Persistent Nipple and Areola Cracking: When to Seek Help

Breast issues

Dear Dr.
Hsu,
Hello! I have been experiencing cracks at the junction of one of my nipples and areola, approximately 0.5-1.0 cm in length.
Each time, I apply Mentholatum ointment for 2-3 days, and it heals, but it recurs after a while (about 7-8 times now), always in the same location.
Should I see a doctor for this? Which specialty should I consult?
P.S.
I had a mammogram and ultrasound in September 2007, which were normal.
Thanks & Best regards,
Xiao Zhen
25/06/2008

Xiao Zhen, 50~59 year old female. Ask Date: 2008/06/25

Dr. Xu Kaixi reply Surgery

Dear Ms.
Hsiao-Cheng,
This situation pertains to a skin issue, most likely caused by eczema or dry skin.
It is advisable to consult a dermatologist (normal breast ultrasound and mammography have already preliminarily ruled out breast diseases).

Wishing you good health and all the best!
Sincerely,
Dr.
Hsu Kai-Hsi
Department of Surgery, Tainan Hospital, Ministry of Health and Welfare

Reply Date: 2008/06/25

More Info

Dear 小貞,
Thank you for reaching out with your concerns regarding the persistent cracking of your nipple and areola. It’s understandable to feel worried when experiencing recurring issues, especially in such a sensitive area. Based on your description, it seems that you have been dealing with this problem for quite some time, and while using a topical ointment like Mentholatum may provide temporary relief, the fact that the cracking recurs suggests that there may be an underlying issue that needs to be addressed.

Cracking of the nipple and areola can occur for various reasons, including but not limited to:
1. Dry Skin: Environmental factors such as dry air, harsh soaps, or inadequate moisture can lead to skin cracking.

2. Friction: Activities that cause friction against the nipple, such as certain types of clothing or physical activities, can contribute to irritation and cracking.

3. Infections: Conditions like thrush (a yeast infection) or bacterial infections can cause irritation and cracking.

4. Dermatological Conditions: Skin conditions such as eczema or psoriasis can also affect the nipple area, leading to cracking and discomfort.

5. Hormonal Changes: Fluctuations in hormones, particularly during menstrual cycles, pregnancy, or breastfeeding, can affect the skin's elasticity and moisture levels.

Given that you have experienced this issue multiple times in the same location, it would be prudent to seek medical advice. While your previous mammogram and ultrasound were normal, these tests primarily assess for lumps or abnormalities in breast tissue rather than skin conditions.
I recommend that you consult a dermatologist, as they specialize in skin-related issues and can provide a thorough examination of the affected area. A dermatologist will be able to assess whether there is an underlying skin condition contributing to the cracking and can recommend appropriate treatments, which may include:
- Topical Steroids: To reduce inflammation if there is an underlying dermatitis.

- Moisturizers: To keep the area hydrated and prevent dryness.

- Antifungal or Antibacterial Creams: If an infection is suspected.

- Lifestyle Modifications: Recommendations on clothing choices or skincare routines that may help prevent recurrence.

Additionally, if the cracking is accompanied by other symptoms such as pain, discharge, or changes in the appearance of the nipple or areola, it is crucial to seek medical attention sooner rather than later. These could be signs of a more serious condition that requires prompt evaluation.

In summary, while it is good that you have been able to manage the symptoms temporarily, the recurrence of the issue suggests that a more comprehensive evaluation is warranted. A dermatologist will be able to provide you with the best course of action tailored to your specific situation.
Take care, and I hope you find relief soon.

Best regards,
Doctor Q&A Teams

Similar Q&A

Understanding Issues at the Nipple-Areola Junction: When to Seek Help

Hello, I would like to ask about the area where my left nipple meets the areola, which often cracks for no apparent reason. I thought it might be due to dryness, so I apply lotion every day, but it still cracks and seems to be happening more frequently. However, I do not have any...

Dr. Yuan Tianmin reply Breast and Thyroid
This condition is more likely related to a surface skin issue, so it would be better to consult a dermatologist.

Recurring Nipple Skin Issues: Causes and When to Seek Help

During puberty, I experienced itching in my breasts and had a sore on my nipple that eventually healed after seeing a doctor. However, a year or two later, the skin breakdown reappeared and has been recurring approximately once or twice a month. My breasts feel itchy and swollen,...

Dr. Wu Yuxin reply Dermatology
First, consult a breast surgeon to check for any issues related to tumors. If there are none, then proceed to see a dermatologist.

Understanding Nipple Skin Irritation: When to Seek Medical Attention

The areola has broken skin, is oozing, and is sticking to clothing, with a slight odor. I have been applying lotion, but it hasn't improved. There is no pus or blood, and there are no lumps in the breast. I have a history of allergies. Should I seek medical attention for thi...

Dr. Li Yufen reply Dermatology
Hello: If your skin condition persists, it is advisable to consult a dermatologist nearby for a definitive diagnosis and treatment. Thank you!

Understanding Inverted Nipples and Cracked Areolas: Solutions and Care

I have had a problem with inverted nipples since childhood, but now I also have cracks in my nipples. What should I do about this, doctor?

Dr. Yuan Tianmin reply Breast and Thyroid
The issue of having a concave area since childhood is generally not caused by cancer. Therefore, it is advisable to clean the depressed area regularly to prevent infection.