[20M] Concerns about persistent gynecomastia and body fat distribution

What might be happening

Based on the information you've provided, possible diagnoses include:

• Gynecomastia: This is a condition characterized by enlargement of the gland tissue of the male breast. It's usually caused by an imbalance of the hormones estrogen and testosterone and can affect one or both breasts, sometimes unevenly. Gynecomastia can cause breast tenderness and swelling, which you've described.
  • Treatment for gynecomastia can include medication or surgery if other options are not effective or if the gynecomastia is severe.
• Hormonal Imbalance: Your symptoms could also be due to a hormonal imbalance, such as low testosterone. This can result in increased body fat, decreased muscle mass, and changes in sexual function, including reduced testicle size and low libido.
  • Treatment for hormonal imbalances can include lifestyle changes, medication, or hormone replacement therapy.

Please note that the use of certain substances, such as anabolic steroids, androgens, amphetamines, and certain supplements can also cause gynecomastia.

What you can do

You should consult a healthcare provider for a formal diagnosis. They may order blood tests to check your hormone levels, mammograms, or other imaging to evaluate the breast tissue, and in some cases, tissue biopsies.

In the meantime, you can try the following:

1. Maintain a healthy lifestyle: Regular exercise and a healthy diet can help manage symptoms of hormonal imbalances and improve overall health.
2. Limit alcohol and avoid illegal drugs: These can affect hormone production and increase the risk of gynecomastia.
3. Review your medications: Some medications can cause gynecomastia. Don't stop taking any prescribed medications without speaking to your healthcare provider first, but do bring a list of all your medications to your appointment for review.

What you should look out for

You should seek immediate medical attention if you experience:

• A lump in your breast that is increasing in size or becoming more painful
• Nipple discharge from one or both breasts
• Signs of infection, such as redness, warmth, or pus around the breast

Remember, I am an AI and this advice is based on the information you provided. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.