Growths on the Areola: When to Seek Medical Advice - Obstetrics and Gynecology

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When it comes to growths on the areola, it's important to understand that there are various potential causes, and while many are benign, some may require medical evaluation. The growths you describe as small, flesh-colored bumps on the areola could be related to several conditions, including but not limited to:
1. Montgomery Glands: These are normal sebaceous glands located on the areola. They can become more prominent during hormonal changes, such as pregnancy or menstruation, and may appear as small bumps. They are generally harmless.

2. Fibroadenomas: These are benign tumors that can occur in breast tissue. They are usually firm and movable and can vary in size. While they are not typically associated with the areola specifically, they can occur in the surrounding breast tissue.

3. Cysts: Breast cysts are fluid-filled sacs that can develop in the breast tissue. They can sometimes be felt as lumps and may change in size with the menstrual cycle.

4. Infections or Inflammatory Conditions: Conditions such as mastitis (an infection of the breast tissue) can cause swelling, redness, and tenderness, and may lead to the development of lumps.

5. Paget's Disease of the Nipple: This is a rare form of breast cancer that typically presents with changes in the skin of the nipple and areola, including scaling, redness, and possibly a lump. It is important to differentiate this from benign conditions.

Given that you mentioned the growth is increasing in size and that you have noticed new bumps on the other side, it is advisable to seek medical advice.

When to Seek Medical Advice:
- If the growths are changing in size, shape, or color.

- If you experience any pain, tenderness, or discharge from the nipple.

- If you notice any changes in the skin texture or color of the areola or surrounding breast tissue.

- If you have any concerns about the growths or if they are causing you anxiety.


Which Specialist to See:
In terms of which specialist to consult, you have a couple of options:
- Obstetrician-Gynecologist (OB-GYN): They are well-equipped to handle breast-related concerns, especially if you are experiencing hormonal changes or if you are pregnant or breastfeeding.

- General Surgeon: A general surgeon with experience in breast health can also evaluate breast lumps and growths. They may perform a physical examination and, if necessary, order imaging studies such as a mammogram or ultrasound.


Conclusion:
It is always better to err on the side of caution when it comes to changes in your body, especially in sensitive areas like the breasts. A healthcare professional can provide a thorough evaluation, possibly including imaging or biopsy if warranted, to determine the nature of the growths and recommend appropriate treatment if necessary. Remember, early detection and intervention are key in managing any potential issues effectively.