What can a 19 year old male do for severe gynecomastia?

Gynecomastia-male: Is the condition on 1 side only or on both sides? Is there redness, swelling, pain, discharge (milky or pus)? Do you take any medications like tagamet, (cimetidine) anabolic steroids, anxiety meds (valium, etc), antidepressants like elavil, digoxin or calcium channel blockers (heart meds), HIV meds (sustiva), chemotherapy? Are you overweight: excess fat has an estrogenic effect. Discuss with fp to find cause.

Several DX 1st: High Estradiol from obesity or excess cyclic aromatse activity. (testing needed for both!) many drugs, such as spironolactone. Elevated prolocatin levels. These are the most common, inlcuding gaining weight and having more fat! you cannot be treated without an accurate dx.

Gynecomastia: First, you will want to see your primary care physician to rule out medical causes of gynecomastia. Upon clearance from your primary doctor, you will want to visit a plastic surgeon who can determine the next step in treatment. This may involve liposuction with or without direct excision if the excess breast tissue.

Seek evaluation: For severe gynecomastia, the first step is to consider endocrinologic evaluation for possible hormone imbalance. After this has been excluded, then surgical may be an option.

Surgery Helpful.: I have found that gynecomastia, if persistent, is often best treated with partial excision of the prominent glandular tissue as well as liposuction surgery of the peripheral chest area. If the prominence of the chest wall is caused by adipose tissue, then liposculpture surgery alone may suffice. For patients with excess skin, common after weight loss, skin excision may also be necessary.