Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, enlightens readers about a condition called gynaecomastia that affects some men who are upset about their growing chest line.
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00:00 Hello everyone, welcome to the third installation of putting Dr G on the spot in this beautiful
00:06 pink October celebrating or bringing awareness to breast conditions that affect men.
00:13 And perhaps the biggest breast condition that affects men are big breasts in men called
00:20 gynecomastia.
00:28 Gynecomastia or sometimes derogatorily known as man boobs are actually protrusion or abnormal
00:37 excessive growth in men's breasts.
00:39 Why does that happen?
00:41 Actually it can be physiological or it can be endocrinological.
00:47 Physiologically and as a child is born there may be excess amount of estrogen in the body
00:53 then a male infant will have excessively big breasts.
00:59 In pediatric or adolescence there is change of hormone between testosterone and estrogen
01:05 and that itself can result in an enlarged breast and actually can affect up to 70% of
01:12 adolescent boys.
01:14 However as men get older there will be a condition called senile gynecomastia.
01:21 Senile doesn't mean that you are in your 80s, perhaps it also happens in your 50s.
01:28 And this is probably because of several factors that includes putting on weight.
01:33 For somebody who put on a lot of weight with truncal obesity then your estrogen level will
01:39 go up, your testosterone level comes down then you get gynecomastia.
01:44 Other conditions such as medication, there are certain drugs such as androgens that people
01:51 use or medication you use for hair loss and also medication such as antifungal itself
02:00 might also cause gynecomastia.
02:03 However men who worry about gynecomastia might worry about getting breast cancer.
02:10 On the contrary because breast cancer itself actually does not increase in risk with gynecomastia
02:17 in some way because gynecomastia produce a lot of the actual adipose tissues around the
02:24 breast.
02:25 If men develop breast cancer arguably you are protected against breast cancer being
02:30 too invasive.
02:32 So for those men who are really really upset about their growing chest line they might
02:38 consider several options.
02:40 One option is taking medication for breast cancer called tamoxifen.
02:45 Another option even radiotherapy of the chest or liposuction of the chest.
02:50 Otherwise if it really get too big you might even consider having a bra on.
02:56 But one thing for sure that actually will keep the chest really flat and nice without
03:01 gynecomastia is weight loss.
03:04 For the following week we are focusing even more breast conditions that affect men is
03:09 called nostalgia.
03:11 Why does that happen?
03:12 You need to find out.
03:14 Stay tuned for Putting Dr G on the Spot next week.
03:18 [Music]
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