In elderly men the main cause of gynecomastia is thought to be decreasing testosterone production . Medications a patient may have been taking over the years can also play a role. Hormonal medications including androgens, anabolic steroids, antiandrogens, and estrogens can certainly help bring it on, but nonhormonal medications can also be a contributing factor. Of course, some of these ideas remain more in the category of ‘ urban myths ‘, but the consumption of alcohol, marijuana use, and amphetamines have been suggested as agents . Other drugs like tricyclic antidepressents, thiazide diuretics, phenytoin, digoxin, and ketoconazole , taken over many years, are also thought to contribute to the condition .
I’ve had moobs since the age of 13 and I have been embarrassed shirtless and would love to go swimming which I love but will never do. I am now 46 and really thinking of going abroad for surgery. I had tried everything and when I was younger I was very good at various sports and was very active but since the moobs I decided to become overweight to cover up these ridiculous boobs. The latest surgery maybe the best solution but hope it works. If the surgeon can do miracles for me then this will be the best gift for me since last 30 years.