Nipple changes : When Should You Worry?

Quick Facts

• Most changes to nipples are not cancer.
• Hormonal changes, infections, pregnancy and breastfeeding can also affect nipples.
• However some changes to nipples should never be ignored.
• Early diagnosis can help treat breast conditions.

Introduction

Many women notice changes in their nipples at some point in life. Some changes are completely normal and happen because of age, hormones, pregnancy or breastfeeding. Other issues may be caused by infections or skin conditions.

In some cases nipple changes can be a sign of breast cancer.

Knowing what is normal and what is not can help you seek advice at the right time.

What Are Normal Nipple Changes?

Not every change to the nipples is something to be worried about.

It is common for:

• nipples to get darker during pregnancy
• They can feel sore before your period
• Dry skin around the nipple.
• Small bumps on the areola (the skin around the nipple).

These changes usually settle on their own.

Nipple Changes You Should Not Ignore

If you notice any of the following changes, it is important to consult a breast specialist.

1. Nipple Discharge

It is common to have an amount of discharge during pregnancy or while breastfeeding.

You should have it looked at if:

• The discharge is red, in color.
• It comes from one breast only.
• It happens without pressing the nipple.

2. An Inverted Nipple

Some people are born with inverted nipples and this is usually harmless.

Some women are born with nipples that point inward. That is usually not something to worry about.. If your nipple suddenly starts pointing inward when it used to be out it is important to see a doctor. It might be a sign of a problem with the breast.

3. Changes in the Skin Around the Nipple

Watch for any of the following changes, around your nipple:

• Redness that stays for a time.
• Dry, peeling skin.
• A sore that does not get better.
• Skin that feels thicker than it should.
• Itching keeps coming even after treatment.

These symptoms may be caused by skin conditions, infections or in cases certain types of breast cancer.

4. Pain That Does Not Go Away

Breast pain is common during cycles.

However, pain that:

• Lasts for weeks.
• Is limited to one area.
• Is associated with a lump or nipple change.
• Should be examined by a doctor.

5. Swelling or Changes in Shape

If one nipple becomes swollen, changes shape or appears different from the side without an obvious reason it is worth getting evaluated.

Can Nipple Changes Be a Sign of Breast Cancer?

Yes, some nipple changes can be linked to breast cancer although many are caused by -cancerous conditions.

Possible warning signs include:

• Bloody nipple discharge.
• An inverted nipple.
• Persistent skin changes around the nipple.
• A lump along with nipple changes.
• Changes that affect one breast.

Remember these symptoms do not always mean cancer but they should never be ignored.

Other Causes of Nipple Changes

Non-cancerous conditions can also affect the nipples, including:

• Hormonal changes.
• Pregnancy.
• Breastfeeding
• Certain medications.

When Should You See a Doctor?

It is an idea to see a doctor if:

• The nipple discharge continues for a few days or contains blood.
• A nipple suddenly turns inward.
• The skin around your nipple looks red, dry, or starts to peel.
• You notice a lump in your breast.
• You have nipple pain that keeps coming back or does not go away.
• Any nipple change lasts for, than two weeks.

So you want to know how doctors figure out what is going on with changes.

Your doctor is going to ask you about what’s bothering you and then they are going to check your breasts and nipples.

Depending on how old you are, what kind of change you are experiencing, nipple changes are evaluated with a few different options.

Can Nipple Changes Be Prevented?

Not all nipple changes can be prevented; you can reduce your risk by:

• Reporting any breast changes promptly.
• Attending breast screenings when recommended.
• Maintaining a healthy lifestyle.

Conclusion

Most nipple changes are not caused by breast cancer. Some may be early warning signs that deserve medical attention. If you notice discharge a newly inverted nipple, skin changes or other unusual symptoms do not delay getting them checked. Early evaluation can make all the difference in protecting your breast health.

If you notice any nipple changes, book a consultation with the breast specialists at MGM Cancer Institute, for expert evaluation and peace of mind.

DOCTOR DETAILS:

Dr. Veda Padma Priya
Clinical Lead and Senior Consultant
Breast Oncology