In august of this year i had noticed that my right nipple was puffy and upon squeezing had leaked out milky fluid. I was referred to an endocrinologist, where we established the culprit of my condition, was from a sports supplement used for endurance. I've had all the tests and i was diagnosed with high Prolactin levels of 23 ng/ l and am currently taking Cabergoline for those symptoms. Although now i have developed a mass behind the nipple, that is 2 cm in size. is Surgery the only option?
September 27, 2016
Answer: Gynecomastia issue Hello, thank you for your question and photo. As for the first option should be to stop any supplement for training purposes. If the mass persist after 3-6 months (is very probably that it does) then think about the surgery option for gynecomastia treatment.
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September 27, 2016
Answer: Gynecomastia issue Hello, thank you for your question and photo. As for the first option should be to stop any supplement for training purposes. If the mass persist after 3-6 months (is very probably that it does) then think about the surgery option for gynecomastia treatment.
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September 27, 2016
Answer: Treatment of unilateral gynecomastia Fortunately, you have established a reasonable cause for the growth -- and yes, the body can be capricious and only grow on one side.Cabergoline is used mainly for a prolactinoma, a benign tumor of the pituitary gland -- which continually secretes prolactin. This can only be diagnosed with an MRI of the brain. Your case is different. Presumably, the prolactin was due to your ingestion of supplements and if you have stopped the supplements, then more than likely your prolactin levels will fall and so will your need for Cabergoline.As for the breast growth, it would be wise to stop all supplements and observe for about one year. If the tissue is still present, then the only option would be surgery.For further info about gynecomastia, please see my website, which is entirely devoted to the treatment of gynecomastia.Good luck!Elliot W. Jacobs, MD, FACSNew York City
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September 27, 2016
Answer: Treatment of unilateral gynecomastia Fortunately, you have established a reasonable cause for the growth -- and yes, the body can be capricious and only grow on one side.Cabergoline is used mainly for a prolactinoma, a benign tumor of the pituitary gland -- which continually secretes prolactin. This can only be diagnosed with an MRI of the brain. Your case is different. Presumably, the prolactin was due to your ingestion of supplements and if you have stopped the supplements, then more than likely your prolactin levels will fall and so will your need for Cabergoline.As for the breast growth, it would be wise to stop all supplements and observe for about one year. If the tissue is still present, then the only option would be surgery.For further info about gynecomastia, please see my website, which is entirely devoted to the treatment of gynecomastia.Good luck!Elliot W. Jacobs, MD, FACSNew York City
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