Most children are born with breasts that are larger than normal size. Which also happens during puberty, and it may be normal due to changing hormones. And may be accompanied by a change in the shape or size of the breast or swollen nipples. To identify the causes of puffy nipples in men, how they can be treated. And when they can be treated. As a warning sign, here’s the article.
The phenomenon of Puffy Nipples in men
It is one of the symptoms of gynecomastia in men that appears due to the enlargement. And enlargement of the breast tissue behind the nipples. It can be in several forms, including swollen nipples in men and it may be around the areolas, and the edges of the breast, and it may reach largeness to resemble female gynecomastia due to sagging skin and fat tissues in addition to the tissue The same breast, and it can appear in one or both breasts, and it can appear in both, causing the breasts to vary in size.
Causes of gynecomastia
70% of babies are born with swollen breasts; Because the child is under the influence of estrogen that he gets from the mother during his development as a fetus, or as a baby due to the high percentage of estrogen in breast milk at the beginning of the lactation period, but this condition disappears with growth, and it can occur in adulthood as a result of male androgens disorder During this period, which causes the breast to increase in size, but it disappears after 12 months or two years, and if it continues more than that, it is classified as real gynecomastia.
It can affect most men over the age of fifty to sixty-five due to lack of male hormones in this period and high estrogen, and medical reasons or for taking certain types of medications can be as follows:
- Antibiotics.
- Heart medications.
- Anti-anxiety medications.
- Autoimmune disease medications.
- Chemotherapy.
- Heartburn medications.
- Steroids
- Medications for fungal and bacterial infections.
- Heroin
- Amphetamines
- Prostate enlargement medications.
- Alcohol intake.
- Anabolic steroids to improve athletic activity.
- Estrogen.
- soy products.
- Calcium channel blockers.
- Tricyclic antidepressants.
- herbs containing lavender, tea tree oil; Because it contains natural estrogen.
It may be caused by health conditions such as:
- Kidney disease.
- Hyperthyroidism;
- A tumor in the glands that regulate hormones.
- Heart disease;
- Obesity
- Lack of proper nutrition.
- Tumors of the testicles and adrenal gland.
- Hypogonadism.
- Excess androgens.
Symptoms of Gynecomastia in men
Men who suffer from gynecomastia usually appear in the form of an enlarged rubbery lump under the nipples, which leads to the emergence and swelling of the nipples in the man, usually less than an inch and a half in width, and may be accompanied by sensitivity, or pain when pressed, and may be accompanied by secretions, Gynecomastia may be the result of:
- Accumulated fatty deposits.
- Excess gland tissue growth behind the nipples.
- Too much fat and extra skin.
Pseudo Gynecomastia/Sebaceous Gynecomastia
There is another type of gynecomastia enlargement due to local obesity in the breast, which is known as pseudo-gynecomastia, because it is an accumulation of fat only, and it is not accompanied by a solid feeling under the nipple, and it resembles the natural breast, and it is not accompanied by sensitivity, and it can be eliminated by liposuction or Diet, exercise, and positional exercises in particular.
How to Diagnose Gynecomastia?
The diagnosis of gynecomastia is based on physical symptoms, breast examination, medical history, previous medication history, and other breast examinations. Common symptoms are breast tenderness and pain, and puffy nipples in men due to the presence of a rubbery mass of breast tissue directly behind the nipples, and it can be felt. when doing the examination.
So, Al-Tayeb will review all medications and supplements, and the person’s intake of herbal products, as well as the medical history, to determine the diseases that can cause gynecomastia, and he will also perform a mammogram, such as radiographs, or ultrasound, and these tests are usually ordered to rule out cancer The doctor may also order a blood test to check the level of hormones.
How to Treat Gynecomastia?
Usually, most cases of gynecomastia decrease with time, while in medical cases that require drugs that increase the proportion of estrogen in the body, these drugs must be discontinued to prevent the phenomenon from worsening, and medical conditions that cause gynecomastia and swollen nipples in men and a change in the appearance of the breast must be treated. The doctor suggests seeing an endocrinologist ; To treat problems related to hormones.
The doctor does not recommend that breast reduction surgery be performed except in the case of severe pain, embarrassment, and sensitivity. Gynecomastia in itself may not be a serious disease, but it must be treated in these cases to get rid of the feeling of pain and discomfort, especially because it causes embarrassment, and may lead to isolation and depression. Otherwise, gynecomastia may be a symptom of a serious medical condition that must be treated.
Gynecomastia Medication Treatment
Gynecomastia can be treated with medications only before 12 months have passed since the appearance of the breast. After more than that, the breast tissue becomes fibrous, and it cannot be treated without surgery. Also, most medications have not been approved by the Food and Drug Administration ( FDA ), including:
- Testosterone replacement, but this treatment is not prescribed for people with normal testosterone levels, and is most suitable for older men.
- Clomiphene is used to treat gynecomastia and it continues to be taken for 6 months.
- Tamoxifen reduces the size of gynecomastia and breast enlargement. But it cannot eliminate all of the enlarged breast tissue, and is used in cases of severe and excessive gynecomastia.
- Danazol is derived from synthetic testosterone, and helps reduce the production of estrogen in the body in the testicles.
When can he undergo Gynecomastia Surgery?
Breast reduction can be performed in the following cases:
- Men whose condition cannot be corrected with medication or alternative medical treatments.
- Healthy individuals who do not have severe, life-threatening illness or medical conditions that impair recovery.
- Those who have positive and realistic expectations about surgery.
- Men who are physically healthy and of relatively normal weight.
- Those who have stabilized have breast growth.
- Those who feel uncomfortable and embarrassed about the size of their breasts.
How to treat gynecomastia surgery?
Gynecomastia can be eliminated in two ways:
Liposuction
The type of surgery depends on the nature of the gynecomastia. So liposuction can be performed in the case of false gynecomastia, in which the doctor only makes small surgical incisions in separate places of the breast that are usually not noticeable. Then he inserts a liposuction tube and gets rid of the excess fat, then closes the incisions And you can choose from among the various liposuction techniques that suit each case.
Removal of Glandular Tissue
In the case of enlargement of the glandular tissue and swelling of the nipples in the man or one of them. The doctor makes a surgical incision by making a surgical incision around the areola, or around the nipple in a circular manner and another incision across the width of the breast.
Then the doctor removes the enlarged tissue and closes the incisions, and it can be combined using liposuction and the method of the surgical incision, according to the degree of fat accumulation and tissue hypertrophy. In this case, the procedure can be done under intravenous or general anesthesia.
And now, dear reader, after we know the causes of swollen nipples in men and how to treat them, and what are the medical reasons that cause this situation. We hope that we have been able to answer all your questions, and for more inquiries and questions, you can contact us to book an appointment by booking below.
