How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. A. Clark Your Own Question

Dr. A. Clark
Dr. A. Clark, Pediatrician
Category: Pediatrics
Satisfied Customers: 4437
Experience:  33 years of experience as a general pediatrician in private practice and in pediatric urgent care.
Type Your Pediatrics Question Here...
Dr. A. Clark is online now
A new question is answered every 9 seconds

My 13 year old son has gynecomastia under both of his nipples.

Resolved Question:

My 13 year old son has gynecomastia under both of his nipples. Our pediatrician told us this occurs in about 40-60% of boys his age and will usually go away after he gets higher levels of testosterone in him to balance out the levels of estrogen in his system now. On the way home from church last night, he told us he was really stressed because he had feelings/attracted, wants to hang around with guys. He wants to know if these are gay feelings. Most of his other friends are looking at girls. Our son said he is not attracted to girls right now. Are these feelings he is having right now due to higher levels of estrogen going through his body right now? Please advise
Submitted: 3 years ago.
Category: Pediatrics
Expert:  Dr. A. Clark replied 3 years ago.

Dr. A. Clark :

I'm happy that you have asked me to assist you with your child and hope that you can benefit from my many years of helping parents like you. This is quite normal as boys and girls enter puberty. Your pediatrician is correct in telling you that lots of boys have some breast enlargement, though really only in about 25-30% of boys. This is not due to estrogen production either but rather due to the large outpouring of testosterone at this time in his life and the fact that one of the metabolic breakdown products of testosterone as it is "recycled" it an estrogen-like hormone that can cause some breast tissue enlargement.

Customer:

Okay thanks for that but where are the feelings/attractions for boys coming from?

Dr. A. Clark :

That said, estrogen has nothing to do with being gay and the jury is still out on whether "nature or nurture" are the underlying influences on attraction to the same sex. It is quite normal for boys at this age to have "boy crushes" just as girls do as this is a tumultuous time in their lives from both a hormonal and social standpoint. All you need do is reassure him that these feelings are developed over time and normal for all boys and girls his age. As his testosterone exerts more control over his body changes with puberty and socialization begins to define his role then I'm sure his feelings will be clarified. That is not to say that he definitely will not be attracted to other guys but the majority of boys go through these periods in their pubertal development and most develop the opposite sex attraction that parents of teen suffer through eventually.

Dr. A. Clark :

You are fortunate that he is willing to voice these concerns to you as most boys do not and that leaves them even more confused and prone to experimentation with other boys, which by the way, is much more common than most people realize. Just reassure him that these feelings are normal in all pubertal teens and that you are always available to discuss this with him.

Dr. A. Clark :

I have to go see a few patients but I'll check back to see if you have further questions later. If you decide to accept my answer you may still return with further questions at no additional charge.

Dr. A. Clark :

Here is a reference on gynecomastia in boys:

Customer:

Thank you very much. Generally how long does it take to go through this phase? Should we take him to see a counselor at this point?

Dr. A. Clark :

Assuming he follows the normal puberty stages the gynecomastia last a couple of years and by then most of the hormone surge is over. I would think though that if he is really bothered by his feelings (worried about his sexual orientation) counseling even now might be worthwhile. Be careful to choose a good counselor who is non-judgmental and unbiased, perhaps a Christian counselor if that fits your family beliefs, and his doctor can probably recommend someone they are experienced with.

Dr. A. Clark, Pediatrician
Category: Pediatrics
Satisfied Customers: 4437
Experience: 33 years of experience as a general pediatrician in private practice and in pediatric urgent care.
Dr. A. Clark and other Pediatrics Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Yogindra Vasavada

    Pediatrician

    Satisfied Customers:

    2507
    M.D.(ped) passed at first attempt, in practice continuously for last 37 years. Certi. in Comp
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr. Yogindra Va/2012-6-10_2618_DSC0039.64x64.JPG Dr. Yogindra Vasavada's Avatar

    Dr. Yogindra Vasavada

    Pediatrician

    Satisfied Customers:

    2507
    M.D.(ped) passed at first attempt, in practice continuously for last 37 years. Certi. in Comp
  • http://ww2.justanswer.com/uploads/GA/GauravMD/2012-6-9_62959_gaurav.64x64.JPG Dr. Gupta's Avatar

    Dr. Gupta

    Pediatrician

    Satisfied Customers:

    1442
    MD, practicing Pediatrician with 19 years of experience. Member American Academy of Pediatrics.
  • http://ww2.justanswer.com/uploads/edkulich/2010-08-17_171809_doctor.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified Pediatrician

    Satisfied Customers:

    819
    Board Certified, Ivy League educated Pediatrician.
  • http://ww2.justanswer.com/uploads/cbellmd/2009-11-19_013247_CB_PHOTO_2.jpg Raymond B., M.D.'s Avatar

    Raymond B., M.D.

    Doctor

    Satisfied Customers:

    422
    I provide medical care for newborns, children, adolescents and young adults up to age 21 years.
  • http://ww2.justanswer.com/uploads/DA/davhill1/2012-6-6_17340_DLHSittingCropped.64x64.jpg David L. Hill, MD, FAAP's Avatar

    David L. Hill, MD, FAAP

    Doctor

    Satisfied Customers:

    414
    Adjunct Assistant Professor of Pediatrics, UNC Medical School. Vice President, Cape Fear Pediatrics.
  • http://ww2.justanswer.com/uploads/josho33/2009-12-16_0435_php4n8fiy_c2PM.jpg Dr. Davidson's Avatar

    Dr. Davidson

    Board Certified Pediatrician

    Satisfied Customers:

    408
    Board Certified Specialist in Pediatrics, Allergy, Asthma & Immunology
  • http://ww2.justanswer.com/uploads/FA/fabiola.caracseghi/2012-4-12_204829_foto2.64x64.JPG Dr.Fabiola.MD's Avatar

    Dr.Fabiola.MD

    Pediatrician

    Satisfied Customers:

    118
    Pediatric Immunology. General Pediatrics