Discussing this problem - or even acknowledging it - is a definite no-no as he, like the others who suffer from the same problem are so focused on hiding any evidence of the male boobs that it is difficult to find a forum to share the pain - unless anonymously online.

He wonders "Could this problem just be temporary in my case?" Deferring a decision for months and even years in hope that the problem will fix itself, he lives like the ostrich who buries his head in the sand at the sign of trouble.

Here's the first big step - it can't be avoided: Acknowledge that there's a problem. Life doesn't often hand us solutions on a platter, they have to be hunted down and grasped firmly with both hands. Acting on a decision to go out and find the solution will probably be easier than accepting that there is a problem that won't fix itself!

It may take significant courage just to consult with the doctor. Some guys who wear huge shirts to mask their man breasts might feel like they'd prefer to die than lift their shirt to display feminine breasts, especially if the problem is so severe that the breasts are actually lactating.

Two hurdles that cause a real challenge then, are fear and embarrassment and you must marshal all the manly courage at your disposal to overcome them and march on to the results you want.

The next step you should take is to find the kind of help you want that will fit with your values. What does that mean? Some men will be quite comfortable with surgical removal of their man boobs. Others, however, may insist on finding a more natural solution where they are willing to work with a fitness expert who can help them.

Will the financial considerations of male breast reduction surgery restrict your choice to more natural solutions? Do you have the stamina to maintain a stringent, trainer-led fitness program? Both camps have their proponents and you will need to consider your limitations and the results other men have experienced as you make your decision. Whatever you choose, rest easy, knowing that it is now up to you whether your man boobs remain or whether you will go after your dream of removing them from your life.