Management of gynecomastia in adolescence and adults: the clinical practice guidelines from the Italian Society of Andrology and Sexual Medicine (SIAMS).
Carlotta Pozza, Riccardo Selice, Arcangelo Barbonetti et al.
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In 30 seconds
The Italian Society of Andrology and Sexual Medicine (SIAMS) developed clinical practice guidelines for managing gynecomastia in adolescents and adults. This systematic review emphasizes a structured approach to diagnosis and treatment, recommending observation for recent-onset cases and surgery for long-standing conditions. The guidelines aim to standardize care and address the psychological impact of gynecomastia.
Key findings
- Observation is recommended for physiological or recent-onset gynecomastia cases.
- Pharmacological therapy may be considered for selected idiopathic or painful forms.
- Surgery is indicated for long-standing fibrotic gynecomastia or significant psychological distress.
- Psychological support is advised, particularly for adolescents.
Why it matters
Standardized guidelines for gynecomastia management can improve patient outcomes by ensuring consistent, evidence-based care. Addressing both physical and psychological aspects is crucial for effective treatment.