Gynecomastia in a 15-year-old Boy- how to treat?
A 15-year-old boy is evaluated for gynecomastia that has continued to increase in size and discomfort during the past year. In addition, he also has moderate to severe acne that has not improved with topical therapies and systemic antibiotic drugs. He reports having some general fatigue as well as increased appetite, and he has gained 13 lb (5.9 kg) in the previous 7 months. There has been no fever, and apart from occasional headaches, he has no other complaints of pain. His personal and family medical history is otherwise normal. His only medications are minocycline and topical isotretinoin and clindamycin to treat his acne.
@anirban Most cases of gynecomastia resolve over time without treatment. However, if gynecomastia is caused by an underlying condition — such as hypogonadism, malnutrition or cirrhosis — that underlying condition may need treatment.If you're taking medications that may be the cause of gynecomastia, your doctor may recommend stopping them or substituting another medication. In adolescents with no apparent cause of gynecomastia other than normal hormone changes during puberty, the doctor may recommend periodic reevaluations every three to six months to see if the condition improves on its own. Gynecomastia in adolescents often goes away without treatment in less than two years. Treatment may be necessary if gynecomastia doesn't improve on its own or if it causes significant pain, tenderness or embarrassment.