Is a complete hormonal work-up by an endocrinologist required prior to surgery?

Commonly, gynecomastia patients note that it commenced during puberty and then remained with them. In the vast majority of these gynecomastia patients, hormonal tests reveal normal levels of testosterone and estrogen. Cosmetic surgeon will take a complete medical history during the consultation. If there is anything suspicious, then further investigation may be necessary. The patient’s history of the problem may indicate that abnormal hormone levels may be present (eg sudden development of gynecomastia in a healthy 20-something male) and that hormonal evaluation is necessary. The other possible causes such as illicit drugs (marijuana, body-building steroids), side effects of prescribed medications, adrenal tumor, pituitary tumor, testicular tumor, cancer, etc. must also be evaluated.