Do You Have Gynecomastia | How to Tell if You Have

Last year alone, 26,839 patients opted for male breast reduction surgery in the US. Known as gynecomastia, enlarged breast tissue in men can affect the way a man’s body looks as well as how they feel about themselves.

For those considering gynecomastia surgery, it’s important to understand if you’re a good candidate and whether the procedure will help you achieve your body goals.

Do You Have Gynecomastia?

Gynecomastia can occur at any age and is characterized by over-developed or enlarged breasts in men. Causes include hormonal changes, certain drugs, excessive weight gain, and hereditary conditions.

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Symptoms you may be experiencing:

• Swollen and enlarged breasts
• Sagging breasts
• Stretched areolas
• Tender chest area
• Fibrous and moveable tissue below the nipple
• Asymmetrical breasts

Your surgeon will be able to determine the underlying cause of the gynecomastia and recommend the right procedure. Assessments may include testing your endocrine function, performing detailed measurements (size, shape, nipple placement, and skin quality), and taking photographs for your medical records. The type of gynecomastia you’re experiencing will influence the corrective procedure your surgeon will recommend.

For example, glandular tissue gynecomastia is caused by excess breast tissue under the nipple-areolar complex, so surgery will involve removing the bulging tissue. Alternatives treatments include liposuction for localized fat in the chest and skin-tightening procedures for excess loose skin.

Are You a Good Candidate for Gynecomastia Surgery?

During your consultation, your surgeon will discuss why you want the procedure and what your body goals are. Not everyone is a good candidate for surgery, but there are certain factors that may determine whether you choose to go ahead with the treatment.

Gynecomastia Surgery may be the right choice for candidates:

• Experiencing emotional discomfort and low self-confidence due to their gynecomastia
• Hiding their condition due to self-image issues e.g., by avoiding intimacy and certain clothing or physical activities (such as swimming)
• For whom alternative medical treatments, actions or therapies won’t correct the condition
• Who feel bothered that their breasts are too large
• Who have been through puberty and won’t experience further breast development (sometimes gynecomastia can self-correct)
• Who are healthy and fit enough for both surgery and the healing process afterward
• Who are in a normal weight range and don’t plan on losing significant amounts of weight
• With specific body goals and how they want their body to look

While adolescents can benefit from surgery, future procedures may be required if breast development has not stabilized.

Most of all, deciding to undergo gynecomastia surgery should be your own choice, using the guidance of a Board Certified Plastic Surgeon to assess your needs and see how they can help.

Want to Discuss Your Needs?

Considering gynecomastia surgery in Phoenix, AZ? Dr. Mazaheri is a plastic and reconstructive surgeon in Scottsdale and is a member of The American Society of Plastic Surgeons with over 20 years of experience. Taking the time to listen to your needs, he’ll work closely with you to establish your goals and find the right solution for you.

How do I know if I have Gynecomastia or Pseudogynecomastia?

Gynecomastia affects 40-60% of adolescent males, making it a relatively common condition. Despite being so, it is not an openly discussed issue for the most part due to its “embarrassing nature” – a stigma that often overshadows its true and at times urgent medical condition. An individual should not feel discouraged from seeking help, as it can be a much-needed relief.

Gynecomastia is brought on by hormonal imbalance. The causes vary, which includes genetics and from the side effects of taking steroids for bodybuilding and medications for medical conditions. The latter includes medications for heart, stomach and even mental issues. One interesting fact to note and remember – it is not a condition that is associated only with an obese person. Any male with predispositions as mentioned – such as genetics and medicine consumption habit/need is susceptible to the condition.
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How do you know if you have gynecomastia?

Pain or tenderness, which may increase over time and swelling are just two possible telltale signs of gynecomastia. To the touch, it feels like a rubbery lump under the nipple affecting one or both. Indicative appearance includes a resemblance to that of a woman’s breasts.

Often, gynecomastia is confused with the expected presence of fat tissue, particularly among young men who are overweight. Hence, an accurate diagnosis and conclusion are best left in the hands of a qualified doctor.

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How do you know if it’s Pseudogynecomastia?

An individual may conclude that given the possible telltale signs, they are suffering from gynecomastia. It could be a wrong assumption. They could, in reality, be experiencing what is known as pseudogynecomastia. Men, in general, tend to accumulate fat in the chest and abdomen regions.

When this fat accumulates in excess around the chest area, it renders a puffy and swollen appearance which is called pseudogynecomastia. Dr. Ivan Puah, our Medical Director who has treated a number of gynecomastia patients, observed that “most men who came in with complaints of pseudogynecomastia were shown to have true gynecomastia after medical assessment.” This reiterates the essential need to seek qualified assessment and help.

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Does Pseudogynecomastia go away?

Pseudogynecomastia is breasts enlargement caused by fat accumulation.  In theory, the male breasts fat tissues can be improved with exercise and weight loss.  However, in many patients, male breasts fat can be rather resistant to weight fluctuation, so losing weight may not lead to significant improvement.  

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Can VASER Lipo  get rid of pseudogynecomastia successfully?

VASER Lipo, a tissue selective fat reduction procedure, is the treatment choice for those suffering from pseudogynecomastia.  During the process, small incisions are made on the area to be treated and infiltrated with anaesthetic fluid.  Subsequently,  Dr Ivan Puah utilises the Vaser probe that transmits ultrasonic sound wave energy to the targeted fat tissues to emulsify the stubborn fat.  Once the fat cells are liquefied, they are removed via suction cannulas that are specially made for this procedure.  

As VASER Lipo is tissue selective, it only targets fat tissues, preserving the health of nerves, blood vessels and other important connective tissues.  Therefore, post-treatment recovery is easy with minimal downtime because only the fat tissues are targeted and removed.  Bruising and swelling are minimized with this procedure.  As VASER Lipo is a form of liposuction (albeit an improved form of liposuction), it can only be performed by doctors who are trained and accredited by the Ministry of Health (MOH) Singapore.

As a proven clinical treatment for pseudogynecomastia, many men have benefited from its results. While this is certainly good news for those afflicted with the condition, bear in mind to practise due diligence in one’s research when seeking help.

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How to Detect Gynecomastia: 11 Steps (with Pictures)

About This Article

Medically reviewed by:

Registered Nurse

This article was medically reviewed by Sarah Gehrke, RN, MS. Sarah Gehrke is a Registered Nurse and Licensed Massage Therapist in Texas. Sarah has over 10 years of experience teaching and practicing phlebotomy and intravenous (IV) therapy using physical, psychological, and emotional support. She received her Massage Therapist License from the Amarillo Massage Therapy Institute in 2008 and a M.S. in Nursing from the University of Phoenix in 2013. This article has been viewed 178,295 times.

Co-authors: 10

Updated: February 21, 2020

Views: 178,295

Medical Disclaimer

The content of this article is not intended to be a substitute for professional medical advice, examination, diagnosis, or treatment. You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment.

Article SummaryX

If you’re noticing soft lumps and tenderness in your chest, you may have gynecomastia, which is a condition that men develop as a result of a hormonal imbalance. You should also pay attention to any pain when you touch or press on your breasts, which may be a sign of gynecomastia. If you feel soft fatty tissue but no lumps, you may have pseudogynecomastia, which usually goes away if you lose weight. After you notice any of these symptoms, make an appointment with your doctor for an exam so you can get a diagnosis. Following the exam, your doctor may ask you questions about your medical history to help them reach a diagnosis. For tips on how to treat gynecomastia, read on!

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4 Signs You May have Gynecomastia: Richard Levin, MD: Board Certified Plastic Surgeon

One in four men between the ages of 50 and 69 suffer from gynecomastia, a condition associated with enlargement of the breast tissue in men.

Although gynecomastia is more common in older adults, more and more teenagers are now opting for plastic surgery to reshape the breast tissue due to the condition. Gynecomastia can present itself during puberty due to hormonal imbalances, a diet rich in phytoestrogens, or exposure to hormone disruptors from the environment. 

Gynecomastia isn’t harmful by itself, but it can signal that you may be suffering from a condition that’s impacting your hormonal health.

To help you determine whether your breast tissue is normal or enlarged, we asked Dr. Richard M. Levin, board-certified plastic surgeon at Lancaster Plastic Surgery in Lancaster, PA, to explain the four main symptoms of gynecomastia. 

1. Enlargement of the breast 

With gynecomastia, you may notice an enlargement in one or both breasts. The enlargement can be uniform, or it can be localized next to the nipple. Breasts that are enlarged by gynecomastia don’t respond to diet and exercise. 

2. Swollen breast tissue 

Often, men with gynecomastia find lumps in their breasts. However, a lump in the breast isn’t necessarily a sign of breast cancer. Breast cancer in males is very rare, and cancerous masses in the breast are usually accompanied by other signs such as skin dimpling and nipple retraction.

3. Breast tenderness 

Some men may feel tenderness when touching their breast, or they may feel tenderness in specific locations such as next to the nipple. If your breasts feel heavy and tender, seek medical help as soon as possible.

4. Nipple discharge

Like women, men are born with milk ducts. However, under the influence of hormones, these ducts shrink. If you have higher levels of estrogen in your body, remaining milk ducts may cause a discharge. Nipple discharge can also be a sign of infection or inflammation.

Why gynecomastia is worth treating 

Gynecomastia is a big confidence killer for boys and men alike. However, it can also be a warning sign of poor health. 

The enlargement of the breast can be caused by hormonal imbalances, certain chronic conditions, medications, and even dandruff shampoos that contain Ketoconazole. Environmental toxins and estrogen mimickers found in shower gels and creams can also cause hormonal imbalances. 

If you’re worried about the appearance of your breasts, contact us to schedule an appointment. Our plastic surgeon can remove the excess breast tissue to help you achieve a sculpted, toned chest.

How do I know if I have Gynecomastia or Pseudogynecomastia?

Gynecomastia affects 40-60% of adolescent males, making it a relatively common condition. Despite being so, it is not an openly discussed issue for the most part due to its “embarrassing nature” – a stigma that often overshadows its true and at times urgent medical condition. An individual should not feel discouraged from seeking help, as it can be a much-needed relief.

Gynecomastia is brought on by hormonal imbalance. The causes vary, which includes genetics and from the side effects of taking steroids for bodybuilding and medications for medical conditions. The latter includes medications for heart, stomach and even mental issues. One interesting fact to note and remember – it is not a condition that is associated only with an obese person. Any male with predispositions as mentioned – such as genetics and medicine consumption habit/need is susceptible to the condition.

How do you know if you have gynecomastia?

Pain or tenderness, which may increase over time and swelling are just two possible telltale signs of gynecomastia. To the touch, it feels like a rubbery lump under the nipple affecting one or both. Indicative appearance includes a resemblance to that of a woman’s breasts.

Often, gynecomastia is confused with the expected presence of fat tissue, particularly among young men who are overweight. Hence, an accurate diagnosis and conclusion are best left in the hands of a qualified doctor.

How do you know if it’s Pseudogynecomastia?

An individual may conclude that given the possible telltale signs, they are suffering from gynecomastia. It could be a wrong assumption. They could, in reality, be experiencing what is known as pseudogynecomastia. Men, in general, tend to accumulate fat in the chest and abdomen regions.

When this fat accumulates in excess around the chest area, it renders a puffy and swollen appearance which is called pseudogynecomastia. Dr. Ivan Puah, our Medical Director who has treated a number of gynecomastia patients, observed that “most men who came in with complaints of pseudogynecomastia were shown to have true gynecomastia after medical assessment.” This reiterates the essential need to seek qualified assessment and help.

Does Pseudogynecomastia go away?

Pseudogynecomastia is breasts enlargement caused by fat accumulation. In theory, the male breasts fat tissues can be improved with exercise and weight loss. However, in many patients, male breasts fat can be rather resistant to weight fluctuation, so losing weight may not lead to significant improvement.

Can VASER Lipo get rid of pseudogynecomastia successfully?

VASER Lipo, a tissue selective fat reduction procedure, is the treatment choice for those suffering from pseudogynecomastia. During the process, small incisions are made on the area to be treated and infiltrated with anaesthetic fluid. Subsequently, Dr Ivan Puah utilises the Vaser probe that transmits ultrasonic sound wave energy to the targeted fat tissues to emulsify the stubborn fat. Once the fat cells are liquefied, they are removed via suction cannulas that are specially made for this procedure.

As VASER Lipo is tissue selective, it only targets fat tissues, preserving the health of nerves, blood vessels and other important connective tissues. Therefore, post-treatment recovery is easy with minimal downtime because only the fat tissues are targeted and removed. Bruising and swelling are minimized with this procedure. As VASER Lipo is a form of liposuction (albeit an improved form of liposuction), it can only be performed by doctors who are trained and accredited by the Ministry of Health (MOH) Singapore.

As a proven clinical treatment for pseudogynecomastia, many men have benefited from its results. While this is certainly good news for those afflicted with the condition, bear in mind to practise due diligence in one’s research when seeking help.

Symptoms of Gynecomastia

Gynecomastia describes the swelling of breast tissue in males, caused by a decrease in the level of testosterone compared with the level of estrogen. The condition can affect one or both breasts and can develop in newborns, during puberty or in older men, usually as a result of normal hormonal changes.

Image Credit: PRASAN MAKSAEN/Shutterstock.com

In infants, gynecomastia affects over half of males born due to the effect of their mother’s estrogen and the swollen breast tissue usually disappears within three weeks after birth. During puberty, hormonal changes commonly cause gynecomastia and in the majority of cases, the issue resolves independently after six months to two years.

In older individuals, the condition is more likely to develop between the ages of 50 and 80, with a quarter of this age group being affected. As men become older, their testosterone level tends to decrease and they also tend to gain weight.

The lowered testosterone can cause the breast glands to enlarge and the weight gain means fatty tissue accumulates under the breast, leaving the man with a larger quantity of glandular tissue and more fat in the breast. As fat cells are estrogenic, this additional fat can further disrupt the balance between testosterone and estrogen.

Gynecomastia is not generally a serious issue, although it can be difficult to cope with as it can be painful and cause feelings of embarrassment. The condition can resolve independently of any intervention but if it persists, medication or surgery may be recommended.

Aside from natural hormonal changes, the use of certain medications can cause gynecomastia and examples of these include anabolic steroids, androgens, anti-androgens, anti-anxiety medications, antibiotics, chemotherapy, heart medications and drugs used to treat AIDS. Other causes include the use of substances such as alcohol, marijuana, methodone, heroin and amphetamines; health conditions including hyperthyroidism, kidney failure, liver disease and malnutrition and the use of herbal products such as shampoos, lotions or soaps containing tea tree or lavender.

The symptoms of gynecomastia include the following:

1. The main symptom of gynecomastia is the enlargement of either one or both breasts. The enlarged glandular tissue usually occurs in both breasts but in some cases it is unilateral. The breast growth may be uniform or uneven with respect to the nipple. It may feel rubbery or firm. The growth may appear just behind the nipple.
2. The breast or nipple may be painful or tender when touched.
3. In boys, there may be a breast bud in one or both breasts that is around the size of a quarter or nickel. These commonly occur in boys during puberty and can persist for up to two years.
4. It is important to distinguish gynecomastia from male breast cancer. When cancer is present, only one breast is usually affected and the tissue is not necessarily hard or firm. Cancer may also be associated with dimpling of the skin, nipple discharge, retraction of the nipple and enlarged lymph nodes under the arms.
5. Another problem that can cause male breast swelling is a breast abscess, although this is rare in men. Affected individuals may develop a fever or chills. The swelling may be very painful and hot to touch and skin across the swelling may appear reddish in color.

Evaluation of gynecomastia symptoms

When examining a male patient with enlarged breasts, a doctor will want to clarify the duration of the enlargement; whether or not secondary sexual characteristics are fully developed; any association between puberty and onset of the enlargement; breast symptoms such as nipple discharge or pain and whether any genital symptoms are present such as erectile dysfunction or lowered libido.

When evaluating the patient, the doctor will look for symptoms that could indicate the potential cause of the enlargement such as weight loss or fatigue which could be caused by kidney disease or hyperthyroidism; discoloration of the skin which could indicate liver or kidney disease; cognitive or mood changes indicative of hypogonadism and hair loss, which could suggest malnutrition.

The patient’s medical history will also be reviewed to check for any disorders that could cause gynecomastia and the use of any medications that may trigger the condition.

GYNECOMASTIA, Causes, Signs and Symptoms, Diagnosis and Treatment.Play

Treatment of gynecomastia

Gynecomastia usually resolves without any treatment being required, but if the cause is an underlying health condition such as liver disease or hypogonadism, that condition will need to be treated before the breast symptoms resolve. Among teenagers where there is no apparent cause of gynecomastia, a doctor may advise evaluations every three to six months to check whether symptoms are improving. If the condition does not improve after two years or if it is causing significant pain or embarrassment, treatment may be required. A medication to adjust the hormone imbalance such as an anti-estrogen or aromatase inhibitor may be prescribed.

If a patient still experiences bothersome symptoms after monitoring or initial treatment, surgery may be advised. Liposuction may be recommended to remove the breast fat or mastectomy may be recommended to remove the breast gland.

Outlook of gynecomastia

Gynecomastia is not usually associated with long-term problems, but people who develop the condition are at around five times the risk of developing male breast cancer compared with the population in general. This is probably because the hormonal changes that result in gynecomastia are also the changes that increase the risk of male breast cancer.

References

Further Reading

What is gynaecomastia? – NHS

Gynaecomastia (sometimes referred to as “man boobs”) is a common condition that causes boys’ and men’s breasts to swell and become larger than normal. It is most common in teenage boys and older men.

Signs of gynaecomastia

Signs vary from a small amount of extra tissue around the nipples to more prominent breasts. It can affect one or both breasts.

Sometimes, the breast tissue can be tender or painful, but this isn’t always the case.

Causes of gynaecomastia

Hormone imbalance

Gynaecomastia can be caused by an imbalance between the sex hormones testosterone and oestrogen. Oestrogen causes breast tissue to grow. While all men produce some oestrogen, they usually have much higher levels of testosterone, which stops the oestrogen from causing breast tissue to grow.

If the balance of hormones in the body changes, this can cause a man’s breasts to grow. Sometimes, the cause of this imbalance is unknown.

Obesity

Being very overweight (obesity) is a common cause of gynaecomastia – this is because being overweight can increase levels of oestrogen, which can cause breast tissue to grow. If you’re overweight you’re also more likely to have excess fat that can enlarge the breast tissue. For some people losing weight or doing more exercise can help but this may not always improve the condition.

Newborn baby boys

Gynaecomastia can affect newborn baby boys, because oestrogen passes through the placenta from the mother to the baby. This is temporary and will disappear a few weeks after the baby is born.

Puberty

During puberty, boys’ hormone levels vary. If the level of testosterone drops, oestrogen can cause breast tissue to grow. Many teenage boys have some degree of breast enlargement. Gynaecomastia at puberty usually clears up as boys get older and their hormone levels become more stable.

Older age

As men get older, they produce less testosterone. Older men also tend to have more body fat, and this can cause more oestrogen to be produced. These changes in hormone levels can lead to excess breast tissue growth.

Other causes

Other rare causes of gynaecomastia include:

• side effects of medicine – such as anti-ulcer drugs or medicine for heart disease
• illegal drugs – such as cannabis or anabolic steroids
• alcohol misuse
• a health condition – such as kidney failure or liver disease
• Klinefelter syndrome (a rare genetic disorder)
• lumps or infection in the testicles

Treatment for gynaecomastia

See a GP if you’re worried about breast tissue growth – they can discuss the treatment options with you.

If a GP thinks you need treatment, they may recommend:

• surgery to remove the excess breast tissue
• medication to adjust a hormone imbalance

Read more about male breast reduction surgery.

Procedures such as breast reduction surgery are not usually available on the NHS, unless there is a clear medical need for them. For example, if you’ve had gynaecomastia for a long time, it hasn’t responded to other treatments and it’s causing you a lot of distress or pain a GP may refer you to a plastic surgeon to discuss the possibility of surgery.

Always see a GP if the area is very painful or there’s an obvious lump. Sometimes, the lump may need to be removed. Gynaecomastia isn’t related to breast cancer, but you should see a GP if you’re worried about breast swelling.

Read the answers to more questions about men’s health.

Further information

Page last reviewed: 22 March 2021
Next review due: 22 March 2024

90,000 symptoms, diagnostic methods and treatment – health articles

Contents

Currently identified a large number of gynecological diseases in women. Almost all of them are manifested by irregularities in the cycle, uncharacteristic discharge and pain. Some of the pathologies do not have clear symptoms, which leads to difficulties in diagnosing and prescribing adequate treatment. For detection and quality therapy, a woman should contact an experienced gynecologist at the first signs of illness.

The MEDSI clinic in St. Petersburg has all the possibilities for treatment of candidiasis, endometriosis, uterine fibroids, infertility and other pathological conditions in gynecology. Doctors use modern techniques and are fluent in the necessary knowledge and skills.

Inflammatory diseases

These pathologies are caused by bacteria and viruses. Allocate specific (syphilis, gonorrhea, etc.) and nonspecific infections (adnexitis, vaginitis, etc.)). The danger of such pathological conditions is that they can lead to infertility and other serious health consequences.

In the initial stages, many of the diseases do not have pronounced symptoms. This greatly complicates the diagnosis and work of the gynecologist. It is very important for women to carefully monitor their health and undergo regular preventive examinations.

An unscheduled visit to a gynecologist and diagnostics are mandatory for signs of pathologies such as:

• Abnormal discharge from the genitals
• Pain in the lower abdomen
• Itching and burning
• Discomfort during intercourse
• Vaginal dryness

Hormonal diseases

Such pathologies are provoked by disturbances in the formation of hormones. Factors that increase the risk of disease include:

• Depression and stress
• Uncontrolled use of certain drugs
• Severe pregnancy
• Complicated labor activity

The synthesis of hormones also decreases during menopause.

A woman should be especially careful about her health in case of any hormonal disruptions. This is due to the fact that they can cause the development of endometritis, tumors and other dangerous complications.

Dystrophic diseases

Today, various benign and malignant formations are diagnosed in both young and mature women. The main risk factors include malnutrition, bad habits and poor lifestyle choices.

Important! Even a malignant tumor is not a sentence. It is only important to identify it at the earliest possible stage. To do this, you need to regularly undergo examinations and treatment by a gynecologist. Constant observation by a specialist is especially important for patients with burdened heredity (when close relatives have been diagnosed with cervical or ovarian cancer).

Diagnostics

The most important step on the way to successful treatment of diseases in the field of gynecology is a high-quality examination.

Anamnesis collection

The specialist must clarify all complaints, find out the patient’s age, peculiarities of her lifestyle (including sex). If necessary, the doctor is interested in the nature of the work, etc. The specialist is sure to receive information about the presence of tumors, endocrine or other disorders. Information about previous surgical interventions, infectious and other diseases is important.Also, the doctor will find out whether the woman had abortions, whether she had pregnancies, how many of them ended in the birth of a child.

General inspection

It allows you to get information about the height and weight of the body, body characteristics, the development of adipose tissue, the condition of the skin, the nature of hair growth. The doctor palpates the lymph nodes, measures blood pressure and pulse rate, palpates the mammary glands and abdomen.

Chair examination

The specialist can immediately determine the presence of ulcers, inflammation, varicose veins, prolapse of the walls of the vagina and uterus.With the help of mirrors, mucous membranes are examined, the shape of the cervix is ​​determined, polyps, scars, etc. are revealed.

After examination and collection of anamnesis, the doctor can make a preliminary diagnosis. To clarify it, laboratory and instrumental diagnostics are carried out.

Laboratory examination includes:

• Bacterioscopic examination. It allows you to determine the degree of cleanliness of the vagina
• Cytological diagnostics.Such a study allows you to detect malignant tumors in the early stages
• Blood and urine tests. Such a diagnosis is carried out in case of suspicion of pregnancy, as well as various inflammatory and hormonal pathologies

Instrumental diagnostics includes:

• Ultrasound. This study is intended for the diagnosis of diseases of the appendages and the uterus, the detection of abnormalities in the development of the genital organs, the determination of ovulation, the registration of the thickness of the endometrium, etc., in case of suspicion of pregnancy and in the framework of its management
• Colposcopy. This method has a high diagnostic value. During the examination, the doctor may carefully examine the vulva, the vaginal part of the cervix, and the walls of the vagina. A special device – a colposcope – allows you to enlarge the object under consideration by 30-50 times. A study is being conducted to identify early forms of precancerous conditions, select a site for biopsy, control healing during the recovery period after surgery and solve a number of other tasks
• Probing of the uterus. This diagnostic method allows you to determine the patency of the cervical canal, the length of the uterine cavity and its direction, as well as the shape, presence and location of tumors, etc.
• Biopsy. Such a study allows a diagnosis to be made if tumor processes are suspected
• Hysteroscopy. This technique allows you to identify a large number of intrauterine pathologies. Hysteroscopy makes it possible to carry out not only direct diagnostics, but also a number of surgical procedures.An examination is prescribed for uterine bleeding, suspected malformations of the endometrium, polyps, etc.
• Laparoscopy. As part of this procedure, your doctor may examine the pelvic and abdominal organs. The technique makes it possible to identify small forms of endometriosis, determine the causes of pelvic pain, and detect inflammatory processes. In a matter of minutes, a doctor can diagnose an ectopic pregnancy. Also, the method is indispensable for detecting tumors, malformations and infertility
• Computed tomography (CT). As part of such an examination, the doctor can obtain accurate information about the organs being examined and detect many pathological processes. In the pictures, the specialist identifies developmental anomalies, neoplasms and metastases, inflammation and suppuration, the consequences of trauma, fistulas, problems with blood vessels, enlarged lymph nodes. Indications for such a study are sharp pains in the lower abdomen, traumatic effects on the organs of the female reproductive system, suspicions of benign and malignant formations.Computed tomography is prescribed before surgery and in order to monitor the effectiveness of therapy
• Magnetic resonance imaging (MRI). This technique successfully replaces invasive examinations such as hysteroscopy and laparoscopy. As part of the examination, doctors are able to identify benign and malignant formations (uterine fibroids, endometrial polyps, cancer of the body and cervix, ovarian and corpus luteum cysts), detect pathologies of the fallopian tubes, inflammatory processes of the pelvic organs, malformations

Treatment of women in gynecology

Modern medicine has ample opportunities for the treatment of various pathological conditions.Doctors of the Department of Gynecology of MEDSI treat various inflammations, thrush, fibroids, endometriosis and other diseases, as well as infertility.

Conservative therapy

Used for treatment:

• Modern medicines. They allow you to eliminate pain and other symptoms of diseases, relieve inflammation, destroy the causative agent of the disease, and also prevent the risks of complications. The drugs are prescribed in the form of capsules and tablets, injections and suppositories, ointments
• Physiotherapy procedures. Some of the modern techniques even make it possible to avoid surgical interventions. Cryodestruction (exposure of tissues to low temperatures), for example, has proven itself in condylomas, cervical cysts, chronic cervicitis and other diseases. Radio wave therapy has long been considered an effective alternative to surgery. It is actively used in the treatment of erosions in women who plan to become mothers in the future. Laser technologies are also in demand, allowing to remove various neoplasms without major interventions
• Vitamins. They are prescribed as auxiliary means and allow you to restore the body in various gynecological diseases

Surgical treatment

Most gynecological interventions are performed through punctures in the vaginal wall and abdominal wall. Thanks to this, the patient does not need to recover for a long time after operations. In addition, modern treatment of fibroids by a gynecologist and other diseases does not cause complications.

Important! The peculiarities of therapy are always determined by the doctor. At the same time, he focuses on the individual characteristics of the patient, her current condition and concomitant pathologies. Thanks to this, the treatment of thrush, infertility, endometriosis and other pathologies in the gynecologist’s office is carried out efficiently, without risks and quickly enough.

Advantages of diagnostics, treatment and rehabilitation at MEDSI

• Highly qualified gynecologists. Our specialists regularly expand their knowledge and skills, undergo training at leading centers in Russia and abroad.This allows them to diagnose and select the optimal treatment for various gynecological diseases, even in advanced cases
• Possibility of attracting other narrow specialists to work. Endocrinologists, psychologists and other doctors can work with a woman and her relatives (including a sexual partner). This approach ensures the achievement of the desired result in the shortest possible time and often prevents stressful situations
• All types of treatment: conservative therapy and minimally invasive surgical interventions. We have all the capabilities to eliminate numerous pathologies
• Operations of any complexity (including in a hospital). Recovery after interventions goes quickly and without complications thanks to the use of modern techniques and the experience of doctors
• Work in accordance with international protocols. This increases the likelihood of complete recovery of patients from pathologies. When carrying out surgical interventions, the rehabilitation period is shortened

If you want to undergo treatment for a disease by a gynecologist in our clinic in St. Petersburg, sign up for a consultation by phone +7 (812) 336-33-33.

Network of clinics Medoc in Moscow

We are a network of 20 specialized medical institutions created to preserve the reproductive health of women. Medoc is not just a women’s clinic. In each of the branches, we have created a unique safe and friendly environment for you. We care about your health and fulfill your desire to have a healthy baby.

Our mission

We are the only obstetrics and gynecology clinic in Moscow, operating according to the motto “gynecologist – an experienced friend” and “stress-free gynecologist”.Medoc takes responsibility for the health of its pregnant patients and rejoices in each Medoc child as if it were its own child. Since the opening of the very first clinic, more than 24,000 babies have been born.

Our doctors

Our network of antenatal clinics employs 400 experienced doctors. Gynecologists, cardiologists, and endocrinologists receive appointments in the Medoc centers. The average work experience of our doctors is at least 10 years. Most of Medoc’s specialists are doctors of the first and second categories.Every tenth doctor is a candidate of medical sciences with many publications in reputable publications. Our doctors are constantly improving their professional skills in courses, receiving certificates from universities such as the I.M. Sechenov.

We deal with any cases of pregnancy: after IVF, after an unsuccessful pregnancy, with a history of pathologies, multiple fetuses.

The network doctors regularly share their experiences with patients. They conduct a variety of educational webinars and live broadcasts.Anyone can get valuable information free of charge on such topical topics as “Preparing for pregnancy”, “Planning pregnancy”, “Contraception”, etc.

Our clinics

Each private clinic “Medoc” provides a full range of specialized medical services. We plan and manage pregnancy, treat gynecological diseases and infertility, and perform correction of the intimate area. Ultrasound examinations, non-invasive DNA tests and more than 2000 types of tests for the whole family are at the disposal of our patients.In order for the test results to be as reliable as possible, Medoc cooperates with leading laboratories in Russia, the United States and Cyprus.

Medoc clinics operate according to a convenient schedule: seven days a week: on weekdays from 7:00 to 21:00 and on weekends from 8: 00-20: 00. On the official website of the network, you can leave a request around the clock.

Quality of services

Quality control of medical services is organized in the network of clinics. The company has a department headed by the chief physician “Medoc”.The department consists of doctors with more than 20 years of experience and academic degrees. They handle complex cases and carry out quality control.

We try to provide the most favorable prices on the market of paid obstetrics and gynecology clinics. Moreover, each of the branches is equipped with the most modern devices for ultrasound, ECG, Doppler and CTG.

The Medoc network guarantees the complete safety of its patients. There are no queues at our clinics. We only use disposable and sterile instruments.Bactericidal lamps work in doctors’ offices. Branch therapists only accept pregnant Medoc patients.

Diana Nikiforova. As if I didn’t climb from my mother

Diana Nikiforova was born in a working-class family near Moscow. As a child, she was engaged in rhythmic gymnastics, after retiring from sports, she began to write poetry and stories. Graduated from the Moscow Philology Department. Never published.

LIKE I’M NOT FROM MOTHER LEZL

I’m not afraid of anything

I’m not afraid of anything.
only men smoking on the balcony of a neighboring house.
I’m out of curtains. they see everything.
my life. my guests. my forms and their absence.

I’m not afraid of anything. only those
who know how I look after a shower.

I’m not afraid of anything.
only ghosts hiding in wallpaper pictures.
they want to be friends with me since childhood.
“Diana, there is nobody there.” adults look at the terrible from above.

I’m not afraid of anything. Only
becomes defenseless in a dream.

I’m not afraid of anything.
only hungry dogs escaped from empty dachas.
Muscovites leave their dogs to die.
dogs break down and take revenge: they eat children from the Moscow region.

I’m not afraid of anything. only to see
before death the bare bones of the legs.

I’m not afraid of anything.
only divulge state secrets during torture.
I have no bodily will. I’ll give it all out for sure.
ah, it hurts – keep the coordinates. and kill immediately.

I’m not afraid of anything.Only
prove to be weak in the face of war.

I’m not afraid of anything.
only deaths of loved ones. that’s why I want to die earlier.
so as not to choose funeral bows for them.
so as not to pick out the black pain from under the nails.

I’m not afraid of anything.
only has an excruciatingly long life.

I’m not afraid of anything.
only that the therapy of fear materialization will make it worse.
and I will forever remain a little boy. fragile glass.
and even five thousand poorer.

I write: “I’m not afraid of anything.”
I am writing, but I myself do not believe it.

motor depot

second grader from our school
died of cancer yesterday.
we didn’t even greet her,
but I still feel sorry for her.
I’m not going for a walk today:
my dad and I go to the motor depot.
we will listen to Butyrka,
breathe carbon dioxide,

is ridiculous to grunt to the beat of songs,
wheels, road signs.
– daddy, who is a “snip”?
– yes so, daughter, – a hard worker.
– what does “bank” mean?
– yes, keep it under control.
fly outside the window of a foreign car
and the eternal Russian field.

we go, eat shawarma,
as dad said – from a dog.
I feel sorry for the dog and the girl
burned out at eight from cancer.
and after Cesaria Evora
will sing about longing for Africa,
and dad will say that “niggas –
very talented people. ”

dead tree on the highway –
fell into the spring slush.
there are so many onions in my shawarma,
that I want to, I want to cry.

and in the big world, carbon dioxide
there are so many ears of pain,
that they can dot the eternal Russian field
.

Veracneliber

Today’s moon reminded me of a sponge
for applying foundations,
under which I used to hide
along with my moderate to severe acne.
I went on a pilgrimage to soviet hospitals,
where the doctors answered me with the question “do you have sex?”
and I myself was surprised that I had it:
good, normal, sorry, not healing.

once I went to apply torn skin
to some holy relics.
or rather, not to themselves, but to glass,
that protects them from the wind of prayers and kissing.
I burst into tears there, like a fool.
even the cute father took me by the hand
and said: “do not cry, since I venerated with deep faith,
then everything will stop hurting. ”

the father was handsome and deceitful,
like Instagram escorts with their own business.
I applied with faith, hope, love –
found sofia and several rashes.
friend, to console, sent me pictures
with his pimply face,
but he had rosacea, not moderate to severe acne.
and he’s a guy.

90,004 guys can be ugly, but I can’t!
besides, my name is like an English princess.
the gynecologist said it was polycystic. uzist – will tighten the gallbladder.
psychiatrist – a lot of stress.
my mother said that I was a beautiful child, and that is why they jinxed me.
took him to the fortune teller.

and ten years later
I woke up without my native acne
medium-severe,
and in the window pimply schoolchildren
played tag.

feast

baby,
you look so much like a dead great-grandmother who accepted the revolution.
you look so much like your daddy’s uncle, he hanged himself in ninety.
You look so much like your ex-brother-in-law that wet dreams have returned to him.
you look so much like a cousin’s aunt: you are of the same height as her.
You look so much like your grandmother before she got dementia.
you look so much like a sister-in-law. no, on the sister-in-law – that face is sterner.
You look so much like your great-grandfather when he was released from Auschwitz.

baby,
you look so much like everyone else,
just don’t look like yourself.

don’t look at me

don’t look at me so cleanly.
as if I was not climbing out of my mother.
as if it wasn’t me in the face
the girls were beating at the entrance.

like my thoughts – rhymes
(continued by A. Feta).
as if I don’t hear right now,
is like cats on the street.

as if it wasn’t me who mixed
into the blue blood of watercolors,
as if I didn’t eat bread and sugar,
when there were no cookies at home.

are like phrases coming from God,
after the morning prayer.
didn’t seem to leave the guys,
didn’t seem to be cut with a razor.

don’t look at me so cleanly.
I’m simple, ordinary. only
pereklinin somehow in childhood,
and teeth-rows fell.

don’t look at me so cleanly.
Don’t look at me so cleanly.
Don’t look at me so cleanly.
if you love – get rid of rubbish.

fight for life

happens, you like someone –
and the hair stops falling out,
and the whites of the eyes become bright,
and everyone is looking at you,
as if you are a happy entity,
as if God kissed you on the lips.
when you like one someone –
everyone starts to like you.
then it disappears and you disappear.
will disappear into each other and from each other.
and hair will also want to leave you –
they leave in whole groups.
you, their boss, ask: where are you going?
why are you now leaving me?
why didn’t you do it sooner?
now I am already very pitiful,
for the most unimportant left,
how to hold on to this life?
leave me at least one hair,
at least one strong hair,
I’ll wrap it around my thin waist –
a cowardly acrobat with two fears:
life under a carbon dome
and lifelessness in the open air.

spring

the door opened and a man entered:
in his hands – a bottle, on his boots – snow.
crawled under the sofa, clamped her mouth,
and he believed that I was not here.

hinge door call sign gave:
“left. the footprints melted him. ”
how good! I wipe the floor
and drink one frosty wine.

and the street is getting ready for the warmth,
and the children are feeding the puppies with chips.
gets dark – I’ll go to the trash bin
and take at least one to my well-fed hell.

***

on the cheek of a Kyrgyz (or Kazakh) woman
pearls are rolling: a necklace of pain.
I am a crow, greedy for salty and shiny.
beautiful necklace – I want that too.

we cry from kotelniki to china,
from a wet handkerchief to a dry one.
Why are you crying, Kyrgyz (or Kazakh) woman?
Do you miss home? I miss home too.

Why are you crying, Kyrgyz (or Kazakh) woman?
forbid loving someone you loved yesterday?
I also love to love against the wind
and against reason.against herself.

Why are you crying, Kyrgyz (or Kazakh) woman?
the elevator does not come, which takes away from the first floor?
with every second the grass is higher and higher,
and it is easy to get lost in it. (I was also expecting him).

pearls disappear from the cheeks of a Kyrgyz (or Kazakh) woman.
go to the next one. the next one is Lubyanka.
– girl, can I help you? has someone died? – no,
was born in me an empathic Russian (or Polish) girl named Dianka.

dandy

ocean of friends – there is no one to drown with.
so as not to kill the neighbors – I shoot ducks at the dandy.
electronic guts fly across the screen.
ducks die and don’t cry, and I whine from a mental wound.
or which one I don’t know. maybe I don’t have a soul.
mom shouts: “stop! immediately drop the pistol
– the borscht is ready! ” no figure – no guy. tell mom this.
for her there is nothing more important than pride and soul.
Mom is good, and daughter is a weft killer.
as in the movie. I don’t remember the name. just like in the movie!

Here’s how it happens: love, and then hop – and shooting ducks?
I have raisins in my head from days, nights, days.
I’ve lost the countdown. how so: cleanliness, and then dirt to the bone?
people are always like this: he himself is to blame, but he shoots animals.

in grass

aaaaaaaaaaaa, silence.
the grass is covering me.
“what are you hiding in it for?”
God will ask me.

but I know that he was not the one who asked me the question
.
Devil’s dog field
feels with its tail.

with each dry spikelet,
crushed by heavy me,
both death and the dog are getting closer.
dog behind my back.

he eats the heart,
through the ringing vertebrae,
and left everything else:
limbs and intestines.

aaaaaaaaaa, emptiness.
grows through the body of the grass.
“what are you hiding in it for?”
God won’t ask me.

main event in life

Narcomanskiy settlement
Sister
Ballet
Mom loves and beats

School
Excellent student
Univer
Mom loves and beats

Guy
Second
Stopped counting
Mom loves and beats

The wind beats.
Husband beats.
Life beats.
Mom raises her hand and lowers it.

boys

I dated boys whose fathers are war veterans,
and I know contusion is a genetic disease.
“Modern guys don’t want to go to the army.”
look in the eyes: they already have this army.
I will continue as a boy – I will not give it to you.
I will not receive thin fingers by mail.
I will tell him that Lesha Balabanov’s movie is a lie.
that Sveta is hallucinating zinc boys.
we will grump in the kitchen with cockroaches-bones,
eat a bloody autumn watermelon with them.
I will be afraid that he will see a helmet in an empty berry,
put it on your head. God, I’m already scared.

hello. I’m scared that they will take our nonexistent boy.
hello. I am writing to you from the top of the Caucasian mountain.
hello. mountains are not mountains, but scenery for war films.
hello. I’m sorry your dad didn’t come back from the war.

day

was an awkward day. and the whole day
was lived for this evening.
you introduced me to everything,
that is so dear: books, a cat,
mom cut off a soft curl,
a timid word on a sheet.
this is how the illusion of the “first”
was born in my clever blind head.

and outside the windows (it would be necessary to wash)
the city lived by its own dead destiny.
and there was a foggy light in the apartment,
as if in a church: such, golden.
I confessed that I don’t believe in God:
we never drank with him.
and the cupboard doors creaked,
means someone in the cupboards of these veins.

thin legs, climbing up on the wall,
lymph will pop closer to the mouth.
The best prose is written in blood.
the best odes sound to the ceiling.
a cloak on a hook has become a cloak on the shoulders.
the words “still early”, “light”, “only six” –
but I’m leaving. I still can’t kiss
here: allergy to wool.

urban freaks in gray raincoats,
hanger – shoulders, shoulders – hook.
Urban, in which a deceitful excuse is so obligatory for “not to kiss”
.

circumcision

we watched the movie,
there the woman was terribly ill.
and you told me for some reason,
that he would love me without legs.
I went to the hairdresser,
trimmed hair
–
rehearsal of leglessness.

Sylvia

friend said you got a new dog.
with dark coat, thoroughbred and screeching.
I am curled up on the rug like a mongrel.
sick. boring. faithful. real.
I crawl on the floor in search of someone else’s wool.
I sniff out hairs of bluish black color.
thought, I’ll bump into rhyme – and you will flow out of me,
according to the ancient law like him. Archimedes.
but you stayed. a friend said
has a large table in your kennel. and a bed. Ted,
I have nothing. I have nothing big.
I have nothing big but you, no.

ground level

why, why, valentine,
do not people fly like birds?
because they are heavy themselves,
but we wish the earth to rest in peace.
the main thing in an astronaut is
a smile and a gift to land.
I am your earthiness, Jurassic,
the ship’s center of gravity.
without sun today. you see
how white boa covered
bare shoulders of Europe,
ready for love and spring?
you know how lunar,
milky, stellar power
Does
make us dream strange things?
where will you land?
forests – snakes, bears and wolves.
where will you land?
seas – full of sharks horizon.
where will you land?
city – lane madness.
and if a dumb wilderness,
then how will they find you?
Today the people of Moscow
are raising their noses more and more often:
in every simple plane
fancies your “east”.
and I lowered my head,
when you are here – I will find out,
so far I feel, Jurassic,
how infinitely far you are.
you will land in the field:
Soviet, labor.
and before you land,
answer the savage’s question:
are you able to catch
your powerful telescopes
people under the black umbrella
on October street?

Magazine

I go to the counter, touch the oranges
and feel – this is it.I feel – this is it!
I go up to the person and hug him tightly,
his bones crunch. I feel – this is it!
I am reflected in the window, I smile at three faces,
one of them is mine! in the center is mine.
I open the book, Henry Chinaski is angry.
share anger with me, Chenry Ginaski is mine.
I study the city, its roofs wet.
Snow is falling from the roof (okay, not a person).
I study the city – mice study me,
think: “If it falls, we will eat it right there!”
I signed up for yoga to lift my legs.
there is silence: Buddha has a headache.
I lift my legs higher than others in yoga –
here I am a fine fellow. but the guy left me.
I go to the pate, touch these pate
and feel – it’s you. you are meat without a soul!
I go to the baguettes, I touch these baguettes
and I feel it’s you. dough you are without a soul!
I have already come to the edge, I feel extreme
and I feel it’s mine. I feel it’s mine.
I go to the counter, my hands are tired
do not feel anything.nothing is mine.

blanket

In the morning I often forget who I am and what my name is.
where and when I was born, whose citizenship I have.
but I know each of your filled teeth,
I remember everything about you, even a series of your passport.
although memorize numbers, how to learn a paragraph from Virginia Wolfe:
you don’t know which beacon to believe, what to hold on to.
I think I’m trying to tell you how much I love you.
I’m a girl, not a bank: I don’t know how to open up.
I need, I need to wrap myself in blankets of words from you,
hope that you will find it before I die without air.
lean your ear against the pile of linen, there I am your love,
and in order to be silent, I have no voice left at all.

granny bedside table

at night old bedside table
becomes an old granny,
legs become legs
and begin to walk.

and immediately seemed more comfortable,
even though the story is scary,
let grandchildren fall in the morning
wind the thread in a ball.

grandmother-grandmother-grandmother,
you can’t sleep!
really did
there too
pigs and goats?

“What about without them? economy! ” –
the floorboard creaked.
woke up to look at grandma –
there is a bedside table nearby.

Sims and smert ‘

I sometimes play the Sims.
I have everything there:
Children, beloved, dog,
A large window in the bathroom.
And there is also Death,
Which you can ask for
Leave the character alive,
Kneeling down in front of her.
And he comes back, but
This is not the same:
He has a transparent body,
And he does not want anything.
He’s a vegetable character.

When I’m not playing The Sims,
I don’t have children, a loved one, a dog
And even a big window in the bathroom.
But there is Death here too.
And you can’t agree with her.

Cover: Arina Ereshko

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