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

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Nipple inversion


Hello Dr.
Zhao,
My right nipple is usually normal and not inverted, but it does retract when stimulated, although it can be pulled out.
This has been happening for a while.
Should I seek further evaluation? Thank you.

Pu Qiu, 20~29 year old female. Ask Date: 2009/10/25

Dr. Zhao Ming reply Breast and Thyroid


If you suspect there is an issue, it is best to see a breast surgeon for an examination rather than just monitoring it, to avoid missing any potential problems.

Reply Date: 2009/10/25

More Info


Inverted nipples, or retracted nipples, can be a common condition where the nipple appears to be pulled inward rather than protruding outward. This condition can occur in one or both breasts and may be present from birth or develop later in life. Understanding when to seek medical advice regarding inverted nipples is essential for ensuring breast health and addressing any underlying issues.

In your case, it sounds like you have noticed that your right nipple does not protrude normally but can be pulled out when stimulated. This situation can be benign, especially if it has been consistent and does not come with other concerning symptoms. However, there are several factors to consider when determining whether to seek medical advice.

1. Duration and Changes: If this condition has been present for a long time without any changes, it may not be a cause for concern. However, if you notice any sudden changes in the appearance of your nipple, such as a new inversion, changes in skin texture, or discharge, it is advisable to consult a healthcare professional.

2. Associated Symptoms: Pay attention to any accompanying symptoms. If you experience pain, swelling, redness, or any discharge from the nipple (especially if it is bloody or has an unusual color), these could be signs of an underlying issue that requires medical evaluation.

3. Family History: If you have a family history of breast cancer or other breast-related conditions, it may be prudent to discuss your symptoms with a healthcare provider, even if you are not experiencing any other symptoms.

4. Self-Examination: Regular breast self-examinations can help you become familiar with the normal appearance and feel of your breasts. If you notice any changes during self-exams, it is essential to seek medical advice.

5. Psychological Impact: Sometimes, the psychological impact of having inverted nipples can lead to anxiety or self-consciousness. If this is affecting your mental well-being, discussing it with a healthcare provider can help you explore options for management or treatment.

6. Consultation with a Specialist: If you are unsure about the nature of your inverted nipple, consider consulting a breast specialist or a general practitioner who can provide a thorough examination and possibly recommend imaging tests, such as a mammogram or ultrasound, to rule out any underlying issues.

In summary, while inverted nipples can be a normal variation, it is essential to monitor any changes and be aware of associated symptoms. If you have concerns or notice any changes, seeking medical advice is always a good idea. A healthcare provider can offer reassurance, conduct necessary evaluations, and discuss potential treatment options if needed. Remember, your health and peace of mind are paramount, and it is always better to err on the side of caution when it comes to your health.

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