Inverted Nipples: When to Seek Medical Advice - Breast and Thyroid

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Breast issues


Hello, I have a question.
My right nipple does not protrude when pressed and appears to be inverted.
Is this related to any health issues? Which specialist should I consult for an examination? Thank you.

Ms. Chen, 30~39 year old female. Ask Date: 2007/01/24

Dr. Wu Jingtang reply Breast and Thyroid


Hello: Please schedule an appointment for a breast surgery consultation as soon as possible for a physician's evaluation.
Sincerely, Dr.
Wu Ching-Tang, Surgeon.

Reply Date: 2007/01/24

More Info


Inverted nipples, or nipples that retract inward rather than protruding outward, can be a common anatomical variation and may not always indicate a medical issue. However, it is essential to understand the context and any accompanying symptoms to determine whether medical advice is necessary.

Firstly, if you have always had inverted nipples and there have been no changes in their appearance or any associated symptoms, this is often considered a normal variation. Many individuals live with inverted nipples without any complications or concerns. However, if you notice a sudden change in the appearance of your nipples, such as inversion that was not previously present, or if you experience other symptoms like pain, discharge, or changes in the skin texture around the nipple, it is crucial to seek medical advice.

In your case, since you mentioned that your right nipple does not protrude and appears to be retracted, it would be wise to consult a healthcare professional. The appropriate specialist to see would typically be a breast surgeon or a general surgeon who specializes in breast health. They can perform a thorough examination and may recommend imaging studies, such as a mammogram or ultrasound, to assess the underlying structures of the breast.

There are several potential causes for inverted nipples, including:
1. Anatomical Variations: Some individuals naturally have inverted nipples without any underlying pathology.

2. Infection or Inflammation: Conditions such as mastitis or other infections can lead to changes in nipple appearance.

3. Fibrocystic Changes: Hormonal fluctuations can cause changes in breast tissue, leading to retraction.

4. Breast Cancer: In rare cases, a change in nipple appearance can be a sign of breast cancer, particularly if accompanied by other symptoms such as a lump, discharge, or skin changes.

5. Trauma or Surgery: Previous surgeries or trauma to the breast can also result in inverted nipples.

If you decide to seek medical advice, be prepared to discuss your medical history, any changes you've noticed, and any other symptoms you may be experiencing. This information will help your healthcare provider make an accurate assessment.

In summary, while inverted nipples can be a normal anatomical feature, any sudden changes or associated symptoms warrant a medical evaluation. Consulting with a breast specialist will provide you with the necessary guidance and reassurance regarding your breast health. Remember, early detection and intervention are key in addressing any potential issues, so do not hesitate to seek help if you have concerns.

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