Monday, July 18, 2016

The Gynecomastia Physical Exam

The Gynecomastia Physical Exam

Sacramento, California - Many men are anxious before their first consultation for gynecomastia. In a previous blog, Dr. Miguel Delgado, M.D. explains what patients can expect during their visit to help set their mind at ease. You can read that blog here.

Mentioned in that blog, is that there will be a physical exam, the purpose of this blog is to describe what that entails.




For Dr. Delgado to determine if the patient has true gynecomastia or pseudogynecomastia, he will have the patient lay flat so that an examination of the breasts can be performed. Dr. Delgado will place an area of the breast, which includes the tissue around the areola, between his forefinger and thumb. By gently squeezing his fingers together, Dr. Delgado can feel if there is a disk-shaped tissue which is firmer than if it is only fat. This tissue represents true gynecomastia. If the breast feels soft without any firmness, the patient most likely has pseudogynecomastia, which is caused by fat only. However, this is a small minority; most men have true gynecomastia.

In addition to determining what type of gynecomastia a patient has, Dr. Delgado will be checking for any nipple discharge, and for any enlargement of lymph nodes in the breasts or armpits.

Lumps or asymmetry of the testicles may warrant further testing, even though most lumps are benign, testicular cancer may attribute to swelling of the breasts. Breast cancer in men is very rare, but can occur. If Dr. Delgado determines during surgery that further testing of tissue may be necessary, tissue samples will be sent to pathology to rule out any concerns.

Much can be learned from the physical, call today (415) 898-4161 for a consultation to find what options are available to you. Serving Sacramento, California since 1988.