Criteria for persistent adolescent gynecomastia - all of the following:
(1) The gynecomastia developed as an adolescent after the onset of puberty.
(2) The gynecomastia has not progressed since it developed.
(3) There are no symptoms to suggest an endocrine disorder.
(4) There are no symptoms to suggest a general medical disorder (liver, renal, malnutrition).
(5) There are no symptoms to suggest a disorder of the testes.
(6) The patient is not taking a drug associated with gynecomastia.
(7) Negative family history.
The longer the time interval involved, the more confident you can be that an occult condition is not present.
