Gynecomastia and Prolactinoma
If you have developed gynecomastia at a time when your hormone levels should be relatively stable, you may want to consider being evaluated for a possible prolactinoma. Though it doesn’t happen often, we do see patients with this condition in our offices in New York, as gynecomastia is one of the symptoms in men.
A prolactinoma is a benign growth – or adenoma – of the pituitary gland. According to the Mayo Clinic, the growth produces excess amounts of a hormone called prolactin, which serves to decrease testosterone in men. Symptoms vary from patient to patient, and can include erectile dysfunction, loss of sexual desire, decreased body hair, a milk-like secretion from the breasts and gynecomastia.
The Mayo Clinic notes that women tend to notice prolactinoma symptoms earlier than men do, possibly because missed periods are common for women. Men often don’t notice anything unusual until the adenoma is much larger and causes headaches and/or vision problems.
If you believe you have the symptoms of a prolactinoma, a visit to your doctor is in order. He or she may refer you to an endocrinologist who will test your blood to see if you have elevated levels of prolactin. You may also undergo imaging, such as a CAT scan or an MRI, to help confirm the diagnosis and see how large the growth is.
Oral medications are available to suppress prolactin production, and some are effective in shrinking the prolactinoma in some patients. If treating the growth with medication is not effective, or if your vision is impaired, surgery may be the right course of action. Some patients do best with a combination of medication and surgery.
If enlarged male breasts persist after treatment, patients may be candidates for plastic surgery. For our New York gynecomastia patients with prolactinoma, we make every effort to coordinate care with other physicians to ensure the best possible outcome.
We have been performing male breast reduction for many years and have worked with 2,000 gynecomastia patients. When it comes to man boobs, we’ve seen about every shape and size you can imagine, and we’re experienced in the various causes of enlarged male breasts, including prolactinoma.
If you would like to hear our evaluation of your case, we would be happy to work with you. Just fill out our short contact form to request a consultation.