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Pubertal gynaecomastia — SCE Endocrinology MCQ

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EasyReproductive EndocrinologyPubertal gynaecomastiaSCE Endocrinology

A 14-year-old boy has bilateral gynaecomastia for 8 months. Pubertal staging is Tanner 3, testes are 10 ml, and there is no galactorrhoea or testicular mass. What is the most appropriate management?

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Correct answer: D — Reassurance and review if persistent or progressive

Pubertal gynaecomastia is common and often self-limiting. Red flags include prepubertal onset, rapid progression, hard mass, systemic symptoms or persistence. Surgery and endocrine drugs are not first-line in typical physiological cases.

Reference: Endocrine Society Male Breast Guidance; NICE CKS