which there is abnormal growth of breast tissue in males. It can occur at any age and can affect one or both breasts. There are two main types of gynecomastia:

  1. Pseudo gynecomastia: This type of gynecomastia is caused by an excess of fat tissue in the breast area, rather than an increase in breast gland tissue. It is more common in overweight or obese males and can be treated through weight loss and lifestyle changes.
  2. True gynecomastia: This type of gynecomastia is caused by an increase in breast gland tissue and can occur in males of any weight. It may be caused by hormonal imbalances, certain medications, or medical conditions such as kidney or liver failure. True gynecomastia may require medical treatment, such as surgery, to correct.

 

How is type 1 gynecomastia treatment done?

Type 1 gynecomastia, also known as pubertal gynecomastia, is a type of true gynecomastia that occurs during puberty. It is a normal part of male puberty and usually resolves on its own within a few years. During puberty, there is a natural increase in estrogen (a female hormone) and a decrease in testosterone (a male hormone), which can cause temporary breast development in males. This type of gynecomastia is not harmful and does not require treatment.

Treatment for type 1 gynecomastia, also known as pubertal gynecomastia, is generally not necessary as it is a normal part of male puberty and usually resolves on its own within a few years. However, if the condition is causing significant discomfort or distress, there are a few treatment options that may be considered:

  1. Observation: In most cases, no treatment is necessary for pubertal gynecomastia as it resolves on its own. Your doctor may recommend simply waiting and observing the condition to see if it improves on its own.
  2. Supportive measures: Wearing a supportive bra or using a compression garment may help to reduce discomfort and swelling.
  3. Hormonal therapy: If the cause of pubertal gynecomastia is a hormonal imbalance, your doctor may recommend hormone therapy to correct the imbalance and reduce breast tissue growth.
  4. Surgery: In rare cases, surgery may be recommended to remove excess breast tissue. This is usually only considered if the condition is causing significant discomfort or distress and has not resolved on its own after several years.

It’s important to note that treatment for type 1 gynecomastia will depend on the individual case and the underlying cause of the condition. Your doctor will be able to recommend the most appropriate treatment option based on your specific situation.

There are a few tests that may be conducted to determine the cause of type 1 gynecomastia, also known as pubertal gynecomastia. These tests may include:

  1. Physical examination: Your doctor will perform a physical examination to assess the size and shape of your breasts and check for any signs of breast gland tissue or fat accumulation.
  2. Blood tests: Your doctor may recommend blood tests to measure hormone levels, including testosterone, estrogen, and prolactin. Hormonal imbalances, such as an excess of estrogen or a deficiency of testosterone, can cause gynecomastia.
  3. Ultrasound: An ultrasound can be used to examine the breast tissue and determine if it is composed mainly of fat or glandular tissue.
  4. Mammography: A mammography is an X-ray of the breast tissue. It can be used to identify any abnormalities or changes in the breast tissue that may be causing gynecomastia.
  5. Biopsy: In some cases, your doctor may recommend a biopsy to examine a small sample of breast tissue under a microscope. This can help to confirm the diagnosis of gynecomastia and determine the underlying cause.

 

It’s important to note that not all of these tests may be necessary in every case. Your doctor will recommend the appropriate tests based on your specific situation and any symptoms you are experiencing.

Type 1 gynecomastia treatment without surgery includes:

  1. Observation: In some cases, no treatment is necessary as the condition may resolve on its own over time. Your doctor may recommend simply waiting and observing the condition to see if it improves on its own.
  2. Supportive measures: Wearing a supportive bra or using a compression garment may help to reduce discomfort and swelling.
  3. Hormonal therapy: If the cause of gynecomastia is a hormonal imbalance, your doctor may recommend hormone therapy to correct the imbalance and reduce breast tissue growth. This may include medications such as testosterone replacement therapy or aromatase inhibitors.
  4. Diet and exercise: Losing weight and maintaining a healthy diet and exercise routine may help to reduce excess fat in the breast area and improve the appearance of gynecomastia.
  5. Herbal remedies: Some people may try using herbal remedies to treat gynecomastia, although there is little scientific evidence to support their effectiveness. It’s important to speak with your doctor before trying any herbal remedies, as they may interact with other medications or have side effects.

“It’s important to note that non-surgical treatment options for gynecomastia may not be effective for all cases, and surgery may be necessary to correct the condition. Your doctor will be able to recommend the most appropriate treatment option based on your specific situation.” says Dr.  Deepesh, who is always keeping up with the latest in gynecomastia treatments.

There are a few different types of hormonal therapies that may be used to treat gynecomastia, including the following gynecomastia treatment tablets.

  • Testosterone replacement therapy: This involves taking medications that contain testosterone, the male hormone, to help increase testosterone levels and reduce estrogen levels in the body. This can help to reduce breast tissue growth and improve the appearance of gynecomastia. Examples of anti-estrogens include tamoxifen and raloxifene.
  • Aromatase inhibitors: These medications work by blocking the enzyme aromatase, which is responsible for converting testosterone into estrogen. By inhibiting this enzyme, aromatase inhibitors can help to reduce estrogen levels and improve the testosterone-to-estrogen balance in the body. Examples of aromatase inhibitors include anastrozole and exemestane.
  • Selective estrogen receptor modulators (SERMs): These medications can help to block the effects of estrogen on breast tissue. They may be used in combination with testosterone replacement therapy to further reduce estrogen levels and improve the appearance of gynecomastia. Examples of SERMs include raloxifene and tamoxifen.

 

How long does it take for type 1 gynecomastia treatment without surgery to see the results?

It’s difficult to predict exactly when a patient will see results from hormonal therapy for type 1 gynecomastia, as it can vary depending on the individual and the specific treatment being used. Some people may see improvement in the appearance of their gynecomastia within a few weeks of starting treatment, while others may not see improvement until several months or longer.

However, it’s important to note that every individual is different, and the speed of improvement can vary.

It’s also important to note that hormonal therapy is not a quick fix and may require ongoing treatment to maintain results. Your doctor will be able to provide you with more specific information about the expected timeline for improvement and how long you can expect to need treatment.

 

Side effects of hormone treatment.

Hormone therapy for treating gynecomastia (enlargement of the male breasts) can have side effects, as with any medical treatment. Some possible side effects of hormone therapy for gynecomastia may include:

  • Changes in appetite
  • Weight gain or loss
  • Fatigue
  • Mood changes
  • Headache
  • Swelling in the ankles or feet
  • Changes in libido (sex drive)

 

It’s important to discuss the potential side effects of any treatment with your doctor before starting therapy. They can help you weigh the potential benefits and risks of hormone therapy and determine if it is the right treatment option for you.

It’s also important to follow your doctor’s instructions and report any side effects that you experience while taking hormone therapy. Your doctor may be able to adjust your dosage or suggest other measures to help manage any side effects.