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ABSTRACTGynecomastia, which refers to the benign enlargement of male breast tissue, has become an increasing concern among young men in recent years. This condition often linked to hormonal imbalances or lifestyle factors, can have a significant impact on an individuals physical appearance, emotional health, and overall quality of life. This case report examines the incidence and effects of gynecomastia in a 22-year-old male patient who presented with swelling and a mass-like structure in his right breast. The patients alcohol consumption, along with other contributing factors, led to a diagnosis of gynecomastia following an ultrasound examination. Treatment involved a combination of antibiotics, non-steroidal anti-inflammatory drugs (NSAIDs), anti-ulcer medications, vitamins, and analgesics. This case emphasizes the importance of early detection, accurate diagnosis, and appropriate management of gynecomastia, while also addressing the rising prevalence of the condition and proposing preventive strategies.Keywords; Gynecomastia, Risk Factors, Alcohol, Prevelence, Prevention,MenI. INTRODUCTIONGynecomastia is the benign enlargement of male breast tissue caused by an imbalance between estrogen and testosterone. While it is most commonly found in newborns, adolescents, and older men, it has become more frequently recognized in young adult males, often aggravated by lifestyle factors such as alcohol consumption, obesity, and drug use. This condition not only causes physical changes but also has significant psychological and emotional effects, particularly in young men. This report examines the clinical presentation, diagnosis, and treatment of gynecomastia in a 22-year-old male patient, highlighting the factors contributing to its increasing prevalence and suggesting potential preventive measures.II. METHODOLOGYA 22-year-old male patient presented with a swelling and mass-like formation in his right breast, which had been present for three months. The patient had a history of alcohol consumption spanning two years. On physical examination, a firm, non-tender mass was felt in the right breast. Ultrasound imaging confirmed the diagnosis of gynecomastia. Blood tests and a hormonal profile were conducted to rule out other potential causes of gynecomastia, such as endocrine disorders or medication use. The patient was then treated with antibiotics, NSAIDs, anti-ulcer medications, vitamins, and analgesics to reduce the swelling and alleviate associated discomfort.

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