Pseudogynecomastia Guide: Causes, Symptoms, and Solutions
Pseudogynecomastia Info

Pseudogynecomastia Guide: Causes, Symptoms, and Solutions

Pseudogynecomastia is a condition in men that has similarities and differences from gynecomastia. Pseudo means either false or masking something else. Pseudogynecomastia can be understood as false gynecomastia or something that has a similar appearance to gynecomastia. In case you’re unfamiliar with gynecomastia, it refers to men developing excessive breast tissue in the breast glands. Here’s more of what you need to know about the condition of pseudogynecomastia. 

Male breast causes 

Pseudogynecomastia happens when a male has breast enlargement due to chest fat. Medical and health professionals typically use clinical terms adipomastia or lipomastia. Men who discover they have breast enlargement may mistakenly conclude it’s gynecomastia, which is enlarged breasts caused by excessive breast tissue growth. As one is caused by fat, and the other is caused by tissue growth, pseudogynecomastia and gynecomastia are two distinct types of breast enlargement. Since pseudogynecomastia relates to excess fat, one simple cause of this condition in men is an excess intake of fat in the body.  

excess fat contributing to pseudogynecomastia

The fat gets stored around and behind the male nipple and builds up over time to form a male breast. A more complex cause of this condition could be that hormone levels have changed. A male patient may develop high estrogen levels combined with low metabolism and low testosterone levels. Researchers have concluded that when men have high estrogen levels, it correlates to more retaining of fat in the chest. The stored fat in the male breast tissue will produce an enzyme called aromatase. This enzyme converts testosterone into more estrogen. As estrogen builds up, it signals the body to develop feminine features like breast tissue, and as a result, causes enlarged breasts. 


The symptoms of pseudogynecomastia are fairly similar to the symptoms of gynecomastia. It’s because of that, it’s more difficult to diagnose, and it’s best to seek medical advice. A medical professional can examine you and determine which condition you’re suffering from. Until you have your scheduled appointment, there are a few things you can pay attention to. You should note that if you’ve gained any weight within the time period, your chest has grown larger. Additionally, take your fingers and push into your breast tissue. If it feels rubbery or firm, it may be a sign of pseudogynecomastia. Men should also look at themselves in the mirror to see if one male breast is bigger than the other.  

Are breasts in men normal? 

Every male has some breast tissue in their body, which is normal. Additionally, the development of pseudogynecomastia and gynecomastia can be quite common. Male babies, boys during puberty, middle-aged men, and older men all can develop pseudogynecomastia because of changes in hormone levels that occur during these times, which can correlate with fat gain. As they reach older age, men can sometimes struggle with maintaining a proper weight, leading to a potential for pseudogynecomastia to occur. While the condition is common, it may be embarrassing for some men, as they might have their chest negatively referred to with terms such as “man boob,” “man boobs,” or “man with boobs.” 

Can breast pain occur with pseudogynecomastia? 

gynecomastia male breast pain

In general, no breast pain or tenderness occurs because of pseudogynecomastia. Breast pain more often occurs in patients with gynecomastia. In rare cases, breast cancer can be a cause of breast pain. Other symptoms associated with male breast cancer include changes in the skin, redness, or discharge of the nipples, and a lump. It’s important to seek a medical opinion to rule out anything more serious. Typically, a blood test and a mammogram are conducted, as well as a physical examination. A doctor may also choose to order a breast tissue biopsy and an MRI. The combination of medical tests can help determine whether a male patient has pseudogynecomastia, gynecomastia, breast cancer, or any other condition. 

Non-surgical treatment for pseudogynecomastia 

There are a few different treatment options that male patients can consider to treat pseudogynecomastia. Most doctors will usually recommend weight loss and exercise first. In most cases, it may be enough to cure a patient of the condition. Resistance training and chest exercises will likely be suggested. Another option a patient may consider is a compression shirt. Compression shirts help to give men the appearance of a flat chest and leaner physique.  

There has been some research that has shown compression shirts can increase blood flow. That can help increase the breakdown of fat in the chest area. Supplements and medication can also help with reducing the male breast size. The type of supplement will usually be one that burns fat and re-balances the hormones in the body.  

Surgical treatments for pseudogynecomastia 

If all other non-surgical treatments fail to treat pseudogynecomastia, a doctor will recommend the surgical option of liposuction. During this procedure, a surgeon will cut a small incision and remove the excess fat cells. The surgery cost can vary, and it’s important to communicate with a cosmetic surgeon to get an accurate price range. 

In addition to liposuction, skin tightening surgery could also be required if the breast tissue has stretched. The surgery results can be effective, with men having a more lean appearance in their chest region. It’s important to keep in mind that a full recovery can take between two to four weeks, and complications such as loss of nipple skin, scarring, bruising, and bleeding can happen. 

Pseudogynecomastia can be a common issue in younger men and older men. It’s important to carefully consider all of your options when it comes to your health. Be sure to seek medical advice to confirm your condition. It will also rule out any more serious conditions, such as breast cancer. With consistent treatment, it can be possible for men to heal their pseudogynecomastia completely and feel more confident and comfortable in their bodies again.

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