Diagnosis Before Gynecomastia Surgery
Self-Diagnosis of Gynecomastia
- Notice any unusual enlargement or swelling around your nipples.
- Feel for a firm, round lump or button-like tissue beneath the nipple area this is usually glandular tissue.
- Check if the lump feels harder and more defined than regular chest fat.
- Observe if the breast area looks swollen but still maintains a distinct shape.
- Look out for any nipple discharge, which can sometimes occur with glandular tissue growth.
- Check whether the swelling is on one side only (unilateral gynecomastia) or both sides.
Diagnosis by Doctor
Consult a plastic or cosmetic surgeon experienced in male gynecomastia for the diagnosis. The doctor will perform a physical examination, with the patient lying on their back, to carefully assess the chest.
The examination includes:
- Checking the breasts for size, shape, and firmness.
- Performing a pinch test around the nipple and areola to feel for a disk-shaped mound of tissue, which indicates true glandular enlargement.
- Examine the armpits and breasts for any enlarged lymph nodes.
- Besides the physical check, your doctor may recommend further tests.
Recommended Tests
- Blood Tests: These analyse hormone levels, including testosterone, oestrogen, and other hormones. These hormones might cause male breast development. Abnormal hormone levels are often a main gynecomastia cause.
- Urine Tests: These can also assess hormone levels and detect any underlying conditions affecting the body’s balance.
- Imaging Tests: Ultrasound, X-rays, CT scans, or MRI scans may be suggested to provide detailed images of the breast tissue. These tests help distinguish between fatty tissue and glandular tissue, as well as detect any unusual growths.
- Mammogram: Used primarily to screen for breast cancer, this test looks for hard masses or microcalcifications in the breast. Although rare in men, breast cancer can mimic gynecomastia.
- Biopsy: This involves taking a small sample of breast tissue to examine under a microscope. It is reserved for cases where cancer or other abnormalities are suspected rather than routine diagnosis.
Note: Pristyn Care does not recommend imaging tests for diagnosing gynecomastia. These include X-rays, CT scans, MRI, and mammograms. If necessary, the doctor may advise these tests for further evaluation.