Adolescent gynecomastia - hormonal changes the body
Adolescent gynecomastia is most often physiological, develops on the background of hormonal changes the body.The treatment does not require, unless, of course, was uneventful.It does not require treatment and neonatal gynecomastia, which developed under the influence of female hormones mother.
physiological gynecomastia among children and adolescents - what is it
Physiological gynecomastia - a breast enlargement, which is a variant of the norm.Develops it at certain periods of human life against the background of hormonal changes.Physiological gynecomastia include, for example, gynecomastia in newborns, which develops after the birth of a boy because of the content of his blood in a large amount of estrogen, her mother sent.
When the blood of adolescents increased amounts of estrogen may also be signs of gynecomastia that pass on their own without treatment.Blood test for hormones at the same time does not detect a stable hormonal disorders.The cause physiological teenage gynecomastia is often excessive aromatase activity - adrenal enzyme, because of which testosterone is the male sex is converted into the female sex hormone estrogen.Pubertal gynecomastia is observed more than half of healthy boys aged 13-14 years.
Pathological gynecomastia in adolescents
Adolescent gynecomastia develops after the onset of puberty Puberty child - stages of a complex path .In some cases, adolescents develop gynecomastia persistent youth that age does not go through.The reasons for its occurrence is not always possible to identify and then it belongs to one of the variants of idiopathic gynecomastia Gynecomastia - known since antiquity .
gynecomastia in boys may appear not only in adolescence but before.Gynecomastia in children, if they have no other signs of puberty, talking about serious violations in the hormonal system.Basically experts are trying to eliminate in this case, hormone producing tumors of the testicles or adrenal glands.
Gynecomastia frequently develops in the background of congenital underdevelopment sexual glands (hypogonadism), as well as toxic, infectious, radiation damage gonads, injuries, diseases and tumors of the hypothalamus and pituitary gland.The hypothalamus is the part of the brain that is responsible for the entire endocrine system and the pituitary gland - is the main endocrine gland, which regulates the activity of other glands, including sex.
Gynecomastia girls do not exist, but similar changes in the breast in adolescent girls against the background of hormonal changes occur, they are known as mastitis.
gynecomastia in adolescents manifested in the appearance of the breast (or both glands) swelling.Most often swelling tenderness, its boundaries are indistinct, the surface is smooth or slightly grainy.Located kind of education directly under the nipple and initially has a diameter of less than 1 cm. Over time, education can grow to 10 cm in diameter, from the nipple often appear transparent or spotting Spotting - it is important to rule out pathology .As a rule, it is not dangerous symptoms, and after normalization of hormonal levels (a few months), they are - self-sealing resolved.Cheerleaders can
small dense formation with clear margins - at least, it will require ultrasound (US) to prevent cancer (it happens sometimes, though rarely).
Gynecomastia can be complicated by suppuration - infection gets into the mammary gland through a duct or microtrauma nipples.Develops inflammation - mastitis, which requires access to medical care
teenager requires a thorough examination to rule out congenital anomalies of genital organs, systemic diseases, and tumors of the genital organs, hypothalamus, pituitary,adrenals, liver.For this study blood on hormones, X-ray (mammogram) and breast ultrasound, abdominal cavity and pelvis.If necessary, wires and other studies, including an MRI of the brain.
If there is doubt about the benign nature of education, needle biopsy is performed, followed by laboratory examination of biological material taken.
sure to try to identify possible toxic effects on the body that can enhance hormonal disorders Hormonal disorders - oversupply and a lack of equally dangerous , - smoking, alcohol abuse, drugs, taking various drugs and so on.
treatment of gynecomastia in adolescents
Physiological gynecomastia treatment is not required, but for a teenager watching to notice in time complications.
Pathological gynecomastia goes away after treatment of the underlying disease that caused it.If, despite treatment, gynecomastia persists assigned surgical treatment - Education in the breast is removed sometimes with breast tissue.