A 16-year-old boy expressed concerns about breast enlargement. He reported noticing this change approximately 2-3 months ago, initially observing that one breast was larger than the other. Currently, both breasts are almost equally enlarged. In terms of growth percentiles, the boy is at the 40th percentile for height, 50th percentile for weight, and 55th percentile for BMI. During the examination, the boy exhibited behaviors such as avoiding direct eye contact and appearing nervous. Breasts: 2.5 can firm, tender, well-circumscribed mounds deep to both nipples. No nipple discharge. No other symptoms like headaches or visual changes. His pubic hair and genitalia were of Tanner 3-4. Skin examination was unremarkable. What will be the next step in the management of this patient?
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Dr. Suchismitha Pathak
General Practitioner
· Udaipur
Usg of breast Endocrinologist opinion for hormonal evaluation for gynaecomastia