22nd May 2025

A 25 year old male presents to your general practice clinic complaining of symptoms of fatigue, gynecomastia, lack of morning erections.

A 25 year old male presents to your general practice clinic complaining of symptoms of fatigue, gynecomastia, lack of morning erections. You notice that he has a large amount of musculature. The patient is especially self conscious about his gynecomastia and has mentioned that he uses anabolic steroids recreationally. He would like to know how anabolic steroids cause gynecomastia.

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