Gynecomastia and Testosterone

Gynecomastia and Testosterone

Most young men suffer (at least slightly) from gynecomastia during adolescence, as the hormone changes in the body at puberty often trigger the condition.  This, however, will usually pass as the child matures and the body more fully develops.

The next most important period for developing man-boobs or moobs is during the 50 to 69-year age group when around 25% of men start to exhibit the condition.

When the condition appears during the earlier years of adulthood it can prove to be extremely upsetting as it effectively making the sufferer appear to have a condition that is typically connected with more elderly men, as well as making them appear more feminine. This often causes a desire for gynecomastia surgery.


Medical causes of gynecomastia

Several health conditions can cause gynecomastia by affecting the normal balance of hormones. Many of these are related to testosterone. If you have these conditions, please consult with your GP to resolve the issue before seeking cosmetic help.  The list of conditions includes:

  • Hypogonadism

Gynecomastia is common in people with hypogonadism and associated conditions such as such as Klinefelter's syndrome or pituitary insufficiency.  This is due to the way that these conditions interfere with normal testosterone production.


  • Tumours

Some tumours, such as those involving the testes, adrenal glands or pituitary gland, can produce hormones that alter the male-female hormone balance. This has the potential to create male breasts.


  • Hyperthyroidism

In this condition, the thyroid gland produces too much of the hormone thyroxine.


Anabolic Steroids, testosterone and gynecomastia

Use of anabolic steroids or androgens to enhance athletic performance can lead to gynecomastia.  Steroids are drugs that mimic certain natural hormones in the body that regulate and control how the body works and develops.

There are two main groups of natural steroids - anabolic steroids and corticosteroids. Anabolic steroids are similar to the male hormone testosterone and they can improve endurance and performance and stimulate muscle growth. However, if misused (which is the case in many illicit users) they can result in gynecomastia that is often only correctable through surgical treatment.


Can male breast reduction surgery cure my testosterone-induced gynecomastia?

Gynecomastia surgery is effectively breast reduction surgery for men. There are several techniques but in most cases, the operation involves making an incision around the nipple and then using liposuction to suck out the excess fatty tissue.

The surgery is rarely available on the NHS, but private medical treatment organised by Private cosmetic typically costs in the £3,500 to £4,500 range for a male breast reduction. Use the form below to book a free, no-obligation consultation with an independent gynecomastia surgeon near you.

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