Small Growths on the Nipple During Pregnancy - Breast and Thyroid

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During pregnancy, many women experience various changes in their bodies, including the development of small growths or changes in the breast area. The small growths you described on your left nipple, which have changed in color and caused some discomfort, could be related to hormonal changes that occur during pregnancy.
1. Understanding the Growths: The small growths you are noticing, often referred to as "papillomas" or "fibroadenomas," can be benign (non-cancerous) changes that occur in response to hormonal fluctuations. During pregnancy, the body undergoes significant hormonal changes, particularly increases in estrogen and progesterone, which can lead to changes in breast tissue. These growths can appear as small, raised areas on the nipple or surrounding skin and may change in color and sensitivity. The fact that one of the growths has turned dark red and is painful suggests that it may be inflamed or irritated, which can happen due to increased blood flow and sensitivity in the area during pregnancy.

2. Pain and Sensitivity: The pain you are experiencing when touching the growths could be due to inflammation or irritation. Hormonal changes can make the breast tissue more sensitive, and any growths may also become more sensitive as a result. Additionally, the pain in your left armpit and the presence of a lump could indicate swollen lymph nodes, which can occur during pregnancy due to hormonal changes or even mild infections.
3. When to Seek Further Evaluation: While many changes during pregnancy are benign, it is essential to monitor any growths or changes in your body. If the pain worsens, the growths change significantly in size or appearance, or if you notice any unusual discharge from the nipple, it would be prudent to seek further evaluation. A healthcare provider may recommend an ultrasound or other imaging studies to assess the growths and ensure there are no underlying issues.
4. Consulting a Specialist: Since you have already consulted with a gynecologist, it may be beneficial to see a breast specialist or a general surgeon who has experience with breast conditions. They can provide a more thorough examination and determine if any additional tests are necessary.

5. General Advice: It is crucial to maintain open communication with your healthcare provider about any changes you experience during pregnancy. Keeping track of your symptoms and any changes in your body can help your provider make informed decisions about your care.
In summary, while the changes you are experiencing may be related to normal hormonal fluctuations during pregnancy, it is essential to monitor them closely. If you have any concerns or if the symptoms worsen, do not hesitate to seek further medical advice. Your health and peace of mind are paramount during this time.