### Patient: Doctor, I have noticed that my breasts are getting larger and I am feeling some tenderness in them. What could be the problem?
### Doctor: Based on your symptoms, it appears that you may have gynecomastia. To determine the extent of the condition, we will first perform an examination of your breasts. Additionally, we will need to conduct a complete physical skin exam to check for any other issues. After that, we will require a mammogram to examine the breast tissue, and may consider other therapeutic procedures such as a biopsy or excision. We will also perform a Hemoglobin A1c measurement to check for any potential underlying medical issues.