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

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Breast issues


Hello Dr.
Yang, I have a question.
My right nipple retracts inward when pressed and does not protrude back out.
Is this normal? Should I go to the hospital for an examination? What could be the reason for this?

Miss Chen, 30~39 year old female. Ask Date: 2007/01/26

Dr. Yang Mingqi reply Breast and Thyroid


Hello, netizen: Inverted nipples may be a symptom of breast cancer.
Please promptly visit a hospital to consult with a general surgeon or a breast surgeon for examination.
Dr.
Yang Ming-chi

Reply Date: 2007/01/26

More Info


Inverted nipples, or retracted nipples, can be a common condition where the nipple is pulled inward instead of protruding outward. This can occur in one or both breasts and may be present from birth or develop later in life. In your case, the right nipple retracts when pressed and does not return to its normal position, which raises some important considerations.

Firstly, it is essential to understand that inverted nipples can be a normal anatomical variation. Many individuals have inverted nipples without any underlying health issues. However, if this is a new development, it could indicate a potential concern that warrants further investigation.
There are several reasons why a nipple may become inverted or remain retracted:
1. Congenital Factors: Some individuals are born with inverted nipples due to the way the breast tissue and ducts are formed.

2. Hormonal Changes: Hormonal fluctuations, especially during puberty, pregnancy, or breastfeeding, can lead to changes in the nipple's appearance.

3. Infections or Inflammation: Conditions such as mastitis or other infections can cause swelling and changes in the breast tissue, leading to retraction.

4. Breastfeeding: Some women may experience temporary inversion during or after breastfeeding due to the changes in breast tissue.

5. Underlying Health Issues: In rare cases, inverted nipples can be a sign of more serious conditions, such as breast cancer or other tumors, particularly if there are accompanying symptoms like discharge, pain, or changes in the skin of the breast.

Given your description of the nipple not protruding when pressed, it is advisable to seek medical advice, especially if this is a new change for you. A healthcare professional, such as a primary care physician or a specialist in breast health, can perform a thorough examination. They may recommend imaging studies, such as a mammogram or ultrasound, to assess the breast tissue and rule out any serious conditions.

When you visit the doctor, be prepared to discuss any other symptoms you may be experiencing, such as changes in breast size, shape, or any unusual discharge. This information will help the healthcare provider make a more accurate assessment.

In summary, while inverted nipples can be a normal variation, any new changes or concerns should be evaluated by a medical professional. Early assessment can provide peace of mind and ensure that any potential issues are addressed promptly. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for guidance.

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