Gynecomastia is a non-tumorous hyperplasia of the mammary gland. It usually affects both breasts, but can however be unitalal. What may seem paradoxical, especially when an endocrine etiology must be retained, is probably explained by differences in the sensitivity of the receptors present in the breast tissue.

The discovery mode is very variable. It may be a fortuitous discovery on clinical examination or on the contrary the very reason for consultation because of its volume or discomfort, or even pain.

In the neonatal period gynecomastia is common and is explained by the transplacental passage of estrogen. Its possible occurrence at puberty corresponds to the initiation of steroidogenesis. In the older man there is a peak frequency between 50 and 80 years when three quarters of the population are affected. The origin of these gynecomastia is often mixed but the androgen deficit is the most common cause in the elderly man.

It is a galactophoric and conjunctive proliferation of estrogenic type, without acini, but with rough pseudo-lobules. The proportion between epithelial and connective tissue depends on the age of gynecomastia.

– Type 1 corresponds to a florid aspect, quite typical of estrogen therapy. The hyperplasia of the canals is concentrically surrounded by a rather loose and edematous connective tissue where collagen fibers are scarce. The epithelium is hyperplastic.

– Type 2 shows a quiescent aspect. This is the most common type. The channels are embedded in dense collagen, without epithelial hyperplasia (Figure 1).


The appearance of gynecomastia reflects a change in estrogen / testosterone ratio. Indeed, androgens, testosterone or dihydrotestosterone are inhibitors of the proliferation of breast tissue. Endogenous estrogens, exogenous or derived from the aromatization of androgens stimulate the proliferation of breast tissue. Leydig cells secrete 15% of the circulating estradiol. The rest comes from the extragonadal conversion of an androgenic precursor. The same goes for estrone with a 5% testicular – 95% extragonadal ratio.

Hyperestrogenism can be absolute if there is a pathological increase of estrogen secretions of tumoral origin, leydigienne (stimulated by hCG) or peripheral by aromatization in adipose tissue. It may also be estrogen of exogenous origin (drugs, foods). The synthesis of SHBG is then increased and leads to a further reduction of the free fraction of androgens which further increases the estrogenic environment.

Hyperoestrogenicity may be relative if there is a decrease in plasma androgens compared to estrogen secretions that remain normal. As the affinity of SHBG is greater for androgens than for estrogens, the free fraction of androgens is further diminished.


Interrogation guides the diagnosis. Family history of the same type should be looked for, manifestations similar to puberty. The clinical examination makes it possible to specify the uni or bilateral character, the possible symmetry of the gynecomastia and the volume of the swelling. Palpation also looks for nipple discharge and possible axillary lymphadenopathy.

The main differential diagnosis to be evoked is adipomastia, which is softer, granular, noncentralized by the nipple, which tends to follow the infero-external edge of the pectoralis major muscle and is often associated with overweight. Breast tumors are rare in humans, but we must know how to evoke the diagnosis in front of a hard nodule, insensitive, accompanied by a possible flow.


Gynecomastia are most often related to hormonal imbalance. In the elderly man an iatrogenic cause must be sought first but it is most often a gynecomastia linked to hypogonadism. The following list attempts to identify iatrogenic causes in the most complete way possible, although some of the treatments mentioned are not used very frequently in older men.

Lose weight fast: Here is the list of effective tips

There are many ways to lose weight fast. But many of the quick cures will make you constantly feeling hungry and unsatisfied. So if you do not have a will of steel you will probably give up for the hunger quite quickly. Losing weight is really simple mathematics. You need to spend more energy than you store in you. The easiest way is to reduce the calories you store in you. But you can also increase your withdrawal by exercising more. The best thing is if you make a combination of these.

A normal calorie intake is between 1800 and 2500 calories per day depending on age and weight. To reduce a kilo in a week, you need to reduce your calorie intake by 7000 calories. However, it is important to know that you can not cut it at all at once. “If you make big changes at one time, there is a risk that you can not continue. Take one or a few changes at a time and work with them until they are sitting, “says ohmyfat, while warning to go too slowly.

Because your calorie intake is very limited, you will quickly notice what kind of food will last for a long time. Here are some more effective tips on how to reduce your appetite, lose weight fast without hunger and improve your metabolic health, based on science.

Reduce your sugar dependence and eat less

When trying to lose weight fast, it is good to reduce sugar and carbohydrates. It is these types of foods that raise the level of insulin most in the body and therefore help the body to store fat. When the insulin level goes down, the fat is easier to get out of fat reserves and you start burning fat instead of carbohydrates. Another benefit of lowering insulin levels is that the kidneys begin to get rid of extra sodium and water, which reduces the unnecessary kilogram of fluid that you can carry on. By reducing carbohydrates, you lower your insulin level, which means that you will automatically start to eat less calories and remain mild.

Eat protein, fat and vegetables

Each meal should contain a protein source, a fat source and carbohydrates. If you want to reduce carbohydrates it is good to choose vegetables that have a small amount of carbohydrates.

Protein sources:

Meat: For example, beef, chicken, pork, lamb, bacon

Seafood: For example, salmon, cod, shrimp, crayfish, lobster

Eggs: omega-3 enriched eggs or pasteurized eggs are the best.

If you eat less carbohydrates, it is important to eat a lot of protein if you want to stay well. Studies have shown that a high protein diet can increase combustion with 80-100 calories a day. Studies have also shown that eating a lot of protein can reduce excessive thoughts around food by 60 percent, reduce the soak for evening eating, and make yourself so fed up that you automatically eat 441 less calories a day … just by adding more protein in your diet.

Examples of vegetables with few carbohydrates:





*Brussels sprouts




Do not be afraid to load the plate full of vegetables with few carbohydrates. You can eat massive amounts without exceeding the amount of calories you can eat every day.

Fat Sources:

*Olive oil

* Coconut oil

* Avocado oil



You should eat at least 3 meals a day. If you feel hungry in the afternoon add a fourth goal. Coconut oil has proven to be a good source of fat when cooking. This fat is more saturated than any other cousin and may also increase combustion slightly. There is no reason to be afraid of natural fats. Recent studies have shown that saturated fats do not raise the risk of heart disease.

Lift weights

You do not need to work out to lose weight if you stick to your calculated calorie intake. However, it is recommended to get the best results. Raising weight in gyms has proven to be a good option for those who want to lose weight. If you are completely above the gym you may want to ask a coach for advice. By lifting weights you will burn a lot of calories and prevent your combustion from slowing down, which is a common side effect in weight loss. Studies on low calorie diets show that you can actually increase your muscle mass somewhat while reducing your fat mass properly. If you can not lift weight, instead, you can do a kind of cardio exercise, such as walking a walk, running or swimming.

Should I count calories?

If you lose weight with Weight Club, you do not need to count calories yourself as long as you use Weight Club’s logbook. Then you only need to log what you eat and you will automatically find out how many calories you have eaten and how many you have to spend on the day.

10 Easy Tips to Lose Weight Quicker

1. Eat a protein-rich breakfast.

Eating a protein-rich breakfast has been shown to reduce the amount of suction after food and calorie intake throughout the day.

2. Avoid beverages with a lot of sugar and fruit juice

Drinks can contain many calories without giving saturation. Therefore, avoiding sweet drinks can help you lose weight.

3. Drink water half an hour before your meals

One study showed that by drinking water half an hour before eating, weight loss increased by 44 percent over a three month period.

4. Choose weight loss “friendly” foods

There are foods that are extra good to eat when trying to lose weight. Here you will find a list of 20 different foods

5. Eat soluble fiber

Studies show that soluble fiber can reduce fat, especially around the abdomen. Fiber replacements like glucomannan can also help.

6. Drink coffee or tea

Do you like coffee? Congratulations! Caffeine can increase your combustion by 3-11%.

7. Eat more whole grains

Basing most of your diet on whole grain products and upscale food. It is more healthy, more saturating, and reduces the risk of overeating.

8. Eat your food slowly

Those who eat fast get more weight over time. Eating slowly makes you feel more comfortable and boosts your weight loss hormones.

9. Use smaller plates

Studies show that people who eat on smaller plates automatically eat less.

10. Sleep well – every night

Sleeping poorly is one of the highest risk factors for weight gain. So to make sure you sleep properly.

All Your Need To Know About Breast Correction

Numerous women would like round, pronated and firm breasts However, not every lady is blessed with ‘model breasts’. One discovers them too little, the other too limp or hanging. If you are really not sure of how your breasts look, you can think about a cosmetic breast correction.

In this short article we talk about the differences in between 2 regularly carried out breast corrections: the breast lift and the breast enhancement with own fat or implants

Breast augmentation: the breast correction for bigger and fuller breasts.

Would you like bigger breasts or do you just find them too small in relation to the rest of your body, then a breast enhancement can provide a service. The name states it all; the treatment is concentrated on increasing the size of the breasts. A breast enhancement can be carried out in 2 methods, by means of breast implants or lipofilling

Breast enhancement with implants.

A breast enhancement with implants is performed under complete anesthesia The implants are always placed by making a cut at the bottom of the breasts, in the armpit or around the nipple. The area of the cut depends upon the kind of implant, how you were developed and what the cosmetic surgeon recommends. Of course, your dreams will always be considered as much as possible and exactly what you feel comfy with. Anyway, the scar will always be as inconspicuous as possible.

A natural result?

The breast augmentation consist of a plastic or silicone bag filled with silicone gel, a salt water option or both. Formerly, round implants were always utilized, but they can cause an unnatural outcome. For that reason, a growing number of drop-shaped implants are being utilized nowadays; these eyes are more natural since they are less full on top than at the bottom.

What are the dangers?

Similar to any cosmetic operation, there are risks you need to consider. With a breast augmentation by means of implants you can suffer from bleeding, infections, level of sensitivity or just insensitivity in the nipples, wrinkled skin, fluid build-ups and unpleasant breasts

Breast enhancement with lipofilling.

Increasingly more ladies select lipofilling as a method to expand their breasts. Lipofilling is filling a certain body part with your own fat. First, liposuction removes fat from a body part with enough fat. For instance the stubborn belly or thighs. With a breast enhancement with lipofilling, this fat is injected into the breasts. The latter is done under local anesthesia.

A natural result?

A breast augmentation with lipofilling provides a natural and subtle outcome. That is due to the fact that body’s own product (your very own fat) is injected into the breasts. This is not like a ‘hunk’ in your chest, but just spread out all over. In addition, a huge advantage is that no incision (cut) has to be made to present this fat. The fat is injected by methods of a needle.

The only drawback of lipofilling is that your breasts do not become much firmer and more pronounced. If that is truly what you want, then you much better select implants.

What are the dangers?

The liposuction prior to lipofiling includes some threats. For instance, in rare cases infections or bleeding may happen. In the part where the fat is injected into the breasts, one usually expects side effects or problems.

Breast lift: the breast correction against flaccid and drooping breasts.

If you discover that your breasts hang excessive or that they are too weak, then a breast lift is the treatment that suits you. This is due to the fact that your breasts are strengthened and raised; lifted. A treatment that is particularly beneficial for females who are elderly.

How does it work?

A breast lift is performed under general anesthesia. At a breast lift, slices are made around and under the nipple, to loosen them and move them upwards. The breast tissue is brought together under the new location where the nipple has been moved. This guarantees that your breast and your nipple get higher. The excess, remaining skin of your breast is eliminated. In some cases even the shape of the nipple is fixed.

A natural result?

Since no foreign materials are introduced into the breasts at a breast lift, this gives a natural outcome. Nevertheless, it is likewise inescapable that scarring will take place. Thankfully, these will end up being less conspicuous after a while.

Exactly what are the threats?

Usually the threats with a breast lift are not really extreme. Soon after the operation the breasts can be agonizing and inflamed and a bit delicate. This will automatically disappear. In other cases, risks can happen such as:

Breast correction Combination: breast lift + breast enhancement

In cases where there is a desire to make the breasts both bigger and firmer, a mix of a breast lift and a breast enhancement can be selected. In this procedure, a breast lift is initially carried out and afterwards the implants are positioned. Then everything is sealed once again.

Vitamins To Increase Your Metabolism And Lose Weight

The very best way to lose weight and increase your metabolism is to follow a healthy diet plan with nutrient abundant foods. Also sufficient exercise is essential to drop weight and to increase your metabolism. But it is much more essential to obtain enough vitamins because without the best vitamins you CAN NOT drop weight and also NOT increase your metabolic process. However which vitamins do you need and from which diet plan can you get these?

How crucial is Vitamin B for your metabolic process?

Vitamin B is one of the vitamins that assist you slim down and speed up metabolism. Metabolism is the process where your body processes the food into energy. If you do not get enough vitamin B during the day, it can trigger the metabolic process to work slower. That will make it harder to lose weight Another aspect of a vitamin B deficiency is that you can burn out of it. So you feel too worn out to work out or do other kinds of exercise and you can practically difficult to hold an active lifestyle.

There are numerous vitamins B that are very important to slim down.

Vitamin B1: primarily happens in cereals, potatoes, however also in dairy, meat and numerous fruits and vegetables
Vitamin B2: Nearly the exact same food products as above and that are. Dairy, meat items, veggies and numerous fruits.
Vitamin B3: meat products, whole grain products, vegetables, nuts and fish. Vitamin B3 itself can also be made by the body from a specific amino acid called tryptophan. Tryptophan can be discovered in peas, cocoa and chocolate and dairy.
Vitamin B5: we can see all foods that we have actually currently mentioned above. These are the whole-wheat ranges, the vegetables, dairy items and fruit.
Vitamin B6: Grains, meat products, egg, various types of fish, dairy items
Vitamin B8: Organ meat mainly liver, soy, seeds and nuts, dairy
Vitamin B11: Vegetables including leafy veggies and potatoes
Vitamin B12: You find nearly exclusively in meat items and mainly in organ meat such as liver. Vitamin B12 is also present in fish and eggs, also in milk. Vegans will discover it harder to have adequate vitamin B12 in the blood because they keep these products out of their diet.

Burn more fat by Vitamin C.

Vitamin C is the least connected with weight reduction. However, some recent research studies showed that they still play a particular function at the same time.

Vitamin C is understood to assist keep metabolism going. Likewise, thanks to vitamin C, more fat might be used as energy through the body, so you might burn fat quicker. This is particularly the case throughout sports. Throughout sports, fat is converted into energy faster with vitamin C That does not imply naturally that you are going to lose weight with big dosages of vitamin C. What is specific is that people with a low vitamin C value in the blood will start to slim down less quickly than people with a higher value.

More weight loss with vitamin D.

Do you do your best to drop weight and do not want to prosper? Then it may simply be that you have a vitamin D shortage. If you still want to lose your kilos, it can assist to take a vitamin D supplement. A study by the University of Milan has actually revealed that people who are obese and have a vitamin D shortage slim down much faster if they follow a diet plan and then take a vitamin D supplement. Topics who took vitamin D lost more weight and lost more centimeters around their waist than topics who had actually not taken additional vitamin D

The best vitamin supplements to drop weight quickly and healthy

If you are reducing weight then you usually do not get enough vitamin through your diet plan and for that reason it is therefore needed that you utilize a vitamin supplement to truly reduce weight and rapidly. But a vitamin supplement from the grocery store is generally not enough because it includes lower quantities and often the quality is also much less. In a good multivitamin are all the vitamin you require, but likewise greater dosages of vitamin B 1 to 12 and vitamin C and D so that your metabolism goes up and you get more energy and you do not feel tired and lifeless.

A Fat burner to lose more weight?

A great fat burner can be a very good assistance to lose weight faster and burn more fat. A good fat burner assists you increase your metabolic process, however likewise offers you a lot of energy so that you struggle with your diet and you do not get a dip and an excellent fat burner suppresses your cravings.

But how do you understand whether a fat burner is good and works?

There are many types of fat burners on the market however often they are of bad quality and do more damage than excellent. In a great fat burner is always vitamin B1, B5 and high doses of vitamin B12 and the rest consists generally of healthy supporting substances such as green tea extract (polyphenols) that assist you drop weight quicker and promote fat loss.

Learn The Miracles Of Water

Incredible, which trumps has water in your home. It softens, is an exceptional painkiller and moreover it literally triggers the stress of your body to circulation. A sea of possibilities, so!

Lovely legs!

Do you want smooth legs for as much as 4 weeks? Then epilation is an ideal hair elimination technique for you. The only drawback: an epilation device eliminates hairs with roots and all … and that for you. Thankfully, the brand-new generation of epilators is almost painless! For those who like additional softness, there is the new Braun Silk-├ępil Xpressive. It is rechargeable, washable and can be taken in the shower or bath. Benefit? The blissfully warm water makes epilation even less uncomfortable.

Do you like it?

That water makes childbirth less agonizing is now known. Warm water unwinds and soothes the pain of the contractions. Moreover, the water makes the tissues of your lower body softer, minimizing the chance of fractures. In some health centers you can just take a bath to catch the contractions, and you still have to go to the delivery room prior to delivery. In other health centers you can also deliver in the bath.

Move much better

The excellent asset of sports in the water? The upward force of the water guarantees that you do not need to worry about injuries. Since of the greater resistance, workouts under water are also a lot more intensive than on dry land. A couple of suggestions:

Aqua running

Here you walk in deep water, so without the swimming pool flooring under your feet. You will get a wetbelt, a belly belt that enables you to remain upright and thus can carry out the walking movements. That way you do not need to swim to stay above water.

Hydrobics or aqua aerobics

Probably one of the best known swimming pool sports. Since your body weighs a lot less in the water, this is advised for overweight individuals who still wish to do sports. A variation on aqua aerobics is aquastep, where you do workouts on an action in the water.

Aquaspinning or aquacycling

The current trend is unquestionably aquaspinning. This extensive fitness training is done on a hydrorider, a spinning bike that stands in the water. You come from your waist above the water yourself. Since of the resistance of the water it is an extensive fitness training with a greater weight loss than in a classic spinning session.

Delicious weightless

Tension? Jetlag? Over-tired? Then the relaxation technique drifting may be something for you. Here you float in a tank that is filled for 20 centimeters with a special liquid that appears like water from the Dead Sea. Due to the fact that your body is without touch, pressure and weight you can achieve a severe form of relaxation. Floating is an excellent remedy for stress and fatigue, and it would likewise help with neck grievances and chronic discomfort such as migraine.


Have you become aware of ‘Watsu’? The term is a contraction of water and shiatsu: a therapist carries you in the water while you are being nestled, stretched and massaged. Because of the weightlessness in the water, your muscles and joints are entirely relieved and you can also unwind much better. Undersea massages work analgesic, minimize stiff muscles and joints and improve blood circulation.

Love for burns

Did you understand that treatments in thermal water can unwind scars? That is why the Pinocchio non-profit company arranges medspa camps for young burns patients every year. Throughout these camps, the kids not only get to know buddies, they also get hydromassages that stimulate the renewal of skin tissue. The children likewise shower in day spa water and they receive sprays with thermal water. In this way discomfort and itching are softened and the scars lose a part of their redness.