### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hello sir,I m 30 years old and I am suffering from chronic gynaecomastia which is bilateral but the right side is much more unevenly enlarge like a spongy bag and also my tits are protruding like that of a female.to make matters worse its the right side of the breast which exerts so much pressure of my chest and shoulders that i feel lot of pain and stress in my shoulders.It has made my life hell.and I m suffering it all because of a doctors carelessness who operated on me on my testicles for hydrocele which was actually a filarial inflamation according to his diagnosis.so he operated only on on side and left the other when I was in the prime of my adolescence around 17 or 18.It then started going wrong since then.and I have been suffering ever since.to make matters worse I was also thinking if I had klinfelters syndrome or a genetic problem and added to my woes.However now I m assured that it is not klinfelters but only due to testicular malfunction leading to hormonal disarray!well I for certain know that it is irreversible but I would be obliged if whatever else can be done to better my condition though I am not in favor of surgery.I m only intersted in medicinal treatment.thanks

### output:

Hello, Please do a self-check and tell me the findings: First put a flat of the pals and see if you can palpate a well-circumscribed lump other than the normal fat. Secondly, try to catch hold the area with fingers and see if you can feel separate lymph. These two tests can tell whether this is gynecomastia or accumulation of fat alone. Ultrasonography of the area can help further. If this is Gynecomastia, only surgical removal can cure it. If this is an accumulation of fat, it can be removed surgically or by liposuction.  If this is due to obesity, reduction of the body fat by diet control and increasing exercises can help to reduce this. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.  Rammstein, General Surgeon