Nipple Pain? 8 Common Causes & When to Worry

Nipple Pain? 8 Common Causes & When to Worry

Nipple pain is a common concern for women, stemming from causes like breastfeeding, pregnancy, friction, hormonal changes, or even skin sensitivities; understand possible reasons and when to consult a doctor.


Nipple pain – it’s something many women experience, but it can be a little unnerving, right? Whether it’s due to breastfeeding, pregnancy or other reasons, discomfort in that area can be concerning. So, what’s the deal? Is it just sensitive nerves playing tricks, or could something else be going on? We’re going to dig into the common reasons behind nipple pain and when you might want to get it checked out. And that’s not all, we’ll be providing some of the common FAQ, Myths and Facts too.

Let’s get right to it!

Causes of Nipple Pain

What causes nipple pain in women? Here are some of the reasons:

1. Irritation and Friction

Friction is a frequent cause of nipple pain, or discomfort. It could be from something as simple as a new bra or even something more involved.

  • Wearing a sports bra that’s too tight, or made of material that doesn’t breathe well especially during exercise (like running) can cause nipple irritation.
  • Exercise in general can sometimes lead to chafing, which will irritate the nipples. This can result in discomfort, tenderness and even pain.

It’s important to choose well-fitting, supportive bras for everyday wear but also specifically for activities. Especially ones designed to protect the nipples during exercise.

2. Allergies and Infections

Experiencing allergies in the nipple can happen for a variety of reasons, like:

  • A cut, or some other kind of trauma in the nipple due to friction, or sensitivity.
  • Breastfeeding.
  • Nipple piercings, or anything else that’s caused a break in the skin.

And concerning nipple infections, some of the types include:

  • Yeast Infection

Yeast infections can be very irritating. In this situation, you might notice:

  1. Sudden, sharp pains in the breast around the nipple.
  2. The use of antibiotics.
  3. History of conditions that might make someone more prone to this sort of thing.

The pain is often felt as burning, or sharp, and doesn’t subside with normal comfort measures. The nipple itself might look pink, or even red. The skin surrounding it might look shiny, or flaky. This type of infection can even spread to babies during breastfeeding.

  • Thrush

This can happen because of pregnancy, resulting in a yeast imbalance. Basically, yeast starts thriving and multiplying in the milk ducts, and spreading to other parts of the breasts.

This results in redness, swelling, feelings of pain and burning in the breasts, and nipples. Left untreated, it may cause a discharge from the nipples or even an infection.

3. Sensitivity or Allergic Contact Dermatitis

Allergies can show up as nipple pain, often with the following signs:

  • Tenderness and pain in the nipple.
  • Flaky, or scaly skin around the nipple.
  • Persistent itching.
  • Dry skin.

Many common household products may cause this by irritating the nipple. It can also be because of some other underlying skin condition. Things like body lotions, soaps, detergents, fabric softeners, perfumes and a whole host of other scented products might be the culprit.

And while we’re talking about irritants that can affect your nipples, it’s easy to overlook the impact of internal factors. Think about your hydration levels. Dehydration can make your skin drier and more prone to irritation, making your nipples more sensitive to even the mildest friction from clothing. Similarly, your diet plays a role; deficiencies in essential fatty acids or certain vitamins can compromise your skin’s barrier function, increasing vulnerability to irritants. Maintaining a well-rounded diet and staying adequately hydrated could be simple yet effective preventive measures.

4. Breastfeeding

Breastfeeding is a very common cause of nipple pain and irritation.

  • The way the baby latches.
  • The mom might be using flanges that aren’t the right size when expressing milk.
  • The baby might have habits of biting, or clamping down on the nipple during breastfeeding.

5. Hormonal Changes

Some women experience nipple or breast pain due to certain hormonal shifts that happen normally during their cycle, especially right before their period.

When there are noticeable increases in estrogen and progesterone levels, it can affect breast tissue. This may cause tenderness and pain, but it typically resolves within a few days naturally.

6. Breast Cancer or Paget’s Disease

Nipple pain can be tied to breast cancer, especially if it occurs along with other symptoms in only one of the breasts.

Paget’s disease is a type of cancer that affects the nipple and surrounding breast tissue, some of the signs are:

  • A flat, or inverted nipple.
  • Discharge (bloody, or yellow) from the nipple.
  • Itching.
  • Redness around the nipple, or scaly skin.

7. Nipple Pain Caused by Pregnancy

Pregnancy is a common reason for nipple pain. The breasts enlarge and the woman will feel some tenderness, burning and throbbing in the nipples, and the nipple may become darker.

The following things can help with the discomfort of nipple pain in this case:

  • Wearing a sports bra.
  • Wearing a special support bra to sleep, if you can’t seem to get comfortable.
  • Using cool compresses.

8. Nipple Pain Caused by Genetics

Genetic mutations are often one of the reasons for nipple pain. The pain can be temporary but can be relieved by using creams that protect the nipples before they occur and by reducing friction during the process.

Key takeaways

  • Nipple pain can stem from various factors like friction, hormonal shifts, breastfeeding issues, or skin conditions.
  • Proper bra fit, good hygiene, and addressing underlying conditions are key in managing nipple pain.
  • Seek medical advice for persistent or severe pain, especially if accompanied by unusual symptoms like discharge or lumps.

FAQ, Myth & Facts

Is nipple pain always a sign of breast cancer?

No, nipple pain is rarely a sign of breast cancer. There are so many other much more common issues. If you’re worried though, or if you notice lumps, discharge, or skin changes, it’s always best to check with a doctor.

Does nipple pain during breastfeeding mean I should stop?

Definitely not. Nipple pain in the beginning stages of breastfeeding is pretty common. Work with a lactation consultant to make sure baby is latching well, and try nipple creams if needed. It usually gets better as you and baby get the hang of things.

Can allergies cause nipple pain?

Absolutely. Sometimes, your skin can react to detergents, lotions, or even fabrics, causing irritation and pain in the nipple area. It’s a good idea to switch to hypoallergenic products to see if that helps.

Is it normal to have nipple pain during my period?

Yes, it is. Fluctuating hormones during your menstrual cycle can cause breast tenderness and nipple pain. Usually, it’s nothing to worry about and will go away after your period.

Are there any home remedies I can try for nipple pain?

Sure, there are a few things you can try. Applying a cold compress can help reduce inflammation, wearing a well-fitting bra can provide support and reduce friction, and using a mild, fragrance-free moisturizer can soothe irritated skin.

I was so stressed about the nipple pain I had while breastfeeding my first baby. Turns out, it was just the way he was latching. A lactation consultant showed me a few tricks, and it made a world of difference.

I had this crazy itchy rash on my nipples, and it was driving me nuts! I switched to a sensitive skin detergent, and boom, problem solved. Sometimes, it’s the little things.

I was so scared when I felt nipple pain and a lump in my breast. Thankfully, it wasn’t cancer, but a cyst. I’m just so glad I went to the doctor to get it checked out.

Dealing with nipple pain can be unsettling, but knowing the potential causes and when to seek medical advice can really ease your mind. For me, it was a poorly fitted sports bra that caused all the trouble. Once I switched to a more supportive one, the pain disappeared. So, listen to your body, make those small changes, and don’t hesitate to reach out to a healthcare professional when you need to. You know yourself best.

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