No. Hormones are almost always normal with teen gynecomastia
Though very rare in adolescent boys, if hormone levels are abnormal producing an absolute or relative excess of female hormone (pathological gynecomastia), then a search must be made for some abnormality in the body. This search would include an abnormality or tumor of the adrenal gland or testicles or a genetic condition like Klinefelters syndrome.
Taking gym supplements or anabolic steroids can abnormally stimulate breast tissue creating “male breasts”. In the image below, a young boy was given gym supplements to “build muscle”. Even after stopping the supplements, the teen gynecomastia did not resolve. With surgical treatment, his chest returned to a normal shape.
During mid-puberty ( Tanner 3-4) when pubic hair and testicles are enlarging, there is thought to be a transient flux in hormones. At some point the female hormones are more present than the male hormones and the normal small breast tissue under the nipple gets stimulated to grow.
By late puberty ( age 17) with the male hormone surge, there is a regression of the breast tissue under the nipple. For unknown reason, about 10% of boys age 17 will have persistent gynecomastia that will not go away.
In a study that followed boys with gynecomastia and boys of the same age who did not have gynecomastia, over a three year period: no abnormal hormone levels were found to explain the gynecomastia. There was no difference in hormone levels between groups.
How is a young boy whose body is changing each year to explain to peers that the fullness of his chest (gynecomastia) is a normal part of puberty?
While we know that gynecomastia that shows up early in the teen years may regress, there is still a significant psychological and emotional burden when the chest looks feminine. The taunting and teasing can be very traumatizing.
Imagine being a young athlete, in the locker room or at the gym, wanting to work out, but being uncomfortable to be seen without a shirt. Over the last 25 years, treating a large number of boys with gynecomastia, the decision to have surgery is largely decided by the boy himself. By the time a young boy sees the plastic surgeon with his parents, he has struggled long enough and wants to treat the gynecomastia. By the late teen years 16-18yrs, the gynecomastia is likely to be persistent and not regress.
Dr. Ditesheim and his exceptional staff at Ditesheim Cosmetic Surgery are ready to help you take the first step in your liposuction treatment. Dr. Ditesheim welcomes gynecomastia consultations for the Charlotte, North Carolina area. In your initial consultation with Dr. Ditesheim, he will talk with you, review your medical history, examine you and discuss if gynecomastia is a safe procedure for you to consider.
• Lemaine V, Cayci C, Simmons PS, Petty P. Gynecomastia in adolescent males. Semin Plast Surg. 2013 Feb;27(1):56-61. doi: