Congenital nipple inversion / lump?
Hello, I would like to ask about my condition.
I was born with inverted nipples, which I inherited from my father, and they are completely retracted, making it impossible to express anything.
Will this have a significant impact on me? I've also noticed some asymmetry in breast size.
I identify as more androgynous, and during my development, I didn't pay much attention to it, but now as an adult, I suddenly feel the need to understand if I'm the only one with this issue.
Is my problem serious? Additionally, I recently discovered a hard lump in the area of my left nipple, about the size of a ten-dollar coin, but it is not painful.
The right breast does not have this issue.
What could be the cause? Is surgery necessary for inverted nipples?
Xiao Qi, 20~29 year old female. Ask Date: 2020/11/25
Dr. Yuan Tianmin reply Breast and Thyroid
The issue of inverted nipples is not likely to be inherited from your father; it mainly becomes a concern when you need to breastfeed your child in the future.
As for the breast lump, it is advisable to visit a breast surgery clinic for an ultrasound examination.
Reply Date: 2020/11/25
More Info
Inverted nipples, also known as retracted nipples, are a condition where the nipple is pulled inward instead of protruding outward. This condition can be congenital (present at birth) or acquired due to various factors such as hormonal changes, infections, or underlying medical conditions. It is important to note that inverted nipples are relatively common and can occur in both men and women. If you have had this condition since birth and it has not changed, it is likely a benign anatomical variation.
Regarding your concern about the impact of inverted nipples, it is essential to understand that they typically do not pose any health risks. However, they can sometimes affect breastfeeding, as the inverted nipple may make it difficult for the baby to latch on properly. If you are not planning to breastfeed or do not have any issues related to breastfeeding, the condition may not significantly impact your life.
As for the asymmetry in breast size, it is also quite common for individuals to have one breast larger than the other. This asymmetry can be due to various factors, including genetics, hormonal changes, and natural variations in breast tissue. Unless the difference is significant or accompanied by other symptoms, it is generally not a cause for concern.
Now, regarding the hard lump you discovered in your left breast, it is crucial to take this seriously, even if it is not painful. Breast lumps can arise from various causes, including benign conditions such as cysts or fibroadenomas, as well as more serious conditions like breast cancer. The fact that you have noticed a lump that is approximately the size of a ten-yuan coin warrants further evaluation. It is advisable to consult a healthcare professional for a thorough examination, which may include imaging studies such as a mammogram or ultrasound, and possibly a biopsy to determine the nature of the lump.
Inverted nipples do not necessarily require surgical intervention unless they are causing significant issues, such as recurrent infections or problems with breastfeeding. If you are considering surgery for cosmetic reasons or if the inverted nipple is causing discomfort, it is best to discuss this with a qualified surgeon who specializes in breast procedures. They can provide you with information about the surgical options available, potential risks, and expected outcomes.
In summary, while inverted nipples and breast asymmetry are common and often benign conditions, the discovery of a lump in your breast should be evaluated by a healthcare professional. Early assessment and diagnosis are key to addressing any potential issues effectively. If you have further concerns or questions, do not hesitate to reach out to a healthcare provider who can guide you through the necessary steps for evaluation and management.
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