Gvnaecomastia may be associated with

(D) All of the above # Pathological gynecomastia may result from deficiency of testosterone (anorchia, Klinefleter's, androgen resistance orchitis & castration); Increased production of estrogens (testicular or adrenal tumours, hCG secreting tumours> Drugs (ketoconazole, spironolactone & Cemitidine inhibit testosterone); clomiphene enhances endogenous estrogen