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Figure 2. Differentiation of Gynecomastia from Pseudogynecomastia and Other Disorders by Physical Examination. The patient lies flat on his back with his hands clasped beneath his head. Using the separated thumb and forefinger, the examiner slowly brings the fingers together from either side of the breast. In patients with true gynecomastia, a rubbery or firm mound of tissue that is concentric with the nipple-areolar complex is felt, whereas in patients with pseudogynecomastia, no such disk of tissue is found. Danazol: weak androgen, inhibits pituitary secretion of LH and FSH * Treat early – f