Nipple Changes: What You Need to Know About Montgomery Glands and More

Nipple issues

Hello Doctor: Recently, I have noticed that my breasts seem to have enlarged a bit.
While showering, I felt some soft, slightly raised white bumps around the dark area near my nipples.
Could that area and those bumps be Montgomery glands? Do they only appear in pregnant women? Is this normal for me? Additionally, sometimes I experience sudden sharp pain in my nipples.
Could this be a sign of breast cancer? There is no family history of such diseases or other illnesses.
P.S.
I have had my period three times since February, and both pregnancy tests have come back negative.
Is it still possible for me to be pregnant?

Yúyú, 10~19 year old female. Ask Date: 2019/05/20

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Recently, I feel like my breasts have gotten a bit larger.
While showering, I noticed some soft, slightly raised white spots around the dark area near my nipples.
Could that be Montgomery glands? Do these only appear in pregnant women? Is this normal for me?
Answer: This is caused by female hormones and is normal.
Sometimes, the nipples may experience sudden sharp pain; could this be breast cancer? There is no family history of such diseases or other illnesses.
Answer: It is unlikely to be breast cancer.
I have had my period three times in the last two months, and both pregnancy tests have come back negative.
Is there still a chance I could be pregnant?
Answer: You are not likely to be pregnant.

Reply Date: 2019/05/20

More Info

Hello! Thank you for your questions regarding nipple changes and Montgomery glands. It’s great that you’re being proactive about your health and seeking information.

Firstly, the structures you are describing around your nipples are likely Montgomery glands, which are specialized sebaceous glands located in the areola (the darkened area surrounding the nipple). These glands are responsible for secreting an oily substance that helps to lubricate and protect the nipple and areola, especially during breastfeeding. It is normal for these glands to become more prominent or noticeable, particularly during hormonal changes such as those that occur during menstruation, pregnancy, or breastfeeding.
Montgomery glands can indeed be more pronounced in pregnant women due to hormonal changes, but they can also be present in non-pregnant women. The presence of these glands and their changes in appearance can vary from person to person and are generally considered a normal anatomical feature. The white, soft, and slightly raised areas you mentioned are likely just the glands themselves, which can sometimes become more noticeable due to hormonal fluctuations or skin changes.

Regarding the occasional sharp pain in your nipples, this can occur for a variety of reasons, including hormonal changes, irritation, or even friction from clothing. While breast pain can be concerning, especially when it is sudden or sharp, it is not necessarily indicative of breast cancer, particularly in the absence of other symptoms such as a lump, changes in breast shape or size, or discharge from the nipple. Family history can play a role in breast cancer risk, but many women without a family history can still develop benign breast conditions. If the pain persists or worsens, or if you notice any other unusual changes, it would be wise to consult a healthcare professional for further evaluation.

As for your concerns about pregnancy, since you have had three consecutive menstrual cycles and two negative pregnancy tests, it is unlikely that you are pregnant at this time. However, if you have concerns about your menstrual cycle or potential pregnancy, it may be beneficial to speak with a healthcare provider. They can offer guidance and possibly perform further tests if necessary.

In summary, the changes you are experiencing with your Montgomery glands and the occasional nipple pain are likely normal variations. However, if you have any ongoing concerns or if new symptoms arise, it’s always a good idea to seek medical advice for peace of mind and to ensure your health is monitored appropriately. Regular check-ups and self-examinations are important for breast health, and being aware of your body is key to identifying any changes that may need further investigation.

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