Se você é homem e sente que seu peito parece um pouco maior do que o normal, pode ser um caso de ginecomastia. Trata-se de uma condição que afeta apenas pessoas do sexo masculino, causando uma hipertrofia das glândulas mamárias. Ou seja, os peitos acabam aumentando além do usual como consequência das várias alterações hormonais da puberdade. Confira o nosso guia sobre o assunto para entender melhor como a ginecomastia afeta homens, seus efeitos e possíveis tratamentos.
Quem sofre com ginecomastia
A condição costuma aparecer durante a puberdade, ou seja, afeta garotos a partir dos 13 ou 14 anos. Normalmente, essa alteração das mamas dura por volta de seis meses, talvez até menos, e o tamanho delas acaba voltando ao padrão depois disso. Entretanto, existem casos de continuidade deste problema em que a hipertrofia das glândulas permanece até a vida adulta. Além disso, é comum casos parecidos em homens mais velhos, com mais de 70 anos.
Mas vale uma diferenciação aqui: o aumento dos peitos também pode ser confundido com casos de pseudoginecomastia, onde há um grande depósito de gordura sob o mamilo, mas não há indícios de aumento do tecido da glândula.
Causas
O aumento das glândulas mamárias masculinas pode acontecer por diversos motivos, mas normalmente passam por alterações hormonais, incluindo altas de estrogênio. Aliás, é por isso que é tão comum que isso aconteça durante a puberdade. Além disso, há outras questões que podem estar relacionadas ao problema: obesidade, insuficiência renal, uso de anabolizantes, infecção nos testículos e uso de medicamentos.
Diagnóstico
Casos de ginecomastia normalmente são encontrados a partir do sintoma padrão de aumento das mamas, mas o diagnóstico é um pouco mais complexo. Ele acontece a partir de uma visita ao médico, que vai apalpar a mama: se a consistência for elástica e com um tecido firme, a suspeita é confirmada. Mas se houver apenas gordura, trata-se de pseudoginecomastia.
E vale lembrar que a visita ao médico é importante porque o aumento das mamas também pode ocorrer a partir de casos de hipertireoidismo e insuficiência hepática. Além disso, uso de anabolizantes, diuréticos, anti-hipertensivos e medicamentos para tratar de câncer de próstata também contribuem para essa hipertrofia.
Tratamentos indicados
Quando se fala de tratamento para a ginecomastia, as opções são variadas e dependem das causas. Em alguns casos, uma reposição de testosterona é o suficiente. Em outros, é necessário a suspensão do uso de medicamentos ou anabolizantes, caso uma dessas coisas tenha sido a causa principal. E em algumas situações específicas, quando a regressão do tamanho demora a acontecer, o mais indicado é fazer uma correção cirúrgica.
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