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How to treat the side effect gynecomastia caused by Steroids and Testosterone ?

What is the gynecomastia ?

When a man’s body produces little amounts of testosterone, it can lead to a disorder called gynecomastia, typically the growth of larger breasts. Testosterone ( a naturally occurring hormone) is in control of a male’s physical characteristics, sex drive, and mood. Therefore, gynecomastia is a result of an imbalance of hormones such as testosterone in men. Low testosterone causes not only gynecomastia but also erectile dysfunction, low sperm count, and reduced libido. However, both gynecomastia and low testosterone can be treated either through replacement therapy or medication.

Understanding Low Testosterone:

Usually, as men age, Testosterone levels decline a condition known as hypogonadism. According to scientific studies, 1out of 4 people over 45 years have hypogonadism that causes reduced libido, erectile dysfunction, low sperm count and enlarged male breasts- gynecomastia.

Understanding gynecomastia:

The male body yields several hormones responsible for masculinity such as testosterone and estrogen, though estrogen is at low levels. However, when testosterone levels are minimal compared to estrogen, or if there is the surplus production of estrogen to testosterone, the chances of developing larger breasts are high. It may also appear in boys who just hit puberty. A notable change in hormonal action in the body could cause gynecomastia, though this condition may resolve itself after some time without any treatment. It is also evident that the excess of breast tissue in some men may be equal in both breasts while for others one breast may become bigger than the other. In older males, a drop in testosterone levels causes gynecomastia which may persist if not treated. It is a harmful and severe condition that could cause sore breast in men of any age.

Causes of hypogonadism (low T) and gynecomastia:


  • Old age is usually the cause of low testosterone levels in men. However, health conditions such as damage to testes cells that produce testosterone, accidents, infection of testes, testicular cancer, inflammation, modes of cancer treatment such as radiation and chemotherapy and ailments that injure the brain.
  • New-born babies could also develop a short-term gynecomastia due to the presence of estrogen from their mothers’ that resides in their blood for some time after birth.
  • Another cause is the use of certain medicines such as Antibiotics, HIV and AIDS therapies, Anti-anxiety drugs, Tricyclic antidepressants, Heart drugs and heartburn drugs.
  • Abuse of medications like steroids and heroin and too much drinking of alcohol are another cause.
  • Some Herbal produces with tea tree oil, and lavender have natural estrogen that could upset a healthy body’s hormone production, therefore, resulting in an increase in breast size.
  • Another leading cause of hypogonadism is the consumption of anabolic steroids which often damages your body’s capacity in testosterone manufacture.


Anabolic Androgenic Steroids and Gynecomastia:

Use of Anabolic steroids will eventually cause Gynecomastia. An individual who develops from the use of steroids will have to stop using the drugs and check in with a doctor for the best course of action. How do you get rid of Gynecomastia acquired from steroids? Whichever the cause, Gynecomastia can only be handled by wearing compression shirts, taking supplements or prescription pills or through surgery. Gynecomastia from steroids isn’t critical condition though it is embarrassing. Not all steroids can cause Gynecomastia, Anabolic and Androgenic Steroids can. Mostly, steroids that aromatize such as Dianabol, Sustanon, and Anadrol can cause Gynecomastia. The length of time and the strength of the dose determine how long it might take to develop Gynecomastia and how severe it will be.


Symptoms of gynecomastia:

A major sign of gynecomastia is that men will have a firm and elastic muscle beneath the nipple that may be tender. The mass occupies an inch and a half diagonally there are no other symptoms though some individuals may experience soreness and some fluid discharge. It can affect either both breasts or just one


Approach Considerations to treatment:

The source of gynecomastia can’t always be apparent. It is therefore vital to check in with your doctor or an endocrinologist (a specialist in hormone imbalances). Commonly, no treatment is necessary for temporary gynecomastia such as puberty and on newborn babies. Adolescent gynecomastia disappears freely within several months to 3 years approximately. However, breasts larger than 5 cm thick may not degenerate. The first step in managing breast enlargement is determining the underlying cause is the first step to managing breast enlargement. If hypogonadism is the cause, then it calls for the institution of replacement therapy such as parenteral and transdermal.

However, it is worth noting that testosterone can worsen gynecomastia through the excretion of the exogenous hormone harmful to the body. Individuals with idiopathic/residual gynecomastia (occurs after treatment when the mass did not entirely disappear) will need medical or surgical attention. The primary cause does influence not only the choice of therapy but also the condition’s duration. For temporary Gynecomastia, there are compressions vests you can put on otherwise pills and surgery are the only forms of treatment.

Treatment against gynecomastia:

Some Medications used for breast cancer such as raloxifene (Evista) and aromatase inhibitors may be helpful when treating gynecomastia. Sometimes, medication may not work, and surgery might be the only two gynecomastia surgery alternatives that doctors offer are; Liposuction ( removal of breast fat and not the gland tissue) and Mastectomy (removal of breast gland tissue that involves less recovery time.

Steroid Gynecomastia Prevention:

The most appropriate option to prevent steroid-cased Gynecomastia to stop taking them. Steroids are drugs that cause hormonal balance, leading to the growth of breast tissue. Despite the devastating Gynecomastia cases caused by steroids, some people wonder whether steroids can reverse Gynecomastia. The answer is a no, it is the primary reason and will not fix the problem


Use of Steroids increases estrogen levels in the body thus undermining testosterone levels. Steroid abuse is almost inevitable to the development of Gynecomastia. It’s worth noting that all treatment alternatives for Gynecomastia are costly, we thus advice Professional body builders and amateurs to use Estrogen inhibitors such as Arimidex and Nolvadex that hinders gynecomastia. Once you have it, surgery can only cure it. Medication is another alternative that is cheaper than surgery, though less efficient. Most people with Gynecomastia use compression shirts as a temporary means while awaiting surgery for permanent resolution of the issue.

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