- Swollen breast gland tissue
- Breast tenderness
When to see a doctor
See your doctor if you have:- Swelling
- Pain
- Tenderness
- Nipple discharge in one or both breasts
Street drugs and alcohol
Substances that can cause gynecomastia include:- Alcohol
- Amphetamines
- Marijuana
- Heroin
- Methadone
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Health conditions
Several health conditions can cause gynecomastia by affecting the normal balance of hormones. These include:- Hypogonadism. Any of the conditions that interfere with normal testosterone production, such as Klinefelter's syndrome or pituitary insufficiency, can be associated with gynecomastia.
- Aging. Hormone changes that occur with normal aging can cause gynecomastia, especially in men who are overweight.
- Tumors. Some tumors, such as those involving the testes, adrenal glands or pituitary gland, can produce hormones that alter the male-female hormone balance.
- Hyperthyroidism. In this condition, the thyroid gland produces too much of the hormone thyroxine.
- Kidney failure. About half the people being treated with regular hemodialysis experience gynecomastia due to hormonal changes.
- Liver failure and cirrhosis. Hormonal fluctuations related to liver problems as well as medications taken for cirrhosis are associated with gynecomastia.
- Malnutrition and starvation. When your body is deprived of adequate nutrition, testosterone levels drop, but estrogen levels remain constant, causing a hormonal imbalance. Gynecomastia can also occur once normal nutrition resumes.
Herbal products
Plant oils, such as tea tree or lavender, used in shampoos, soaps or lotions have been associated with gynecomastia. This is probably due to their weak estrogenic activity.Risk factors
Risk factors for gynecomastia include:- Adolescence
- Older age
- Use of anabolic steroids or androgens to enhance athletic performance
- Certain health conditions, including liver and kidney disease, thyroid disease, hormonally active tumors, and Klinefelter's syndrome
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