What should be the focus of history for gynecomastia?

Updated: Mar 22, 2018
  • Author: George Ansstas, MD; Chief Editor: George T Griffing, MD  more...
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Answer

A thorough history is essential to evaluate the causes of gynecomastia. The following should be included:

  • Note the age of onset and the duration

  • Ask about recent changes in the size of the nipples and the presence of pain or discharge from the nipples

  • Inquire if the patient has any history of mumps, trauma to the testicles, alcohol use, or drug use (eg, prescription medications, over-the-counter medications, recreational drugs)

  • Note any family history of gynecomastia

  • Evaluate the patient's history for sexual dysfunction, infertility, or hypogonadism (impotence, decreased libido and strength)


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