Gynecomastia Bethesda
Gynecomastia can be frustrating for men residing in Bethesda, Maryland, especially when diet and exercise do not change the chest shape. This often occurs because true gynecomastia involves not only fat but also the development of glandular tissue in the chest. The concern goes beyond appearance. Gynecomastia can be linked to hormone imbalance, medication effects, or underlying health conditions that deserve a focused medical evaluation by an Endocrinologist.
At HILLTOP INTERNAL MEDICINE AND ENDOCRINOLOGY, Dr Kahinde Falawewo provides endocrinology-based gynecomastia evaluation and treatment for patients from Bethesda and nearby communities, including Downtown Bethesda, Woodmont Triangle, Bethesda Row, and Edgemoor.
What Is Gynecomastia?
Gynecomastia is the swelling or enlargement of the breast glandular tissue in males, most often linked to an hormonal imbalance between estrogen and androgen in the body. It differs from pseudogynecomastia, which refers to an increase in fat without an increase in glandular tissue. The condition may occur at various stages of life, including infancy, puberty, and older age. Identifying the root cause is essential for determining the most effective course of action.
Common causes of Gynecomastia include:
- Natural Hormonal Shifts: Fluctuations occurring during adolescence or the aging process.
- Prescription Medications: Drugs used for hair loss, heart conditions, or anxiety that interfere with hormone receptors.
- Underlying Health Issues: Conditions affecting the liver, kidneys, or thyroid gland.
Lifestyle Influences: Significant alcohol consumption or the use of specific supplements and prohibited substances.
Role of an Endocrinologist in Gynecomastia, Bethesda
Effective treatment of male breast enlargement requires a deep understanding of the endocrine system. Dr. Kehinde Folawewo utilizes a clinical approach that targets the body’s internal chemistry, which causes the growth of glandular tissue rather than just the visible symptoms.
Hormone Evaluation
The diagnostic process begins with detailed laboratory testing to measure levels of testosterone, estradiol, prolactin, and thyroid-stimulating hormones. This identifies whether the tissue growth is a symptom of a broader systemic issue.
Review of Medication and Supplements
A thorough audit of current medications is conducted to identify potential contributors. Many over-the-counter supplements or prescriptions can inadvertently stimulate breast tissue growth.
Targeted Imaging
If the physical exam reveals a firm mass inside the chest, Dr. Folawewo may order a breast ultrasound. This ensures that the enlargement is benign and helps distinguish glandular tissue from fatty deposits.
Root-Cause Treatment Plan
Before considering invasive procedures, the focus remains on stabilizing internally. This includes managing hypogonadism or adjusting medications to stop the growth at its source.
Non-Surgical Treatment Pathways
Medical therapy is tailored to the specific tissue grade and the duration of symptoms. Dr. Falawewo uses several evidence-based strategies to reduce the glandular tissue size.
Lifestyle and Nutrition
Optimizing body composition is a primary step in reducing peripheral estrogen conversion. The recommended roadmap includes:
- Strength Training: Engaging in resistance exercise to support natural testosterone production.
- Nutritional Adjustments: Prioritizing whole foods and specific micronutrients like zinc and Vitamin D.
- Avoiding Triggers: Eliminating substances known to stimulate gland growth, such as heavy alcohol use.
Estrogen-Receptor Modulators (SERMs)
For patients with tender or rapidly developing tissue, medical blockers may be utilized. These treatments work by preventing estrogen from binding to the breast tissue receptors, which can lead to a reduction in size over several months.
Aromatase Inhibitors
In cases where labs show elevated estradiol, specific medications may be prescribed to lower these levels. This approach is particularly effective when the condition is linked to obesity or certain metabolic imbalances.
Optimizing Androgen Levels
For men diagnosed with low testosterone, physiologic replacement therapy can help rebalance the ratio of male-to-female hormones. This often leads to a reduction in breast tissue while improving overall energy and metabolic health.
Treatment Timeline and Monitoring
Progress is tracked through consistent milestones to ensure the treatment plan remains effective and safe.
- Baseline (Week 0): Initial measurements and hormone panels are established to create a clinical starting point.
- 6 Weeks: A follow-up to review symptoms and repeat lab work. Patients often report a decrease in sensitivity and a softening of the tissue.
- 3 Months: Quantitative measurements are taken to assess the reduction in gland size. Visible improvements in chest contour are typical by this stage.
- 6 Months: A final assessment to determine if medications should be tapered or if the patient has reached their desired goal.
Schedule a Gynecomastia Consultation for Bethesda Patients
Patients dealing with gynecomastia in Bethesda, MD can schedule a focused medical evaluation with Dr. Kehinde Folawewo at HILLTOP INTERNAL MEDICINE AND ENDOCRINOLOGY, located in Oxon Hill, Maryland. Many patients travel in from Downtown Bethesda, Bethesda Row, and nearby areas such as Chevy Chase, North Bethesda, Rockville, and Potomac. Oxon Hill is accessible from Bethesda through major routes across the DC metro region, making it practical to come in for a clear diagnosis and a medically guided treatment plan. Schedule a consultation now by calling (301) 567-9570 or requesting an appointment online.
Frequently Asked Question
Can gynecomastia go away on its own?
In many cases, particularly those occurring during puberty, the condition resolves without treatment within six months to two years. However, if the enlargement persists or causes pain, a medical evaluation is necessary.
Is gynecomastia caused by being overweight?
While weight gain can lead to pseudogynecomastia (excess fat), true gynecomastia involves the growth of actual glandular tissue. Weight loss can improve the appearance of the chest but may not eliminate glandular tissue.
Are there non-surgical treatments for gynecomastia?
Yes. Medical treatments that address hormonal imbalances can be effective. If the condition is caused by a specific drug or health issue, treating the source often reduces breast size.
What should be expected during a consultation?
A consultation involves a private discussion of symptoms and a physical exam. Dr. Folawewo examines the chest to distinguish between fat and glandular tissue and discusses potential laboratory testing.
Is gynecomastia the same as chest fat?
No. Gynecomastia is gland tissue, while chest fat is often called pseudogynecomastia. Some patients have both. A clinical exam can help determine what is contributing to chest enlargement.
Where can I get gynecomastia evaluated in Bethesda?
Patients residing at Bethesda can schedule a gynecomastia evaluation with Dr. Kehinde Folawewo at HILLTOP INTERNAL MEDICINE AND ENDOCRINOLOGY in Oxon Hill, Maryland. Many patients travel from Bethesda and nearby areas for endocrine-focused testing and treatment planning.