Friday 10 February 2017

Man-boobs cruel joke or medical condition?!? (By K. Richards)


I have a cousin Jack who spends a great deal of time with us since his immediate family leaves out of town and he attends school in Roseau. Last year one week after Jack started high school a teacher asked him "to move himself he and his breast."
This comment was made in front of his whole class. He came home so dejected that my parents, brother and I decided to investigate with the hope to help him find a solution. Males like females have breast tissues and estrogen however in our society more and more males are being observed to have enlarged breast tissue referred to callously sometimes as man boobs. This however is a medical condition known as Gynecomastia that is becoming more prevalent in our society and many of the males with this condition are very self-conscious about it. My cousin for example is extremely self conscious about his condition. he is no longer able to go to the beach, sulphur springs or any other activity where his shirt needs to be off in front of people.

                   Picture comparing breast tissue of male without and with gynecomastia

Gynecomastia is a medical condition observed in new-borns, boys and men. This condition is as a result of an imbalance of the hormone levels of estrogen and testosterone resulting in enlarged breast tissue of either one or both breast. WebMD reports that on average seventy percent (70%) of boys suffer from gynecomastia before and especially during puberty. This is because of natural changes in estrogen and testosterone levels during that time of development. New-borns may also suffer from this condition due to the presence of estrogen in their blood from their mother. In new-borns, the condition is called short term gynecomastia and is often outgrown shortly after breast feeding has stopped. Middle aged and older males also suffer from this condition that as they grow older changes occur in their testosterone and estrogen levels this causes the breast tissue to develop and often appears the size of females their age or even bigger; which is often an embarrassing situation for many of these individuals.



Picture of middle aged man with gynecomastia

Though this condition has become more and more common, it has been realized that many are still unaware that the main reason for this increase in the appearance of gynecomastia is the medications taken and foods eaten by males. Some of these medications include:

-          Antibiotics

-          Heart medicines

-          Anti-anxiety drugs

-          AIDs medications

-          Chemotherapy

-          Heart burn medications

-          Asthma and bronchial anti-inflammatory drugs

According to Jack's doctor his condition is as a result of constant use of his asthma medication. About a year before the incident described above, he had an asthma flare up and was put on a lot of asthma medication. The problem with these medications is the high levels of steroids, hormones and side effects present in them. These disrupt the normal hormone levels in the blood and result in different complications like gynecomastia. Also, foods with a lot of preservatives and soy based products which most foods today contain increase the estrogen levels again resulting in complications and conditions like gynecomastia,

Depending on the cause of gynecomastia it tends to regress over a period of six months to two years. If the cause of the gynecomastia is hypogonadism, malnutrition or cirrhosis or it lasts over two years after periodic visits to their doctor, however treatment is needed. Treatment methods for gynecomastia include:

-        Stopping or substituting medications and foods that cause gynecomastia

-        Medications used to treat breast cancer and other conditions, such as tamoxifen (Soltamox), raloxifene (Evista) and aromatase inhibitors (Arimidex)

-         Surgery

1.      Liposuction: This surgery removes breast fat, but not the breast gland tissue itself

2.      Mastectomy: This type of surgery removes the breast gland tissue. This surgery is often done endoscopically that is, only small incisions are used. This is a less invasive type of surgery involves less recovery time.


Picture of gynecomastia patient before (left) and after (right) surgery
Since a major problem males with this condition face is bullying, low self esteem and low self confidence, males like Jack are investing in gynecomastia compression shirts. These shirts are extremely tight and conceal the appearance of gynecomastia making them appear to have normal chest this tends to increase their confidence levels and boost their self esteem. Since Jack has began to wear these vests he is a lot more confident, has higher self esteem and is more comfortable with his body. He is currently contemplating having the surgery, however his doctor has advised that he monitor the size of his breast tissue to ensure their I no change in size before having the surgery.
This condition is one that is physically painless but the psychological damage and pain is great I hope this blog helps someone be a little more conscious about the psychological effects Jack and many others like him suffer through and as a result will show more empathy when encountering the many young men with this condition in their schools, playgrounds, neighbourhoods and workplaces.

1 comment:

  1. I was able to overcome senile dementia via a complete naturopathic process.

    About two years ago, when I was 56, I started feeling foggy and had occasional memory lapses. My wife, Mary, started to notice it, too, but I also have hearing issues so she thought that was the problem. My memory worsened very gradually over the years, and we lived with it, compensating as needed. I became less social. After some months thereafter, it got to the point where we couldn’t keep making excuses or ignoring it. I had gone from doing our grocery shopping without a list to going with a list, to having the list but not buying what was on it.

    Mary went online to do some research, and it was during this process we had been fortunate enough to come across Dr. Utu Herbal Cure: an African herbalist and witch doctor whose professional works had majored on the eradication of certain viral conditions, especially dementia, ( improving the memory capacity positively), via a traditional, naturopathic process and distinguished diet plan. It was by the administration of this herbal specialist that I had been able to improve my condition for better. So to say, the encounter with the above-mentioned herbal practitioner was the first time we ever heard there was something that possibly can be done to improve my memory functionality.

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