I am overweight by around 18 kg and have gynecomastia, which also runs in my family in a milder form. Could this be mainly due to obesity or hormonal/genetic factors? I am also worried about my penile size, which I feel is around 4 inches or less and may have reduced with weight gain. What could be the cause, and what evaluation or treatment would you suggest?
Chandrakanta Jena
Pharm D
Being 18 kg overweight can significantly contribute to gynecomastia (breast enlargement in males), as excess fat can affect hormone balance, and a family tendency may also make it more noticeable. Your penile size is unlikely to have truly reduced, but excess fat in the pubic area can make it appear smaller, which is common in obesity. You should consult a doctor to check hormone levels and rule out any underlying endocrine problems. Weight loss through diet and exercise is often the most effective first step, and in some cases, medical or surgical treatment may be considered if symptoms persist.
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