Gynecomastia Treatment Silver Spring
Enlarged breast tissue in men, clinically known as gynecomastia, is far more common than many realize, affecting about 35% of males at some point in their lives. While the physical changes can be uncomfortable, the emotional toll—from self-consciousness to social anxiety—often weighs just as heavily. The good news? When addressed early, while the tissue remains soft and pliable, many cases improve significantly with targeted medical and lifestyle interventions.
At Hilltop Endocrinology in Oxon Hill, MD, Dr. Kehinde Folawewo focuses on identifying and correcting the hormonal imbalances that drive gynecomastia. His approach helps men throughout Silver Spring, Bethesda, Takoma Park, and Montgomery County achieve lasting relief—often without the need for surgery.
What Is Gynecomastia?
Gynecomastia is the benign overgrowth of glandular breast tissue caused by an elevated estrogen-to-androgen ratio. It is distinct from pseudogynecomastia, which is simply excess chest fat. Peaks occur during puberty, mid-life, and older age when hormones naturally fluctuate.
Typical drivers include:
- Physiological changes (puberty, andropause)
- Medications such as spironolactone, finasteride, certain antipsychotics, and anabolic steroids
- Systemic conditions like thyroid, liver, kidney, or testicular disorders
- Lifestyle factors such as obesity, alcohol, and recreational cannabis
Role of an Endocrinologist in Gynecomastia Care
Since gynecomastia is mainly driven by an imbalance between testosterone and estrogen, a clinician who manages your treatment should be a hormone specialist. At Hilltop Endocrinology Silver Spring, Dr. Kehinde Folawewo performs a detailed hormone evaluation and creates a personalized treatment plan designed to shrink breast tissue from the inside out.
Comprehensive Hormone Evaluation
Dr. Folawewo tests for testosterone, estradiol, prolactin, LH/FSH, TSH, and liver enzymes to identify imbalances or metabolic issues common among Silver Spring patients.
Medication & Supplement Review
He carefully assesses prescription and over-the-counter drugs that may contribute to gynecomastia, including certain antidepressants, anabolic substances, or herbal “test boosters.”
Targeted Imaging (When Needed)
If a firm or suspicious mass (>2 cm) is detected, Dr. Folawewo may order a breast ultrasound. In cases of high estradiol, a testicular ultrasound can rule out underlying causes.
Root-Cause Treatment Plan
Every Silver Spring patient receives a tailored plan focused on the root cause—addressing thyroid disorders, adjusting causative medications, or managing testosterone deficiency before any surgical consideration.
Non-Surgical Treatment Pathways
Medical therapy is customized to the grade of breast tissue, symptom duration, and lab results. At Hilltop Endocrinology, Dr. Folawewo combines evidence-based medicine with lifestyle optimization for best results.
Lifestyle & Nutrition Reset
Small, targeted changes can lower peripheral estrogen conversion and raise natural testosterone. Dr. Folawewo’s starter roadmap often includes:
- Body-composition training: Resistance exercise 3–4 times weekly to naturally boost testosterone.
- Dietary focus: Whole foods rich in zinc, selenium, and vitamin D; limit processed carbs and excess sugar.
- Substance moderation: Reduce alcohol; avoid marijuana, opioids, and anabolic steroids that contribute to glandular growth.
These simple shifts help many Silver Spring patients see visible chest flattening alongside improved mood and energy.
Selective Estrogen-Receptor Modulators (SERMs)
When breast tissue is tender or rapidly enlarging, Dr. Folawewo may prescribe a short SERM course to block estrogen activity:
- Tamoxifen (10–20 mg daily): Often effective within 3–6 months, particularly when tissue developed recently.
- Raloxifene (60 mg daily): Offers similar benefits with a gentler side-effect profile, suitable for long-term tolerance.
Aromatase Inhibitors
If lab results show elevated estradiol—common in overweight or post-steroid Silver Spring patients—Dr. Folawewo may recommend Anastrozole 1 mg every other day to decrease estrogen conversion and reduce gland size.
Androgen Optimization
For men with confirmed low testosterone, hormone restoration can reverse breast enlargement while improving energy and mood.
- Supervised testosterone replacement therapy
- Topical DHT (dihydrotestosterone) gel for persistent idiopathic cases
Each therapy is closely monitored in follow-up visits at our Silver Spring clinic, with labs checked at 6-week and 3-month intervals.
Treatment Timeline & Monitoring
Once your personalized gynecomastia plan begins, progress is reviewed at specific milestones so results are measurable:
- Baseline (Week 0): Full hormone panel and ultrasound baseline.
- 6 Weeks: Pain typically subsides, and breast tissue begins to soften.
- 3 Months: Many Silver Spring patients see up to 50% reduction in gland size and improved body contour.
- 6 Months: Dr. Folawewo adjusts medications or tapers therapy based on outcomes; most achieve their contour goals without surgery.
By tracking each stage, Hilltop Endocrinology Silver Spring ensures steady, predictable improvement.
Schedule Your Evaluation in Silver Spring, MD
If you’re ready to address gynecomastia without surgery, Dr. Kehinde Folawewo and the Hilltop Endocrinology Silver Spring team are here to help.
Call (301) 567-9570 or book an appointment online to begin your evaluation today.
Frequently Asked Question
What is the most effective treatment for menopause?
The most effective treatment for menopause is personalized hormone replacement therapy (HRT), which balances estrogen and progesterone to alleviate symptoms. Non-hormonal options may be used based on individual needs.
Which doctor is best to see for menopause?
A double board-certified endocrinologist, such as Dr. Kehinde Folawewo, is ideal for menopause treatment, as they specialize in hormonal and metabolic health.
Which medicine is best during menopause?
The best medicine varies by individual, but estrogen-based therapies (HRT) and non-hormonal options like SSRIs/SNRIs or gabapentin are commonly prescribed.