Why Do Men Get Gynecomastia? What Are the Main Causes?

Gynecomastia is a common condition where men develop excess breast tissue, leading to a fuller or feminine-looking chest. The main reason this happens is a hormonal imbalance—specifically when estrogen levels become relatively higher than testosterone levels. This imbalance can occur at different stages of life:

  • Puberty: Teenagers often develop temporary breast swelling due to sudden hormonal shifts.

  • Adulthood: Lifestyle factors, medications, or health conditions can disturb hormone levels.

  • Older Age: Natural decline in testosterone makes gynecomastia more common in older men.

Apart from hormones, several other factors can contribute:

  • Obesity: Excess fat converts male hormones into estrogen, increasing breast tissue.

  • Steroid use: Bodybuilding or gym steroids are one of the leading causes of male breast enlargement today.

  • Medications: Certain drugs for acidity, blood pressure, anxiety, or hair loss can trigger gynecomastia.

  • Alcohol & drugs: Heavy drinking or substances like marijuana can also worsen hormonal imbalance.

  • Genetics & medical conditions: Thyroid issues, liver problems, and inherited factors may play a role.

For those searching for Gynecomastia Treatment in Hyderabad, specialists usually start with a complete chest examination, hormone analysis, and body-fat evaluation. This helps determine whether the enlargement is due to true gland tissue, fat accumulation, or a mix of both. Once doctors identify the underlying cause, they create a customized treatment plan—ranging from lifestyle advice to minimally invasive surgery for permanent correction.

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