A 23-year-old male attends clinic complaining of chest tightness when exercising at the gym. | Medibuddy
11th April 2024

A 23-year-old male attends clinic complaining of chest tightness when exercising at the gym.

A 23-year-old male attends clinic complaining of chest tightness when exercising at the gym. He has clinical evidence of gynaecomastia. He has no significant past medical history and takes no medications. He has experienced 5% weight loss in the past 6 months. His blood tests are as follows:

Total Testosterone (6 – 27 nmol/L) 4
Serum LH (1 – 8 IU/L) 3
Serum FSH (1 – 7 IU/L) 4
Prolactin (<700 mIU/L) 710
AFP (0 – 5.8 μg/L) 8.2
β-hCG (<5 U/L) 124
LDH (135 – 225 IU/L) 196

Which of the following is the most likely cause of his gynaecomastia?

Select the SINGLE most appropriate option from the list below. Select ONE option only.

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