Dear patient,
I would recommend :
Lifestyle changes
• Focus on regular exercise (especially chest and upper body strength training).
• Maintain a healthy weight and reduce body fat to minimize chest prominence.
• Avoid alcohol, anabolic steroids, and drugs like spironolactone or finasteride (if used), which may worsen gynecomastia.
Endocrine evaluation
• If not done yet, a one-time blood test (
testosterone, estrogen,
prolactin,
TSH,
LH,
FSH) can help rule out hormonal causes.
Next Steps
Since it hasn’t worsened and there is no pain or distress, many people choose to leave it alone. Surgery (liposuction or gland removal) is the most definitive treatment but is elective and based on your cosmetic preference.
Let me know if you’d like help with further evaluation or investigations.
Health Tips
Avoid alcohol, anabolic steroids, marijuana, and unnecessary supplements.
• Review any long-term medications (like Spironolactone or Finasteride) with a doctor.
Take care.