Gynecomastia and premature - Thelarche: A guide for practitioners

Gynecomastia in males and premature thelarche in females are common conditions in the pediatric population. Although gynecomastia and premature thelarche represent benign physiologic conditions in most cases, it is important to recognize and treat those patients who may have underlying pathologic conditions. Clues to underlying disease include age of onset, extent and progression, presence of accompanying signs of pubertal development, and use of drugs. If clues to underlying conditions are identified, referral to a specialist is warranted.