These two terms refer to conditions involving the appearance of enlarged or swollen breasts in males. While they may share some similarities, they have distinct underlying causes.
- Gynaecomastia:
- Definition: Gynaecomastia is the enlargement of glandular breast tissue in males. It can occur on one or both sides of the chest and is often characterized by a rubbery or firm mass beneath the nipple area.
- Causes: Gynaecomastia is usually the result of an imbalance in the hormones estrogen and testosterone. It can be caused by various factors such as puberty, aging, hormonal changes, certain medications, and underlying medical conditions.
- Pseudo gynecomastia:
- Definition: Pseudogynaecomastia, on the other hand, refers to the enlargement of the male breasts due to an increase in fat tissue without a significant increase in glandular breast tissue.
- Causes: Pseudogynaecomastia is typically associated with excess body fat and obesity. The increased fat deposition in the chest area can create the appearance of breasts, but it is not caused by hormonal imbalances.
3. Distinguishing Factors:
- Tissue Composition: Gynaecomastia involves an increase in glandular tissue, while pseudo-gynaecomastia involves an increase in fat tissue.
- The feel of the Breast Tissue: Gynaecomastia often feels firm or rubbery due to the proliferation of glandular tissue, while pseudo gynaecomastia feels soft and is primarily attributed to excess fat.
- Causes: Gynaecomastia is usually linked to hormonal imbalances, medications, or underlying medical conditions. Pseudo-gynecomastia is commonly associated with being overweight or obese.
Diagnosis and Treatment:
- Diagnosis: Both conditions can be diagnosed through physical examination, medical history review, and sometimes imaging studies like mammograms or ultrasound.
- Treatment: The approach to treatment depends on the underlying cause. Gynaecomastia may resolve on its own, especially in cases related to puberty. In persistent or severe cases, treatment may involve medication or surgery. Pseudo gynecomastia can be initially addressed through lifestyle changes such as diet and exercise to reduce overall body fat and if not effective, then plan for surgery if it persistently hampers the patient’s confidence and wellbeing.
It’s important to consult with a healthcare professional for an accurate diagnosis and appropriate management based on the specific circumstances of each individual.