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This is nothing to worry about, and happens to about half of all boys at some time. It can start anytime after the age of about 10, and the breasts may be quite large by the age of 13 or 14.

In the mid-to-late teens, they start to become smaller again, and will usually have flattened out by age 18 or 19. At puberty, the testosterone level does not rise steadily.

Oestrogens are easily absorbed through the skin; men have developed breasts after using anti-balding scalp creams containing oestrogen, and even by absorption through the skin of the penis from a partner using a vaginal oestrogen cream.

Alcohol abuse upsets both sides of the oestrogen–testosterone balance.

Occasionally, a rare medical condition may be responsible, so consult your doctor to check your hormone levels.

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Other signs of breast cancer include a sore or rash on the nipple, discharge from the nipple, the nipple turning in, or a change in shape of the breast. It is natural for men’s breasts to enlarge in old age.If you have these symptoms, it is essential that you see your doctor straight away. It kills about half the men who get it, whereas only about one-quarter of women with breast cancer die from the disease.This difference is because men with breast cancer do not go to their doctor early enough.Over the first few teenage years, it continually fluctuates wildly and, on some days, the level will dip quite low.

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These dips in testosterone allow the small amount of oestrogen that circulates in the blood of all men, to have an effect on the breast.

If there is no distinct mound of tissue under the nipple, it may simply be that you are too fat.