How to manage gynecomastia?

Question

Hi doctor,

I am a 25-year-old male who weighs 218 lbs and is 6 ft in height. Over the past few years, I have been dealing with fluctuations in hormones (higher prolactin, estrogen, and testosterone). After a couple of years, I ended up developing gynecomastia as diagnosed by an endocrinologist, and was referred to a plastic surgeon. My test was done to rule out Addison's disease or pituitary issues. Now my hormones have stabilized, except for a blood test done last month which shows my testosterone levels have more than halved in two years (24 to 11 nmol/l). My general practitioner says that I am still in the average range, but I feel less motivated, my sex drive has reduced significantly and I am struggling with overall mental health when usually I have no issues at all. Are these normal or should I have checked out more? To take measures in my hands, I have been trying to change my diet, and exercise and started taking supplements that increase testosterone. I am currently taking Bilastine and Bupropion. Please advise me what can I do.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I have gone through the query and I want to ask how are you doing today.

While your general practitioner states that your current testosterone levels are still within the average range, it may not necessarily mean that they are optimal for you individually. So in my opinion, further testing is needed.

Some lifestyle changes that may help improve testosterone levels include:

Exercise regularly: Engaging in regular exercise, especially weightlifting and high-intensity interval training (HIIT), can help increase testosterone levels.
Get enough sleep: Sleep plays an important role in regulating hormone levels, so it is important to aim for 7 to 9 hours of sleep per night.
Manage stress: High levels of stress can cause a decrease in testosterone levels, so finding ways to manage stress, such as meditation or yoga, can be helpful.
Maintain a healthy weight: Being overweight or obese can lead to lower testosterone levels, so maintaining a healthy weight through diet and exercise can help improve testosterone levels.
Eat a healthy diet: Consuming a diet rich in nutrients such as protein, healthy fats, and zinc can help improve testosterone levels.

I hope I answer your query.

Thank you.