Bodybuilder gynecomastia refers to the development of breast tissue in male bodybuilders due to an imbalance of hormones in the body, primarily an increase in estrogen levels. This condition is often caused by the use of anabolic steroids, which can increase estrogen levels in the body. Symptoms of bodybuilder gynecomastia include the enlargement of breast tissue, which can be painful and cause physical discomfort. While exercise is sometimes used to address gynecomastia, it is largely ineffective if the condition is caused by glandular tissue growth, which is common when the condition is a side effect of anabolic steroid use. Treatment options for bodybuilder gynecomastia include lifestyle changes, such as reducing or discontinuing the use of anabolic steroids, and surgical procedures, such as liposuction or surgical gland removal, to remove the excess breast tissue.