تثدي الرجال

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Appropriate treatment of the hyperthyroidism can lead to the resolution of the gynecomastia. Medications are known to trigger gynecomastia through numerous different mechanisms.  علاج تثدي الرجال  consist of increasing estrogen levels, imitating estrogen, reducing levels of testosterone or other androgens, blocking androgen receptors, increasing prolactin levels, or through unidentified ways. High levels of prolactin in the blood (which might occur as a result of certain tumors or as a side result of particular medications) has been related to gynecomastia.

Receptors for prolactin and other hormones including insulin-like development aspect 1, insulin-like development element 2, luteinizing hormone, progesterone, and human chorionic gonadotropin have actually been found in male breast tissue, but the effect of these different hormonal agents on gynecomastia advancement is not well understood. Medical diagnosis [modify] To detect gynecomastia, an extensive history and physical exam are acquired by a doctor.

Gynecomastia usually presents with bilateral involvement of the breast tissue but may take place unilaterally too. An evaluation of the medications or prohibited compounds an individual takes might reveal the cause of gynecomastia. Advised lab investigations to discover the underlying reason for gynecomastia consist of tests for aspartate transaminase and alanine transaminase to dismiss liver illness, serum creatinine to figure out if kidney damage exists, and thyroid-stimulating hormonal agent levels to evaluate for hyperthyroidism.

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High levels of prolactin are uncommon in people with gynecomastia. If -h, CG levels are unusually high, then ultrasound of the testicles should be performed to check for indications of a hormone-secreting testicular tumor. Markers of testicular, adrenal, or other growths such as urinary 17-ketosteroid or serum dehydroepiandrosterone may likewise be inspected if there is proof of hormonal imbalance on physical exam.

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Differential medical diagnosis [edit] Other reasons for male breast augmentation such as mastitis, breast cancer, pseudogynecomastia, lipoma, sebaceous cyst, dermoid cyst, hematoma, transition, ductal ectasia, fat necrosis, or a hamartoma are generally left out before making the medical diagnosis. Another condition that might be puzzled with gynecomastia is enhancement of the pectoralis muscles. [] Imaging [edit] Mammography is the technique of choice for radiologic examination of male breast tissue in the medical diagnosis of gynecomastia when breast cancer is presumed on health examination.