White Bumps Around the Areola: Causes and Solutions

White bumps may appear around the areola?

Hello, I am currently 20 years old and have no sexual experience.
I have had some white bumps around my areola for a long time, and they are increasing in number.
They cannot be squeezed out, and the nipple also appears to have a little white substance.
If I squeeze hard, a white substance can be expelled.
I enjoy using the computer and often sit for 5 to 6 hours at a time.
Sometimes, while I am playing, I suddenly feel pain in my areola, but it usually resolves quickly.
Additionally, in the week leading up to my menstrual period, my breasts become very painful, and if I accidentally press on them, it can be quite uncomfortable.
This has only started recently; previously, I would only feel mild discomfort in my abdomen during menstruation.
I have had a breast ultrasound at the hospital, but the doctor said everything was fine.
Can you please explain why I have these white bumps around my areola and how I can get rid of them?

Mou, 20~29 year old female. Ask Date: 2009/01/27

Dr. Huang Ruiyun reply Dermatology

I'm sorry, but it's against the rules to diagnose diseases online.
I can only suggest that you may have issues related to sweat gland or pore blockage.
If this is really bothering you, please visit a dermatologist in person.
As for premenstrual breast tenderness, it is a common symptom of premenstrual syndrome (PMS).
It is recommended to reduce salt intake before menstruation, and ensure that your bra cup size is not too small or tight.
Wishing you peace and health.

Reply Date: 2009/01/27

More Info

The presence of white bumps around the areola, often described as white pimples or spots, can be attributed to several benign conditions. These bumps are commonly known as Montgomery glands, which are sebaceous glands located on the areola. They play a crucial role in lubricating the nipple and areola during breastfeeding, helping to protect the skin and prevent infections.
In your case, the white bumps you are experiencing are likely a normal anatomical feature rather than a cause for concern. However, if they are increasing in number or causing discomfort, it may be worth considering a few factors that could contribute to their appearance:
1. Hormonal Changes: Hormonal fluctuations, particularly those associated with the menstrual cycle, can lead to changes in the skin and the sebaceous glands. This might explain why you notice increased sensitivity and pain in your breasts before your period, as hormonal changes can cause breast tissue to swell and become tender.

2. Skin Irritation: Prolonged sitting and the use of tight clothing can lead to skin irritation. If you are spending long hours at the computer, the friction from clothing or even the pressure from sitting can irritate the skin around the areola, potentially leading to the formation of these bumps.

3. Sebaceous Cysts: Sometimes, the glands can become blocked, leading to the formation of small cysts. These cysts can appear as white bumps and may not be easily expressed. They are generally harmless but can sometimes become inflamed or infected.

4. Infection or Inflammation: If the bumps become red, painful, or show signs of infection (such as pus or increased warmth), it is essential to seek medical attention. Conditions like folliculitis or other skin infections can occur in this area.

5. Dermatological Conditions: Certain skin conditions, such as eczema or psoriasis, can also affect the areola and surrounding skin, leading to the appearance of bumps or irritation.

To address your concerns and potentially reduce the appearance of these white bumps, consider the following recommendations:
- Maintain Good Hygiene: Regularly clean the area with mild soap and water to prevent any buildup of oils or debris that could clog the glands.

- Avoid Irritation: Wear loose-fitting clothing and avoid tight bras that may cause friction against the skin. If you notice that certain fabrics irritate your skin, consider switching to softer materials.

- Moisturize: If the skin around the areola is dry, applying a gentle, fragrance-free moisturizer may help soothe the area.

- Monitor Changes: Keep an eye on the bumps. If they change in appearance, become painful, or if you notice any unusual discharge, it is advisable to consult a healthcare provider.

- Consult a Specialist: Since you have already undergone an ultrasound with no significant findings, if the bumps continue to be a concern, consider consulting a dermatologist for a more specialized evaluation.

In summary, while the white bumps around your areola are likely benign and related to normal anatomical features or hormonal changes, it is essential to monitor any changes and maintain good skin care practices. If discomfort persists or worsens, seeking further medical advice is always a prudent choice.

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