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If one or both of your son's breasts becomes very enlarged it is worth asking his GP to check him over. They can be reassured that it usually improves with sensible weight control and as they grow taller during puberty. The appearance is usually a result of the excessive fatty tissue on the chest wall making the 'breasts' more obvious. Overweight boys often look as though they have excessive breast development at this stage of puberty and may be worried.
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The changes in his breasts will calm down and any swelling usually reduces when he reaches full sexual maturity, generally after a year or two. Reassure your son that all these result from changes in his sex hormones which are normal at this stage in puberty. He may feel a small lump or cyst behind one or both nipples or notice some breast enlargement. The early minor changes in breast growth can cause mild pain or tenderness just as you describe in your son.
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Just as in girls this growth is sometimes unequal and occasionally can be quite marked which can make boys worried as well as embarrassed. More than a third of normal boys go on to grow a small amount of breast tissue during middle or late puberty. One of the first signs of puberty in a boy is growth of his genitals, usually at around 12½ years of age (although onset can range two years either side of this).Īt the same time the areola or area around the nipple, which before puberty looks similar in boys and girls, increases in size in both sexes in puberty but less so in boys than in girls.Īlso true breast development often occurs in boys. Yes this is normal for boys starting puberty.