Does Finasteride Cause Gynecomastia?

Does Finasteride Cause Gynecomastia?

Many men across the world suffer from enlarged breasts, which can cause self-consciousness and embarrassment. This condition, called gynecomastia, can be caused by many different factors, including medication. Read on to learn more about how the hair growth medication Finasteride can affect gynecomastia, as well as other medications.

What is Gynecomastia?

Gynecomastia is a condition that is often caused by an imbalance of testosterone and estrogen in males. Certain medications can also cause male breast tissue to become enlarged. This enlarged breast tissue in boys and men can lead to self-consciousness. This condition can occur at different times in a male’s life, including at birth, during puberty, or adulthood.

There are also two types of gynecomastia including true gynecomastia and pseudo gynecomastia. With true gynecomastia, enlarged male breasts are caused by the development of breast tissue. The only solution for true gynecomastia is male breast reduction surgery. Pseudo gynecomastia is caused by an accumulation of fat in the chest area. It can often be reduced with weight loss or liposuction.

Finasteride Induced Gynecomastia

Finasteride is a popular treatment for androgenetic alopecia or male balding. It is given at a dose of 1 mg daily and has a relatively good safety profile. However, Finasteride is associated with gynecomastia in some men with a risk of about 4 to 10 out of every 1,000 users. Gynecomastia induced by Finasteride was often found to affect just one breast but can affect both as well. Some patients began to see gynecomastia symptoms as early as 1-2 weeks after starting this drug, but most noticed changes after a few months. Pain and/or tenderness often occur in those with Finasteride-induced gynecomastia due to the enlargement of breast tissue. For those who stop the drug completely in the early stages of gynecomastia, the condition may be reversed completely. However, if the drug is continued, it can lead to a stage of gynecomastia that can only be corrected with surgery.

Other Drugs that May Cause Gynecomastia

Along with Finasteride, there are also an array of other drugs that can lead to gynecomastia, including the following:

  • Heartburn medications: H-2 receptor blockers that are used to treat heartburn and ulcers have some evidence of causing gynecomastia. Cimetidine is a drug in this class that has one of the highest risks.
  • Ketoconazole (anti-fungal): The risk for gynecomastia is increased when taking oral Ketoconazole.
  • Lavender oil and tea tree oils: These essential oils have been shown to cause an increased risk of gynecomastia in children. Tee tree and lavender oils can be found in lotions, shampoos, and soaps.
  • Other drugs: Many other drugs can be linked to gynecomastia, including spironolactone, cimetidine, ketoconazole, hGH, estrogens, hCG, anti-androgens, GnRH analogs, and 5-α reductase inhibitors. Other drugs that have been labeled as “probably associated with gynecomastia” include verapamil, risperidone, omeprazole, nifedipine, alkylating agents, HIV medications, anabolic steroids, opioids, and alcohol.

Schedule a Consultation

If you are tired of living with gynecomastia and are seeking professional treatment, please contact Dr. Delgado today at 415-898-4161. Your first step toward treatment will be to schedule a consultation appointment to determine which treatment option is best for you.

What is Bodybuilder Gynecomastia?

What is Bodybuilder Gynecomastia?

Gynecomastia can affect any man, regardless of age or even body fat percentage. One group that is often negatively affected by gynecomastia are bodybuilders or people striving for a lean, muscular body. As people who care greatly about the way their body looks, developing excess breast tissue, even just a little, can be devastating for these men.

Dr. Miguel Delgado is a renowned gynecomastia specialist practicing in San Francisco who can eliminate your gynecomastia, no matter the cause or your condition.

What Causes Bodybuilder Gynecomastia?

The usual suspect for bodybuilder gynecomastia are steroids and other medications people might be taking to attain a certain physique. These drugs can mess with hormone levels, leading to the development of excess breast tissue in a localized are under the nipple or more widespread throughout the chest.

While some fitness buffs might think that simply stopping the medication will allow their chest to go back to normal, this is usually not the case. No amount of exercise or specific chest workouts can remove glandular tissue that may have grown during the course of performance enhancers. Even fat can be stubborn to diet and exercise as it contributes to a more feminine appearing chest and nipples.

Symptoms of Bodybuilder Gynecomastia

There are 4 generally recognized stages or grades of gynecomastia that can affect bodybuilders. Grade 1 gynecomastia consists of a minor enlargement of the normal male chest. Grade 2 is more developed, feminine-looking breasts and grade 3 typically begins to have drooping with excess skin. Grade 4 gynecomastia is significant enlargement coupled with significant excess skin that causes a downward-pointing nipple.

The most common symptoms bodybuilders might experience are steroid induced gynecomastia. This occurs when fat builds up directly beneath the nipple and areola, stretching that skin outward and causing a shiny, rounded, smooth appearance that bodybuilders find concerning.

Treating Bodybuilder Gynecomastia

Fortunately, gynecomastia does not pose any risks to a person’s health or fitness level. The major reason fitness experts seek out male breast reduction procedures is simply due to the appearance of the chest. For people whose bodies are their livelihood, who are passionate about creating a perfectly sculpted figure, it’s a distressing condition that can harm self-esteem and fuel embarrassment about their bodies.

Dr. Delgado treats gynecomastia on an individual basis, since everyone is different and has different goals from the procedure. Techniques like liposuction frequently work for people with puffy nipple gynecomastia or very little glandular tissue that’s causing a problem. However, for any excess skin or more severely enlarged breast tissue, excisional surgery will most likely need to be performed.

Gynecomastia Specialist in San Francisco

If you’ve been using anabolic steroids for performance enhancement and have seen a sudden change in your chest appearance or feeling, you may be experiencing gynecomastia. Stopping the medication sometimes works, but not always, and exercise alone rarely helps the appearance return to normal. For more information on gynecomastia surgery, browse this site or call Dr. Delgado to schedule a consultation today.