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Gynaecomastia (male breast growth)

Updated this week

The information provided on this article is for informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. While we strive to present accurate and up-to-date details about potential side effects, individual experiences may vary. Always consult a qualified healthcare provider before starting, changing, or discontinuing any medication or treatment. If you experience severe or unexpected side effects, seek medical attention immediately.

What is Gynaecomastia?

Gynaecomastia is the enlargement of breast tissue in males. It can affect one or both breasts, sometimes unevenly. This condition is common and can occur at any age, including as a side effect of certain medications.

Medication-Induced Gynaecomastia

Several types of medications can cause gynaecomastia as a side effect. These include:

  • Anti-androgens used for prostate conditions

  • Certain antipsychotics and antidepressants

  • Some antibiotics

  • Cardiovascular medications (such as certain calcium channel blockers, ACE inhibitors, and digitalis)

  • Hormonal medications

  • Some cancer treatments

  • Anti-ulcer medications

  • Anti-anxiety medications

Why Does This Happen?

Gynaecomastia occurs due to an imbalance between the hormones testosterone and oestrogen. When medication affects these hormone levels or how the body responds to them, breast tissue may develop or enlarge. This is typically due to:

  • Decreased testosterone production or action

  • Increased oestrogen production or action

  • Alterations in hormone metabolism

Symptoms You May Experience

Common symptoms include:

  • Swelling or enlargement of breast tissue

  • Tenderness or sensitivity in the breast area

  • Sometimes a rubbery or firm mass under the nipple area

  • Occasionally, mild pain or discomfort

Medical Management

If you suspect your medication is causing gynaecomastia:

  • Do not stop taking your medication without consulting your doctor. The benefits of your medication may outweigh this side effect.

  • Discuss with your healthcare provider about potential alternatives that might not cause this side effect.

  • In some cases, additional medications may be prescribed to help manage the gynaecomastia while continuing your essential treatment.

Self-Care Strategies

While managing this condition:

  • Wear supportive, comfortable clothing that may help conceal the condition and reduce discomfort

  • Maintain a healthy weight, as excess body fat can contribute to gynaecomastia

  • Avoid recreational drugs and excessive alcohol, which can worsen the condition

  • Consider gentle exercise, but consult with your doctor if you experience discomfort

Psychological Support

Gynaecomastia can cause emotional distress, embarrassment, or anxiety. Consider:

  • Speaking with a counsellor or therapist if you're struggling with body image concerns

  • Discussing your feelings with trusted friends, family members, or healthcare providers

When to Seek Medical Attention

Contact your healthcare provider if you experience:

  • Pain, especially if it increases

  • Discharge from the nipple

  • Rapid enlargement

  • Hard lumps or masses

  • Skin changes such as dimpling or puckering

Treatment Options

Depending on the severity and cause:

  • Medication adjustment: Your doctor may change your dosage or prescribe an alternative medication

  • Time: In many cases, gynaecomastia resolves on its own when the medication is stopped or adjusted

  • Medication for gynaecomastia: Certain medications can help reduce breast tissue

  • Surgery: In severe or persistent cases, surgical options may be considered

Remember

Gynaecomastia is a common medical condition that affects many men. With proper medical care and support, most cases can be effectively managed. Always consult with your healthcare provider before making any changes to your medication regimen.

Conclusion

Medication-induced gynaecomastia, while concerning, is a manageable condition that affects many men. Understanding that this is a recognised side effect of certain medications can help reduce anxiety about the symptoms. With appropriate medical consultation, most cases can be effectively addressed through medication adjustments, lifestyle modifications, or in some cases, additional treatments.

Remember that your healthcare team is there to support you in managing all aspects of your treatment, including side effects like gynaecomastia. Open communication with your healthcare provider is essential to ensure you receive appropriate care while maintaining the benefits of your medication regimen.

If you need additional support, contact the member care team at BIOV8 on live chat or on [email protected].

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