a distinction between true gynecomastia and pseudo gynecomastia true gynecomastia involves an increase in glandular breast tissue pseudo gynecomastia means an increase in fatty tissue due to weight gain for example. going to can be diagnosed with a visual examination but it's important to identify any underlying causes these might be medication the patient is taking or underlying conditions like hormonal imbalance and other chronic disorder or tumors for unilateral gynecomastia patients usually have a mammogram to rule out male breast cancer if an underlying cause is found treatment can begin. the cause is unknown as with idiopathic gynecomastia it's possible to treat it with anti hormone therapy and that therapy works best when the breast is still growing and if the anti hormone therapy isn't effective then surgery is an option if the breast enlargement is caused by weight gain the best
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