Inverted Nipples and White Discharge in Men - Breast and Thyroid

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The nipple is inverted, and there is a thin layer of white discharge in the depressed area?


Question 1: I have had inverted nipples since childhood.
Is this normal for males?
Question 2: If I lightly scrape the inverted part of my nipple with my fingernail, there is a small amount of white discharge with a bit of odor, which has also been present since childhood.
Is this normal as well?

Kai, 20~29 year old female. Ask Date: 2015/12/14

Dr. Zhou Jiazhen reply Breast and Thyroid


Hello: Male nipples can also have a depression, and as long as there are no persistent changes, it is not a concern.
Regarding discharge, it can vary in amount; it may be due to the depression being less open or more prone to accumulation, making it more noticeable.
As long as there is no bleeding or foul-smelling discharge, it is not an issue.
However, it is still recommended to have an outpatient examination.

Reply Date: 2015/12/14

More Info


Inverted nipples and white discharge in men can raise concerns, but understanding these conditions can help clarify whether they are normal or indicative of an underlying issue.

Inverted Nipples:
Inverted nipples, or nipples that are retracted into the breast rather than protruding outward, can occur in both men and women. In men, this condition is often congenital, meaning it is present from birth. It can be a normal anatomical variation without any associated health issues. However, if the inversion is a recent development, it could indicate an underlying problem such as infection, trauma, or even a more serious condition like breast cancer, although the latter is rare in men.
If you have had inverted nipples since childhood and there have been no changes in their appearance or any associated symptoms (like pain, swelling, or discharge), it is likely a benign condition. However, if you notice any changes, such as the nipples becoming more inverted, or if you experience any discomfort, it would be wise to consult a healthcare professional for a thorough evaluation.

White Discharge:
The presence of white discharge from the nipple, especially if it has been a consistent issue since childhood, can also be a normal finding. In men, this discharge can occur due to several benign reasons, such as hormonal changes, stimulation of the nipple, or even the presence of a small amount of breast tissue. The discharge may have a slight odor, which could be due to the natural bacteria present on the skin or in the breast tissue.

However, if the discharge is new, has changed in color or consistency, or is accompanied by other symptoms such as pain, swelling, or redness, it is essential to seek medical advice. In some cases, discharge can be a sign of an infection or other conditions that may require treatment.

Conclusion:
In summary, having inverted nipples and experiencing white discharge can be normal for some men, especially if these conditions have been present since childhood without any associated symptoms. However, any changes in these conditions or the emergence of new symptoms should prompt a visit to a healthcare provider. They can perform a physical examination and, if necessary, conduct tests to rule out any potential issues. Regular check-ups and being aware of your body’s changes are crucial for maintaining good health. If you have any concerns, don’t hesitate to reach out to a medical professional for personalized advice and reassurance.

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