Aims: Gynecomastia is a common breast condition in males occurring due to varied etiological factors. Evaluation of such patients includes detailed medical history, clinical examination, specific blood tests, imaging and tissue sampling. Endocrinological workup forms the main part of investigation, the role of which is lacking in current literature. The objective of this study is to assess the productivity of such evaluation in current practice. Methods: A five year retrospective study was conducted of patients presenting to department of Plastic Surgery at Tertiary care hospital were review with respect to Endocrinological results, treatment and cost. Results: The mean age at presentation being 21.48 years (Range 15–30 years) with mean history of complaints since 1.84 (SD 0.84) years at presentation. 46.15% (n = 24) patients were overweight and 36.53% (n = 19) patients being obese. Unilateral case were 14 % (n = 7) and bilateral being 86% (n = 42). The median body mass index is 28.47. Four patients had positive family history with 7 of those patients having unilateral presentation. 1 patient was diagnosed with secondary gynecomastia due to anabolic steroids. Conclusions: Gynecomastia in young is more commonly idiopathic in nature and Endocrinology evaluation should be judiciously used when indicated by proper history taking and thorough clinical examination.

Keywords: Gynecomastia; Endocrinology; Evaluation.