Gynecomastia history and symptoms

Gynecomastia Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

The majority of patients with [disease name] are asymptomatic. OR The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].

History and Symptoms

History

Age of onset

• Physiological gynecomastia has trimodal distribution occurring in neonatal, in pubertal age and in the elderly.

• Pathological gynecomastia can occur at any age secondary to any condition causing increased free estrogen to androgen ratio.

Past Medical History

• Gynecomastia is associated with a past medical history of cirrhosis, chronic renal disease, hyperthyroidism, orchitis, trauma to testis or use of medications (eg, prescription medications, over-the-counter medications, recreational drugs).

Social History

• Patients may have a history of use of illicit drugs or decrease in libido which might suggest hypogonadism.

Common Symptoms

Common symptoms of [disease] include:

• [symptom 1]
• [symptom 2]
• [symptom 3]

Less Common Symptoms

• Less common symptoms of [disease name] include
  • [symptom 1]
  • [symptom 2]
  • [symptom 3]

• Complete history exam should include the following:

  • Family history
  • Developmental history
  • Associated symptoms
  • Detailed past medical history
  • Careful drug history