Concerns About Montgomery Glands During Pregnancy: What to Know

At 17 weeks of pregnancy, there is a depression in the Montgomery tubercles (small bumps)?

I am currently 17 weeks pregnant and have noticed breast enlargement with some tingling sensations.
Recently, I discovered that Montgomery glands (small bumps on the areola) have suddenly become very pronounced and are now resembling pores.
I am a bit concerned; should I seek further evaluation?

Tiffany, 20~29 year old female. Ask Date: 2020/03/24

Dr. Yuan Tianmin reply Breast and Thyroid

If there is a suspicion of abnormalities, it is advisable to visit a specialist clinic for an ultrasound examination.

Reply Date: 2020/03/24

More Info

During pregnancy, many women experience changes in their bodies, including alterations in the breasts and Montgomery glands, which are the small glands located on the areola. These glands play a crucial role in lactation by secreting oils that help lubricate and protect the nipple and areola during breastfeeding. It is common for these glands to become more prominent or noticeable during pregnancy due to hormonal changes, particularly the increase in estrogen and progesterone levels.

In your case, noticing that the Montgomery glands appear more pronounced or have changed in texture, such as becoming more recessed or resembling pores, can understandably cause concern. However, it is important to note that these changes are often normal and can be attributed to the physiological adaptations your body undergoes in preparation for breastfeeding.

Here are some key points to consider regarding Montgomery glands during pregnancy:
1. Normal Changes: The Montgomery glands can become more prominent, swollen, or even change in appearance as your body prepares for breastfeeding. This is due to hormonal influences that stimulate the glands to become more active.

2. Variability: Each woman's body responds differently to pregnancy. Some may notice significant changes in their breast tissue, while others may not experience much alteration at all. The appearance of the Montgomery glands can vary widely among individuals.

3. Signs of Concern: While changes in the Montgomery glands are typically benign, you should monitor for any additional symptoms that may warrant further evaluation. These include:
- Persistent pain or discomfort in the breast area.

- Unusual discharge from the nipple.

- Changes in the skin texture of the breast or areola, such as redness, swelling, or warmth.

- Any lumps or masses that feel different from the surrounding tissue.

4. When to Seek Medical Advice: If you are experiencing significant discomfort, or if the changes in your Montgomery glands are accompanied by any of the concerning symptoms mentioned above, it is advisable to consult your healthcare provider. They may perform a clinical examination and, if necessary, imaging studies to rule out any underlying issues.

5. Breast Health During Pregnancy: Regular prenatal care is essential for monitoring your health and the health of your baby. Discuss any concerns you have about your breasts or any other changes you notice with your obstetrician or midwife during your routine visits.

6. Self-Examination: It is beneficial to perform regular self-examinations of your breasts during pregnancy. This practice helps you become familiar with the normal texture and appearance of your breasts, making it easier to identify any changes that may occur.

In conclusion, while changes in the Montgomery glands during pregnancy are generally normal, it is essential to stay vigilant and proactive about your breast health. If you have any doubts or concerns, do not hesitate to reach out to your healthcare provider for reassurance and guidance. They can provide you with the necessary information and support to ensure both your well-being and that of your developing baby.

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