Pubertal gynecomastia coincides with peak height velocity

Yehuda Limony, Michael Friger, Ze'ev Hochberg

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Objective: Pubertal gynecomastia (PG) occurs in up to 65% of adolescent boys. In this study, we investigated the relationship between the ages at which PG and peak height velocity occur in pubertal boys. Methods: This was a prospective study that was designed to detect PG within three months of its emergence. We examined one hundred and six boys who were followed for short stature and/or delayed puberty at three month intervals, and gynecomastia was observed in 43 of these boys (40.5%). Results: PG occurred in the 43 boys within a year of their peak height velocity, and most of these boys were at Tanner stage 3 for pubic hair and had testicular volumes between 8-10 mL. Conclusion: It is recommended that evaluation of height growth be included in the diagnostic approach to PG in boys with short stature and/or delayed puberty. The coincidence of age of peak height velocity and PG suggests a causal relationship between the two events and a role of insulin-like growth factor-1.

Original languageEnglish
Pages (from-to)142-144
Number of pages3
JournalJCRPE Journal of Clinical Research in Pediatric Endocrinology
Issue number3
StatePublished - 23 Sep 2013


  • Growth
  • Gynecomastia
  • Insulin-like growth factor-1
  • Peak height velocity
  • Puberty


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