How is gynecomastia diagnosed?

The diagnosis is based on physical symptoms, breast exam, medical history and medication review, and other exams. Breast pain and tenderness are common symptoms. Often times a firm rubbery disk of tissue, located directly beneath the nipple area, is felt during the exam. The lump is easily moveable within the breast tissue. Your doctor will review all the medications, supplements, and herbal products you take. Your doctor will also review your medical history and order tests to determine if other diseases/conditions are the cause of the gynecomastia. Breast imaging tests -- a mammogram and/or breast ultrasound -- may be ordered. These tests are usually ordered to rule out breast cancer. Your doctor may also order blood tests to check your hormone levels.

Last reviewed by a Cleveland Clinic medical professional on 06/10/2016.

References

  • American Academy of Family Physicians. Breast problems in men Accessed 6/10/2016.
  • Bembo SA. Carlson HE. Gynecomastia: its features, and when and how to treat it.Cleve Clin J Med 2004 Jun;71(6):511-7
  • Rahmani S, Turton P, Shaaban A, Dall B. Overview of gynecomastia in the modern era and the Leeds Gynaecomastia Investigation algorithm. Breast J 2011 May-Jun;17(3):246-55.
  • Gikas P, Mokbel K.Management of gynaecomastia: an update. Int J Clin Pract 2007 Jul;61(7):1209-15. Epub 2007 Mar 16.
  • Narula HS, Carlson HE. Gynecomastia. Endocrinology and Metabolism Clinics 2007;36(2):497-519.

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