I'm 30 and always keep fit and trained. Gyno progression is getting worse. What should I do next?

Thank you for sharing your question and I am sorry to hear of your gynecomastia progression. I would advocate seeing a board certified plastic surgeon in consultation to discuss what may be taking place.  Unless you have certain risk factors, such as steroid use, development of gynecomastia in one's 30's is not common and may indicate the need for a hormone/endocrine workup.  If you have had the gynecomastia since adolescence but has only recently worsened in appearance it may be that reduction in the chest soft tissues through diet and exercise is making the gynecomastia more noticeable.  Hope this helps.

Treatment of gynecomastia is generally very effective and it does not recur. Time for you to get a good exam from an experienced gynecomastia surgeon who can give you an honest opinion on treatment. Good luck.

Thanks for your question. Gynaecomastia is very unlikely to be related to diet. However there is an association with certain medications and supplements. There are a few rare diseases that can also cause gynaecomastia, such as testicular tumours. However ideopathic (=cause unknown) is by far and away the commonst cause.

30 is not a common age for gynecomastia. It tends to hit younger or older. I would suggest that you see your interest for a complete work up and proceed from there. Best of luck.

Gynecomastia most commonly results from residual tissue since puberty. Then comes the hormones/prohormone group, medications and so on. If you are truly getting larger over six months I would visit with an endocrinologist. 
If you are doing well medically with no known reason for developing gynecomastia I would seek out treatment. If all the tissue is removed it will solve the appearance problem, the pain and it won't come back. It's important that your doctors make sure that there is no medical cause/medication issue.

It is unusual for gynecomastia to appear at 30 years old and progress without their being either an external cause (eg. taking steroids or supplements that change hormone levels) or a physiologic (an improper hormone balance in your body which could have many causes).  You need to be seen by an Endocrinologist and have a workup done to determine the cause of the breast growth.  It could be something simple or something very serious.  This must be done before considering surgery.Gynecomastia does not usually recur after surgery.

If your gynecomastia is continuing to progress at your age, further investigation needs to be done to determine the cause. If you are not using any type of steroid or nutritional supplement that could be contributing to the problem then your would need to work with your physician to investigate further. Certain types of medications can cause or worsen gynecomastia. Also you should have a complete lab workup to check hormone levels to rule out any type of hormone secreting tumor. Additionally, more detailed workup involving a mammogram and possibly biopsy could be indicated if everything else is negative. Finally, there are inherited conditions and chronic medical problems that can contribute to gynecomastia, but with your level of health otherwise being good, that seems unlikely.Progression of gynecomastia in your age group with no obvious underlying causes (steroids for example) should be taken seriously and appropriate workup instituted.Good luck.