Generally, anabolic steroids are the cause of gynecomastia in athletes and body builders Most of the breast tissue is behind the areola nipple complex which causes protruding nipples. Generally, the doctors recommend the body builders that they stop any and all anabolic steroids, l omega supplements, protein shakes, and any pain medication use due to the risk of increased bleeding before the surgery. It may first be noticed as some sensitivity in the nipple area going on to real discomfort. When the body senses too much testosterone or a testosterone like substance, it tries to reduce the level by a process called aromitization. This converts the testosterone to estradiol, an estrogen like substance. All men have some glandular tissue. If there is also genetic receptor sensitivity, the increased estradiol level will stimulate this tissue to grow. As the tissue further develops, the area will swell and extend laterally under the arm. The condition can run the range from a mass under the nipple with perhaps some coning to fully developed breasts. If you are a body builder or an athlete, it is most noticeable when you least want it to be. If the weather is cold, everything tightens up. But in the warm weather, when you want to take your shirt off, it all pouts forward and is noticeable.
It’s best to consult your doctor about it. Tests can identify the cause of the enlarged breasts in body builders. If the enlargement is temporary, your doctor can offer reassurance. If treatment is needed, your doctor can discuss the options with you. Gynecomastia surgery for body builders can be done only by excision of the breast tissue, which in the case of body builders is, by itself, sufficient enough to achieve a flat nipple-areola complex.