White Discharge and Indentations in Teenage Breasts

The left nipple has white discharge and indentation, while the right nipple has white discharge?

Hello, doctor! My daughter is 17 years old.
Her left nipple appears light red and has a dent.
There is no discharge when not touched, but white discharge appears when touched.
About once every 1-2 days, her right nipple also shows light red and has some white discharge.
There are small spots on both areolas (the color of the spots: some have brown around the edges and white in the center; others have light red around the edges and white in the center).
I would like to ask if there is anything abnormal with her breasts?

CC, 10~19 year old female. Ask Date: 2021/05/25

Dr. Yuan Tianmin reply Breast and Thyroid

Currently, there shouldn't be any urgent examination issues; it's advisable to wait until after the pandemic to visit the outpatient clinic for a check-up.

Reply Date: 2021/05/25

More Info

It sounds like you're experiencing a variety of symptoms related to your breasts, including changes in color, indentations, and discharge. Given your age and the nature of these symptoms, it's important to approach this situation with both caution and understanding.

Firstly, the presence of a white discharge from the nipples, especially when accompanied by tenderness or changes in color, can be indicative of several conditions. In teenage girls, hormonal fluctuations are common and can lead to various breast changes. The breasts undergo significant development during puberty, which can result in tenderness, changes in size, and even the appearance of discharge. This discharge can sometimes be a normal physiological response to hormonal changes, but it can also be a sign of other underlying issues.

The indentation you mentioned, along with the reddish hue of the nipple, could be related to several factors. One possibility is that it could be a result of irritation or friction, especially if you are wearing tight clothing or if there is frequent contact with the area. However, if the indentation is persistent and associated with changes in color or discharge, it may warrant further investigation.

The presence of small spots or changes in the areola (the pigmented area surrounding the nipple) can also be normal, especially during puberty. These changes can include variations in color and texture, which are often benign. However, if you notice any significant changes, such as an increase in size, color changes, or if the spots become painful, it is advisable to consult a healthcare professional.

In your case, since you are experiencing pain and changes in color, it would be prudent to seek a consultation with a healthcare provider, such as a dermatologist or a gynecologist. They can perform a physical examination and may recommend imaging studies, such as an ultrasound, to evaluate the breast tissue more thoroughly. Additionally, they may suggest blood tests to check hormone levels, especially if there is a concern about hormonal imbalances.

It's also important to consider your overall health and lifestyle. Stress, diet, and sleep patterns can all influence hormonal balance and, consequently, breast health. Maintaining a healthy lifestyle, managing stress, and ensuring adequate sleep can help support your overall well-being.

In summary, while some changes in breast tissue and discharge can be normal during adolescence, the symptoms you are experiencing—particularly the indentation, color changes, and discharge—should be evaluated by a healthcare professional. They can provide you with a proper diagnosis and treatment plan if necessary. Remember, it's always better to err on the side of caution when it comes to your health.

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