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Может быть: \n- **Физиологической** — нормальной реакцией организма в определённые возрастные периоды [5](https://BestClinic.ru/diseases/ginekomastiya/). Например, у новорождённых — из-за влияния материнских гормонов, у подростков — в период полового созревания, у пожилых — на фоне падения тестостерона и роста эстрогенов [4](https://www.VIDAL.ru/encyclopedia/narusheniya-obmena-veshestv-endocrinoligiya/ginekomastiia)[5](https://BestClinic.ru/diseases/ginekomastiya/). \n- **Патологической** — требует медицинского вмешательства, вызвана различными патологиями или нарушениями [5](https://BestClinic.ru/diseases/ginekomastiya/).\n\n\n\n## Причины\nНекоторые причины гинекомастии: \n* **Гормональный дисбаланс** — повышенный уровень эстрогенов и/или снижение тестостерона [2](https://zdravclinic.ru/bolezni/ginekomastiya/). \n* **Приём медикаментов** — анаболические стероиды, антидепрессанты, гормональные препараты [2](https://zdravclinic.ru/bolezni/ginekomastiya/). \n* **Заболевания печени** — цирроз, жировой гепатоз, нарушение метаболизма гормонов [2](https://zdravclinic.ru/bolezni/ginekomastiya/). \n* **Опухоли** — надпочечников, яичек, гипофиза, производящие эстрогены [2](https://zdravclinic.ru/bolezni/ginekomastiya/). \n* **Ожирение** — повышение уровня ароматазы, которая превращает тестостерон в эстрогены [2](https://zdravclinic.ru/bolezni/ginekomastiya/). \n* **Хронические заболевания** — сахарный диабет, почечная недостаточность, гипертиреоз [2](https://zdravclinic.ru/bolezni/ginekomastiya/).\n\n## Симптомы\nНекоторые симптомы гинекомастии: \n* увеличение груди (диаметр — 2–15 см и более) [1](https://celitel05.ru/articles/ginekomastiya-simptomy-i-lechenie/); \n* повышенная чувствительность или болезненность сосков [1](https://celitel05.ru/articles/ginekomastiya-simptomy-i-lechenie/); \n* изменение формы и структуры грудных желёз [1](https://celitel05.ru/articles/ginekomastiya-simptomy-i-lechenie/); \n* появление уплотнений в области соска [1](https://celitel05.ru/articles/ginekomastiya-simptomy-i-lechenie/); \n* в некоторых случаях — выделения из сосков [1](https://celitel05.ru/articles/ginekomastiya-simptomy-i-lechenie/). \n\nЧаще всего наблюдается двусторонняя гинекомастия — патологический процесс одновременно происходит в обеих железах, но нередко встречается и односторонняя форма заболевания [1](https://celitel05.ru/articles/ginekomastiya-simptomy-i-lechenie/).\n\n## Диагностика\nДля постановки диагноза используют: \n* **Осмотр эндокринолога, андролога** [2](https://zdravclinic.ru/bolezni/ginekomastiya/). \n* **Анализы крови на гормоны** (тестостерон, эстрадиол, пролактин, ЛГ, ФСГ, ТТГ) [2](https://zdravclinic.ru/bolezni/ginekomastiya/). \n* **УЗИ молочных желёз** — оценка структуры ткани [2](https://zdravclinic.ru/bolezni/ginekomastiya/). \n* **МРТ или КТ надпочечников, гипофиза** — при подозрении на опухоли [2](https://zdravclinic.ru/bolezni/ginekomastiya/). \n* **Биопсию тканей** — при подозрении на онкологические процессы [2](https://zdravclinic.ru/bolezni/ginekomastiya/).\n\n## Лечение\nТактика лечения зависит от причины заболевания и степени выраженности изменений [2](https://zdravclinic.ru/bolezni/ginekomastiya/). 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