Management of gynecomastia in adolescence and adults: the clinical practice guidelines from the Italian Society of Andrology and Sexual Medicine (SIAMS).

J Endocrinol InvestJun 8, 2026 (epub)
Clinical ResearchEndocrinologyPlastic SurgeryPsychiatryOpen access

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.

Source

Published in J Endocrinol Invest. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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AI-generated summaries may contain errors or omissions. Verify clinically important information with the original publication.

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