I have some questions..... ?

[JayGen1]

Hi,

My son was just diagnosed with Gynecomastia.  He just turned 18, and is approx. 6' tall and only 160 lbs.  He is very athletic and active.

He has a swollen gland all around his left nipple approx. 3" in diam., and it hurts to touch it.

If he squeezes (sp?) it, a clear liquid comes out.

Will this go away by itself ?

The doctor is having him discontinue taking an anti-biotic for acne, to see if this is causing it ?

Thanks in advance for any comments.,

[hypo]

JayGen1,

It is possible that the medication has affected your sons hormones levels and everything will go back to normal once the medication is discontinued.

It might be a good idea though to get a test for your sons hormone levels.

Lactation is unusual but can can and does occur in normal circumstances but it can also be the sign of a high prolactin level.

If you tell me where abouts in the US you are, if ineed that is where you live I will give you the contact details of endocrinologists (hormone specialists) that are in your area.

[JayGen1]

Hi Hypo,

Thanks for getting back to me.\

My sons's doctor gave me a prescript for some blood work.

We are in Southern New Jersey, in the Glassboro area.

Thanks for your help.,  

Jay

[hypo]

JayGen1,

Your son’s doctor has probably made an indication for some hormone testing via the pathology script you have been given, that may do the trick and you may wish to leave matters with that doctor.  

I should say though that gynecomastia is a condition that results from a hormone imbalance whether this is a temporary or more permanent imbalance and that endocrinologists are hormone experts, where as general physicians are not.  

For this reason an endocrinologist particularly one that specializes in reproductive endocrinology (as these are the hormones that are checked) is more qualified and able to decide upon what hormones should be tested and is more able to understand the ramifications of any given results.  For this reason you may want to have these matters investigated by an endocrinologist.

So I have included a list of all the endocrinologists in New Jersey that specialize in reproductive endocrinology that are recommended by the AACE (American Association of Clinical Endocrinologists).

Whatever you decide I hope that helps.



Rhoda H. Cobin, MD, FACE
75 North Maple Avenue
Ridgewood, NJ 07450
Directions to Office
Phone: (201) 444-5552
Interest Areas:
   Metabolic Bone Disorders
   Diabetes Mellitus
   General Endocrinology and Metabolism
   Growth Disorders/Growth Hormone
   Thyroid Dysfunction
   Ectopic Endocrine Syndromes
   Nuclear Medicine
   Reproductive Endocrinology
   Pituitary Disorders
   Osteoporosis
   Disease of Pregnancy
   Adrenal Disorders
   PCOS

Thimma Subburaman Gandhi, MD, FACE
122 Clinton St Fl 3
Hoboken, NJ 07030-2502
Directions to Office
Phone: (201) 861-2918
Interest Areas:
   Adrenal Disorders
   Diabetes Mellitus
   General Endocrinology and Metabolism
   Growth Disorders/Growth Hormone
   Parathyroid Disorders
   Pituitary Disorders
   Reproductive Endocrinology
   Thyroid Dysfunction
   Other
   Osteoporosis

Lorraine Carole King, MD
12140 2nd Ave
Stone Harbor, NJ 08247-1057
Directions to Office
Phone: (609) 368-7618
Interest Areas:
   Diabetes Mellitus
   Disease of Pregnancy
   Metabolic Bone Disorders
   Pituitary Disorders
   Reproductive Endocrinology
   Thyroid Dysfunction
   Osteoporosis

Cathleen Mullarkey-DeSapio, MD, FACE
137 Louis St
New Brunswick, NJ 08901-2207
Directions to Office
Phone: (732) 545-1565
Interest Areas:
   Adrenal Disorders
   Diabetes Mellitus
   General Endocrinology and Metabolism
   Growth Disorders/Growth Hormone
   Lipid Disorders
   Parathyroid Disorders
   Pituitary Disorders
   Reproductive Endocrinology
   Thyroid Dysfunction
   Osteoporosis

Sridhar Srinivasan Nambi, MD, FACE
22 Old Short Hills Rd, Suite 201
Livingston, NJ 07039
Directions to Office
Phone: 973-535-8870
Interest Areas:
   Diabetes Mellitus
   Neurosurgery
   Reproductive Endocrinology
   Other

Joseph Jay Schwartz, MD
200 Engle Street Suite 12
Englewood, NJ 07631
Directions to Office
Phone: 201-567-3674
Interest Areas:
   Adrenal Disorders
   Cancer
   Diabetes Mellitus
   General Endocrinology and Metabolism
   Hypertension
   Lipid Disorders
   Metabolic Bone Disorders
   Obesity
   Nutrition
   Parathyroid Disorders
   Pituitary Disorders
   Reproductive Endocrinology
   Thyroid Dysfunction
   Osteoporosis
   PCOS

John Shin, MD
VA New Jersey Health Care System
Medical (111)
East Orange, NJ 07018
Directions to Office
Phone: (973)676-1000
Interest Areas:
   Diabetes Mellitus
   Pituitary Disorders
   Reproductive Endocrinology
   Thyroid Dysfunction
   Osteoporosis

Sheera Karch Siegel, MD
25 Lindsley Ave. Ste 203
Morristown, NJ 07960
Directions to Office
Phone: 973-267-9099
Interest Areas:
   Thyroid Dysfunction
   Metabolic Bone Disorders
   Diabetes Mellitus
   Pituitary Disorders
   Reproductive Endocrinology
   General Endocrinology and Metabolism

Luigina D. Vlad, MD
200 S Orange Ave.
Livingston, NJ 07039
Directions to Office
Phone: 973-322-7430
Interest Areas:
   Reproductive Endocrinology
   Diabetes Mellitus
   Thyroid Dysfunction
   Osteoporosis

[headheldhigh01]

i've sometimes wondered if the clear is somehow a lymph release rather than lactation, but more a question for an m.d. to comment on.  

[hypo]

I know that discharge from the nipple is unusual but can however peculiar can be of no real concern.  I also know that it can be a sign of a high prolactin level.

I'm afraid I don't know much more than that, certainly it is a question for an endocrinologist- M.D just means medical doctors and 90% of those would not have a clue as to the answer to that question.

But Head is right in that it is a question for someone else to answer, an M.D endocrinologist- not myself, as my knowledge does not extend that far.  

[Paa_Paw]

HHH,

Lactation is a subject that we men seldom talk about.

Human milk is considerably different from that of dairy animals and often is described as cloudy/clear.  This is even more true of the first few drops expressed.

Hypo,

You are right about the prolactin connection.  Now to play detective and find the source of the prolactin.  Several different medications are capable of raising prolactin levels in susceptable people.

JayGen1,

Usually the cause of this kind of thing is not something to cause grave concern.  It may take a bit of medical detective work and it make take a bit of time.  The Doctor will start by ruling out the more dire possiblities first.  Meaning that "No News is Good News" up to a point.  Stick with Hypo, He is a veritable fountain of information.