Gynaecomastia

Plzz suggest management for gynaecomastia... young boy around age 18. with the above complaints..

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Plz update picture of patient I think in 18yr old boy there is no need of treatment this due to hormonal change .It will subside it own.
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Clomiphene can be used to treat gynecomastia. It can be taken for up to 6 months. The selective estrogen receptor modulator (SERM) tamoxifen (Nolvadex) has been shown to reduce breast volume in gynecomastia, but it was not able to entirely eliminate all of the breast tissue.
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Hormone therapy or else surgical correction Experts opinion
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1
Join the aerobics classes and do daily moderate exercise