Breast Changes: Concerns for Young Women and When to Seek Help - Breast and Thyroid

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My chest..?


I am a 19-year-old female and I have been having a concern lately.
During my menstrual period, my right nipple has always been inverted, which I feel is not normal.
Additionally, when my period comes, I notice a secretion of a milky substance.
I have also observed hair growing around the areola, about three to four centimeters in length, and the number of hairs has increased from one to two.
I find this very unusual and would like to know what might be causing this.
If I need to make an appointment, what type of specialist should I see? Please help me with this.
Thank you!

Qing Tian Wa Wa, 10~19 year old female. Ask Date: 2005/09/21

Dr. Yang Mingqi reply Breast and Thyroid


Hello: For breast issues, you should see a breast surgeon.
However, if you want to know why you have one or two hairs that are 3-4 centimeters long, there may not be a definitive answer.
This is more commonly seen in males and is likely related to hormonal factors.

Reply Date: 2005/09/21

More Info


Understanding breast changes can be a source of concern for many young women, especially when experiencing symptoms that seem unusual or alarming. At 19 years old, it is completely normal to have questions about breast health, especially in relation to your menstrual cycle. Let's break down your concerns regarding the changes you're noticing in your breasts, particularly the inverted nipple, discharge, and hair growth around the areola.

Firstly, the observation of an inverted nipple is not uncommon, and many women have variations in their nipple shape and position. In some cases, a nipple may appear to be inverted or flat, especially during certain times of the menstrual cycle due to hormonal changes. If this has been a consistent characteristic of your anatomy and has not changed suddenly, it is likely not a cause for concern. However, if you notice a sudden change in the nipple's appearance or if it becomes painful, it would be advisable to seek medical attention.

Regarding the white discharge you mentioned, this can also be a normal occurrence, particularly in relation to hormonal fluctuations associated with your menstrual cycle. Many women experience some form of discharge, which can vary in consistency and color. If the discharge is not accompanied by any unusual symptoms such as a foul odor, itching, or irritation, it is generally considered normal. However, if you have concerns about the nature of the discharge or if it changes significantly, it would be wise to consult a healthcare provider.

The growth of hair around the areola is also not uncommon and can be influenced by hormonal changes, genetics, or other factors. It's important to remember that body hair varies greatly among individuals, and an increase in hair growth can be a normal part of your development. If the hair growth is accompanied by other symptoms, such as changes in your menstrual cycle or signs of hormonal imbalance (like excessive hair growth in other areas, acne, or weight changes), it may be worth discussing with a healthcare professional.

When it comes to seeking medical help, you would typically want to schedule an appointment with a gynecologist or a primary care physician who can address women's health issues. They can perform a thorough examination, discuss your symptoms in detail, and, if necessary, conduct tests to rule out any underlying conditions. If you feel uncomfortable discussing these issues with a male doctor, you can request a female physician, as many clinics offer this option.

In summary, while the changes you are experiencing may be concerning, many of them can be within the range of normal variations in breast anatomy and function. However, if you notice any sudden changes, discomfort, or if your symptoms persist, it is always best to consult with a healthcare professional for personalized advice and peace of mind. Remember, taking care of your breast health is an important aspect of your overall well-being, and being proactive about any changes is a positive step.

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