how to know if you have gynecomastia?
Gynecomastia is a widespread but often misconceived condition in men of different ages. It happens when breast tissue growth happens in males, it can be an inherent condition with the patient being totally normal or caused by hormonal imbalances that result in increased estrogen levels or reduced testosterone levels.
This condition can cause emotional distress and physical discomfort, leading many men to seek solutions like gynecomastia surgery or male breast reduction surgery.
If you’ve been experiencing symptoms such as swollen or enlarged breasts, tenderness, or a feeling of heaviness in the chest area, you might be wondering whether you have gynecomastia.
Understanding the early signs and knowing when to consult a medical professional is crucial for effectively addressing the condition. This blog post will discuss recognizing gynecomastia, what causes it, and how gynecomastia surgery can help.
What is gynecomastia?
Gynecomastia refers to the benign (non-cancerous) enlargement of male breast tissue. It is caused by an imbalance between the hormones estrogen and testosterone, leading to excess tissue growth in the chest. While gynecomastia itself is not dangerous, it can cause significant discomfort and affect a person’s self-esteem and confidence.
Early signs of gynecomastia
Recognizing the early signs of gynecomastia is essential for seeking timely medical intervention. Some of the most common symptoms to look out for include:
Enlarged breasts: The breast area is the most common indication of gynecomastia, and it can affect one breast or both. The breast may look swollen or larger than normal. The enlargement might not always be even, and you will see a prominent lump or mass of tissue in the nipple area.
Tenderness and pain: Gynecomastia in most instances is coupled with tenderness or pain within the chest. This discomfort may vary from mild to more intense and may worsen with touch or pressure.
Nipple changes: Some men with gynecomastia experience changes in the appearance or sensitivity of their nipples. The nipples may become more noticeable, enlarged, or sensitive to touch. In some cases, there may be discharge from the nipple, although this is unusual.
Uneven chest appearance: Gynecomastia may cause one breast to be noticeably larger than the other, leading to asymmetry in the chest area. This can be distressing for those who are self-conscious about their appearance.

Causes of gynecomastia
Gynecomastia can be caused by various factors, ranging from hormonal imbalances to lifestyle choices. Some of the most common causes include:
- Inherent condition: in otherwise normal males
- Puberty: Pubertal hormonal fluctuations may cause transient gynecomastia in young boys. It is a natural part of development, but in some cases, it may persist into adulthood.
- Hormonal imbalances: Both a reduction in testosterone production or an excess of estrogen can cause gynecomastia. This hormonal imbalance can occur due to age, certain medical conditions, or medications.
- Obesity: Having more body fat may increase estrogen levels, which might lead to the development of gynecomastia.
- Medications: Drugs like steroids, anti-androgens, and certain medications used to treat heart diseases can result in gynecomastia as a side effect.
- Other medical conditions: Conditions such as hypogonadism, kidney failure, liver disease, and tumors may lead to hormonal imbalances that cause gynecomastia.
How to know if you have gynecomastia?
If you’re noticing signs of breast enlargement or tenderness in the chest area, it’s essential to consult with Dr. Salil Bharadwaj for an accurate diagnosis. He will interview you, perform a physical examination, and suggest additional testing to exclude other disorders that may have a similar presentation, including lipomas or cancer of the breast.
Here’s how to know if you have gynecomastia:
1- Physical examination: Dr. Salil Bharadwaj will conduct a complete physical exam to evaluate the breast tissue and look for any lumps or abnormalities. He may feel the breast tissue to determine whether it’s glandular (typical of gynecomastia) or fatty (which may indicate pseudo-gynecomastia).
2- Hormonal tests: Blood tests can help evaluate your hormone levels, particularly testosterone and estrogen. This will indicate if a hormonal imbalance is causing your condition.
3- Imaging Tests: In a few instances, imaging tests such as mammograms or ultrasounds may be suggested to further check the breast tissue and eliminate other causes of swelling or lumps.
Gynecomastia surgery: When is it necessary?
If you’ve been diagnosed with gynecomastia and it’s causing physical discomfort or emotional distress, you might be eligible for gynecomastia or male breast reduction surgery.
This is especially true if the condition doesn’t resolve independently or with other treatments, such as medication or lifestyle changes. Gynecomastia surgery involves removing extra breast tissue and liposuction to remove fat.
The process is generally done under general anesthesia, and the time for recovery can depend on how extensive the procedure is. Men experience improved chest contour and greater self-confidence after the procedure.
How painful is gynecomastia surgery?
One of the most common concerns about gynecomastia surgery is pain. While every patient’s experience is different, the procedure is not a difficult one with a short recovery. Some pain, swelling, and bruising can occur after surgery, but these can be controlled with pain medication that your surgeon will prescribe.
Return to routine activity happens within a day or two, complete recovery will take several weeks, with patients being cautioned against heavy activities involving the chest and instructed on the use of a compression garment to prevent swelling. The pain usually subsides within a few days, but full recovery may take up to six weeks, depending on the extent of the surgery.
If you’re experiencing signs of gynecomastia and want to explore your treatment options, take the first step toward feeling more confident in your body. Book a personalized consultation with Dr. Salil Bharadwaj today.
Let him help you find the best solution tailored to your needs. Don’t wait – your journey to a more comfortable and confident you begins now!