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So if you have the slightest worry that you might have a lump in your breast, see your doctor straight away so that you can have tests and treatment if necessary.

Other signs of breast cancer include a sore or rash on the nipple, discharge from the nipple, the nipple turning in, or a change in shape of the breast. It is natural for men’s breasts to enlarge in old age.

If you can feel a firm, rubbery disk-like mound of tissue which is more than 2 cm across, and which seems to be stuck to the back of the nipple and to the pink area surrounding the nipple (areola), it is likely that the breast tissue is overdeveloped. Usually both breasts are equally affected, but sometimes development of one is more obvious than the other.

If one breast is more enlarged than the other, ask your doctor to check it; breast cancer is rare in men, but it can occur.

Oestrogens are easily absorbed through the skin; men have developed breasts after using anti-balding scalp creams containing oestrogen, and even by absorption through the skin of the penis from a partner using a vaginal oestrogen cream.

Alcohol abuse upsets both sides of the oestrogen–testosterone balance.

In the mid-to-late teens, they start to become smaller again, and will usually have flattened out by age 18 or 19. At puberty, the testosterone level does not rise steadily.

Fortunately, the liver can often recover if alcohol intake is reduced. Breast cancer can occur in the male breast, but is usually on one side only.

Tumours in other parts of the body can sometimes produce hormones that make the breasts grow and may also cause erection problems and/or oozing of milk from the breast.

It seems that breast tissue is very sensitive to the balance between oestrogen and testosterone in the blood.

If there is either a fall in the testosterone level or a rise in the oestrogen level, the breasts will be stimulated to grow. Some drugs have an oestrogen-like effect on the breast, and some block the effect of testosterone.