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The practice is most entrenched in the country's south, where Mwase's Golden Village is located. Mwase was just 10 when she was led, along with about a dozen other girls, to remote huts outside her village during winter vacation from school in August.


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The teenage years are also called adolescence.

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What is gynaecomastia? Breast development in boys 3. What are the main causes of gynaecomastia? Other causes of gynaecomastia 5. How is gynaecomastia diagnosed?

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How is gynaecomastia treated? How you may feel 8. Further support. Gynaecomastia is the enlargement of male breast tissue. Gynaecomastia can often make teenage boys feel anxious and they worry about what it means for them.

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Two out of three teenage boys develop some degree of gynaecomastia. However, in nine out of ten cases it will get better by itself over time. The symptoms and size of gynaecomastia can vary from a small, firm enlargement of breast tissue just behind the nipple to a larger, more female-looking breast. Gynaecomastia can affect one or both breasts. The area can be tender to touch or painful. True gynaecomastia caused by an enlargement of breast tissue is different from an increase in fatty tissue known as pseudo-gynaecomastia.

However, gynaecomastia can also be a mixture of both. Back to top. Breast tissue develops while in the womb. During this time, the breasts form small branching tubes ducts behind the nipple. Until boys reach their teenage years and puberty, their breast tissue is the same as that of girls.

However, when they reach puberty, increased hormone levels affect the further development of the breast tissue. Boys also have higher levels of oestrogen during puberty, but by the end of their teenage years they usually have much higher levels of the hormone testosterone. This stops the effect of oestrogen on breast tissue, and the breast usually flattens out. Puberty in boys usually starts once they reach their teenage years.

Oestrogen stimulates the breast to grow and testosterone stops breast growth. As well as the other changes associated with puberty, boys may notice that their breasts are tender or are growing. If oestrogen levels continue to be higher than testosterone levels, the breasts will grow and become larger and more noticeable. By around the age of 15, 'testosterone starts to settle at a constant, higher level than oestrogen.

This stops the oestrogen from having any further effect on the breast tissue. By the time a man is around 19, his breasts have usually begun to shrink and flatten out. However, it can take some time before the breasts flatten out. They will usually be able to confirm if you have gynaecomastia. Occasionally you may be referred to a breast clinic for further assessment. As people get older, they tend to have more body fat, which produces oestrogen.

In addition, as men get older they also produce less testosterone. The combination of an increase in oestrogen levels and reduced testosterone levels can cause the breasts to become larger. Weight gain in later life may be particularly noticeable in the breast area, also resulting Breasted sex single small teen young larger breasts. This is known as pseudo-gynaecomastia. Many men accept this change as another part of the ageing process. Other causes of gynaecomastia are ill health, some prescription and illegal drugs, herbal products, diet and drinking too much alcohol.

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There are many medical conditions that can be associated with gynaecomastia, although in most cases this is unlikely to be the only symptom. They may refer you to a breast clinic to confirm the reason for your gynaecomastia. Some drugs both illegal and prescription can cause gynaecomastia. This may be because they contain oestrogen, which increases the level of the hormone in the body. Or, more commonly, the drug may have an oestrogen-like effect.

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Some drugs block testosterone production altogether, reducing the level of testosterone in the body. For example, cannabis is a drug thought to cause a hormone imbalance and therefore may be a reason for gynaecomastia developing. Several other types of medicines can change the hormone balance in the body. Those taken for high blood pressure or heart conditions, some psychiatric conditions, stomach ulcers, some cancer therapies and some antibiotics, as well as drugs taken to build up muscles anabolic steroidscan all be a cause of gynaecomastia. Some herbal supplements and certain skincare products contain oestrogen.

This may increase the level of the hormone circulating in the body or have an oestrogen-like effect. Once you stop using them, the effects will stop and eventually the breast tissue will settle down. The more fat cells a person has in their body, the more oestrogen they produce. This in turn can make breast tissue grow. A well-balanced diet and exercise are important in maintaining a healthy weight.

Drinking too much alcohol has been shown to affect the liver in many ways and cause a of conditions.

What changes will happen during puberty?

Large quantities of alcohol stimulate the liver and can create a hormone imbalance. Circulating testosterone is reduced, but oestrogen levels rise as the liver stops breaking down the circulating oestrogen. This means that breast tissue can grow. In some cases, you may need to have other tests so that a definite diagnosis can be made. These can include:.

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Because gynaecomastia can be a symptom of other conditions, your specialist may also want to examine other parts of your body such as your neck, abdomen belly and testicles. They may also ask you to have further tests, for example a blood test. Occasionally people may need to have drug treatments or, very rarely, surgery. The drugs used to treat gynaecomastia are:.

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Although not all these treatments are d for use in gynaecomastia, they have been shown to be useful in treating it. There are no guidelines on which treatment should be considered first. However, tamoxifen is usually preferred. Once you stop taking any of these drugs your gynaecomastia may return. If this happens, you may want to go back to your specialist.

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Tamoxifen is usually given as a treatment for breast cancer. It can have several side effects including nausea and loss of libido sex drive. Find out more about tamoxifen ». Danazol is d to treat painful and tender gynaecomastia. It works by reducing oestrogen produced in the testicles, which reduces the size of the breast s and improves symptoms. It can have side effects including weight gain, acne and changes to the voice.

Aromatase inhibitors are drugs used as a treatment for breast cancer.

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Some research suggests they may be of benefit in treating gynaecomastia, but more research is needed. Aromatase inhibitors are given as a tablet and your specialist will tell you what dose to take and for how long.

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The side effects can include t pain and reduced bone strength, though whether you get these may depend on how long you take it for. Find out more about aromatase inhibitors ». Generally, surgery will only be recommended in exceptional circumstances. Your specialist will discuss any risks of surgery with you before you decide whether to have an operation.

The type of operation will depend on the size of your gynaecomastia and the amount of excess skin. The aim is to restore a more normal male chest size, and sometimes this involves more than one operation. The various surgical options can be carried out alone or in combination. Your specialist will assess you very carefully before deciding on the most appropriate techniques for you. Liposuction a surgical procedure in which fat is removed from the affected area is one of the most common procedures. It can be a treatment by itself or used at the same time as a breast reduction operation sometimes known as a reduction mammoplasty.

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A breast reduction can also be done without liposuction.