
I was in the 6th grade when I noticed that I was finally starting puberty. After getting up early one morning to use the bathroom, I noticed that my package was starting to look a little bigger. Like any 12 year-old boy, I was excited to finally become a man. I spent the entire morning at school fantasizing about what changes would come next. A deeper voice? A growth spurt? Facial hair? Maybe even hair downstairs? While all of these things did eventually develop, one thing developed along with them that no one had prepared me for – breasts.
The first memory I have of crying in the mirror occurred about 3 months after noticing that my marbles were growing. While toweling off after a shower, I noticed that my previously puffy nipples had developed into breast buds. In disbelief, I reached for my chest to feel if there was anything really there. Tears filled my eyes and I began sobbing as I stared at myself in the mirror.
My mother heard me and opened the door to check if I was okay. She had to hold back laughing when she witnessed me standing in front of the mirror in my tighty whities, crying with nipples in my hands. She hugged me from behind and told me I was becoming a man. She praised me for being aware of my body and for being mature enough to be worried when I noticed something out of place, then explained that lots of boys (including my older brother) develop breasts during puberty. As I zipped up my pants, she told me it was called ‘gynecomastia’ and ensured me that it would go away by the time I was done growing up.
For the rest of middle school and the entirety of high school, I did everything I could to hide my breasts while I waited for puberty to pass like a storm cloud. Walking to class with my books over my chest, wearing sweatshirts at every possible opportunity, and avoiding any opportunity to have my picture taken. My school only had one boy with gyno, and it was me. I withdrew socially and didn’t get involved in extracurriculars.
My worried quickly grew worried and sent me to a therapist. After our first session, I was encouraged to participate in “normal high school stuff.” So I joined the boy’s swim team at my school. Over the first few weeks, I noticed that the other boys on the team were self conscious about being naked in the locker room or being seen in a skimpy little swim brief during meets. Meanwhile, I didn’t care about my goods being seen in the locker room. I didn’t care that our speedos were small enough that swim meet audiences could tell that I was circumcised. And I certainly didn’t care that our skimpy suits left me with a visble plumber’s crack. However, any time I was out of the water, my arms immediately folded in front of me to obscure any view of my chest. My teammates seemingly understood how much my chest bothered me and never once made fun of me for it.

As I grew older and went to college I developed a very disordered relationship with food. Initially losing enough weight to kick off all of my baby fat that I’d carried around for almost 10 years at that point. However, I forced myself to lose more and more weight in the pursuit to finally look “truly skinny” and feel better about the way that I looked. Despite starving myself until my ribs were exposed or doing hours of cardio while avoiding weights like the plague, nothing worked and I still spent my days covering up my chest. I didn’t realize it at the time, but I hated the way I looked because of my breasts and not because of my overall size.

This trend continued after college, through medical school, and into residency. By this time, I had regained all of the weight I lost in college, plus some more. It was the worst I’d ever felt about myself. However, the moment of clarity came to me while on my pediatric endocrinology rotation. As I followed the attending physician into the room to see our patient, she explained to me that the patient was being evaluated for gynecomastia.
After listening to her speak to the patient and explain to him the different treatments available, I realized that if a kid could get treated for gyno then I could get treated, too. I reached out to my doctor after talking with a close friend. He agreed that I had gynecomastia after examining me, but sent me to get imaging done just to be safe. Once the imaging came back, he encouraged me to see a surgeon. The rest is history… or rather… the subject of my next few posts.





