How Do We Diagnose Gynecomastia?
Published: Sep 16, 2023
Diagnosing gynecomastia involves distinguishing it from other conditions and identifying its root cause.
Contents
Physical Examination
A physical exam is the first step in diagnosing gynecomastia. Doctors check for glandular tissue enlargement and differentiate it from fat deposits. The exam also helps in ruling out breast cancer, which is rare but possible.
Understanding Imaging Tests
Ultrasound or mammograms may be used if the physical exam is inconclusive. These imaging tests allow a closer look at the breast tissue, helping identify whether the enlargement is due to glandular tissue or fat.

Additional Diagnostic Tools
Blood tests can be helpful to assess hormone levels and identify underlying conditions like liver disease or hormonal imbalances. These tests guide the treatment plan based on whatβs causing the gynecomastia.
Frequently Asked Questions
It starts with a physical examination of the breast tissue.
They help differentiate between glandular tissue and fat deposits.
Yes, they check hormone levels and detect underlying issues.
The Bottom Line
Accurate diagnosis of gynecomastia is key to effective treatment.
References
- Johnson RE, Murad MH. Gynecomastia: pathophysiology, evaluation, and management. Mayo Clin Proc 2009; 84:1010.
- Cordova A, Moschella F. Algorithm for clinical evaluation and surgical treatment of gynaecomastia. J Plast Reconstr Aesthet Surg 2008; 61:41.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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