As a child I was diagnosed with an "autoimmune" disease known as JRA (Juvenile Rheumatoid Arthritis). Eventually, they prescribed prednisone to reduce the inflammation in my body. It helped with pain, but I gained a ton of weight. I've never had a very masculine physique since I was on that medication.
I'm in my mid-twenties now, and struggling with a new diagnosis of Psoriatic Arthritis with Ankylosing Spondylitis. All of this causes severe pain in my lower back, and my ankles/heels. I have been taking methotrexate for almost 3 years to treat the psoriasis on my body. It works very well. I am also receiving infusions of a medicine called Remicade. This medicine disables my immune system to a point where my body will stop attacking itself, thus alleviating the pain/inflammation. We are hoping in the next 6 months to 1 year that the treatment will succeed well enough so I may exercise again.
I'm currently 6'3" and 320 lbs. Obviously, I need to lose weight. But, I've been teased about my "man boobs" ever since I was a kid. I wasn't horribly overweight as a teenager, yet I always had man boobs. Throughout my life I have gained weight, lost weight, gained muscle, lost muscle, and gained more weight. I have the stretch marks to prove it, unfortunately. No matter what I did, they have always been there. When I met my wife, I gave up. She loved me for who I was, and it didn't matter. So, I've ignored the problem for a long time. I have been focused on getting rid of my pain, instead of cosmetic issues. After all, I am married to a wonderful woman, and together we have had 2 amazing children. They are my pride and joy, without my family I would be completely lost. I have been with my wife for 7 years now, but I can honestly say I am not intimate without my shirt on. I don't go swimming either, that's out of the question. Even though it's probably the BEST exercise option for me because of my situation, I am HOPELESSLY TERRIFIED of anyone looking at me with a WET T-SHIRT on.
I am tired of living in fear, and being ashamed. I've learned to live with the embarrassment, but nothing hurts worse than not being able to do normal every-day things with your kids. I can't take my daughter to the pool because I'm too unhappy with my body. That's not fair to her. It really hurts when she points to my chest, while I'm wearing a shirt, and say's "Boobies!". Don't get me wrong: It's hilarious coming from a 2 year old, and I can't help but laugh. But deep down inside, it really hurts.
So, I'm looking for insight. I'm trying to work up the nerve to talk to my doctor about it. But it's easier to start with people I don't know personally. So here goes... is this related to gynecomastia or is it all due to excess weight gain?