Is It Normal to Feel Pain When Pressing the Areola? - Obstetrics and Gynecology

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Pain upon pressure on the areola?


Is it normal to experience pain when intentionally pressing around the right breast areola? I have asked many female friends, and they all said they don't have this issue.
I also had a breast ultrasound, and there were no abnormalities found.

Niu'er, 20~29 year old female. Ask Date: 2017/06/08

Dr. Huang Jianzhong reply Obstetrics and Gynecology


Is it normal to experience pain when deliberately pressing around the areola of the right breast? Answer: An ultrasound of the breast showed no abnormalities, so it should not be a concern.

Reply Date: 2017/06/08

More Info


Experiencing pain when pressing on the areola or surrounding breast tissue can be concerning, especially if it is not a common experience among your peers. However, it is important to understand that breast pain, or mastalgia, is a relatively common issue and can arise from various causes.
Firstly, breast tissue is composed of glandular and fatty tissues, and sensitivity can vary significantly from person to person. Factors such as hormonal fluctuations, particularly during menstrual cycles, can lead to increased sensitivity and discomfort in the breast area. This is due to the hormonal changes that occur in the body, which can cause the breast tissue to swell and become more sensitive.
In your case, since you mentioned that you have undergone a breast ultrasound and no abnormalities were found, this is a positive sign. It suggests that there are no cysts, tumors, or other significant issues present in the breast tissue. However, it is still possible to experience pain due to other benign conditions.
One common cause of localized breast pain is a condition known as costochondritis, which is inflammation of the cartilage that connects a rib to the sternum. This can cause pain that may be felt in the breast area, especially when pressure is applied. Additionally, muscle strain or tension in the chest wall can also lead to discomfort that may be mistaken for breast pain.

Another possibility is that the pain could be related to the skin or the underlying tissue around the areola. Conditions such as dermatitis or infections can cause localized pain and tenderness. If there is any redness, swelling, or discharge, it would be advisable to seek medical attention.

It is also worth noting that psychological factors, such as stress and anxiety, can manifest as physical symptoms, including breast pain. Stress can lead to muscle tension, which may contribute to discomfort in the chest area.

If the pain persists, worsens, or is accompanied by other symptoms such as changes in breast shape, discharge from the nipple, or significant swelling, it is crucial to consult with a healthcare professional for further evaluation. They may recommend additional imaging studies or examinations to rule out any underlying conditions.

In summary, while it is not uncommon to experience pain when pressing on the areola, especially if you have a heightened sensitivity, it is essential to monitor the situation. Since you have already had a breast ultrasound with normal results, this is reassuring. However, if the pain continues or if you have any concerns, do not hesitate to seek further medical advice. Your health and peace of mind are paramount, and a healthcare provider can help determine the cause of your discomfort and provide appropriate guidance.

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