Can gynecomastia cause a clear thick nipple discharge?

Usually not: They tend to cause more pain than anything. Any persistent nipple discharge should be carefully evaluate by ur doctor.

No, C your MD 4 eval: This is not a typical sign of gynecomastia and can be due to a variety of causes but persistent drainage beyond one month should be evaluated by your md with possible endocrinologic screening, imaging, ductal bushings, and/or biopsy to fully determine the nature of the drainage.

No: Nipple discharge of any kind is not typically seen with gynecomastia. Best to be evaluated by your physician to determine cause of this charge. Best wishes.

endocrine workup: Whenever there is a nipple discharge, you'll need to have a thorough history and physical performed and possibly an endocrine workup. Prolactin, a hormone usually associated with milk production can be elevated, leading to lactation in males.