男性女乳症 - An Overview

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A：一般而言，在沒有特殊病因的男性女乳症的前提下，成年男性已定型的乳腺組織被切除之後就不太會再增長，但仍會視個人的體質狀況而定。此外，術後仍要注意飲食與體態管理，避免因肥胖而增生脂肪，產生假性的男性女乳症。

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疾病：肝硬化、腎衰竭、甲狀腺亢進、睪丸腫瘤、睪丸外傷，這些疾病也有可能會造成男性女乳的問題。

男性女乳症的治療取決於致病原因、持續時間及嚴重程度，並需同時考慮是否存在疼痛或不適感：

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男性女乳症雖對生理健康不構成威脅，但仍可能因為乳腺腫脹、纖維化而帶來疼痛與壓迫感，甚至連衣服的摩擦都會讓人坐立難安。

飲食控制對於男性女乳症的幫助，在於避免因攝取過多熱量造成脂肪堆積，減少吃進會影響體內激素失衡的環境荷爾蒙。實際上飲食控制只能夠降低男性女乳症的發生，或是胸部持續增大的機會，對於已經形成的男性女乳問題，改善效果十分有限。

4D 胸廓塑型術的術後疼痛感輕微，但仍可能會有乳頭感覺異常的情況，然而大多數人於數月內可恢復正常。

乳腺型男性女乳症案例，經過手術後乳頭激凸問題改善，恢復正常男性胸型。

吳柏鋼補充：「現在也提供自費微創手術選項，透過內視鏡進行，術後幾乎看不到傷口，恢復速度也更快。」

此外，若出現乳頭滲血、潰瘍，腋下淋巴結腫大或是難以忍受的劇烈疼痛等嚴重反應，則可能與惡性腫瘤疾病相關，一定要積極求診。

小百科：有些人可能會好奇，乳腺型和複合型的男性女乳症藥物治療可以嗎？一定要動手術嗎？其實對於已成形的乳腺組織，藥物治療大多只能控制身體激素平衡，避免胸部持續增大，若希望改善女乳外觀，還是需要透過切除乳腺才能有效改善。

常見誘因包括體內雌激素與雄性激素比例改變、某些藥物的副作用或內分泌器官功能異常。醫師在評估時會先排除甲狀腺、腎上腺或肝腎功能等病理性原因。

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