Nipple color changes are most commonly the result of normal hormonal shifts, pregnancy, or breastfeeding.
The same goes for temporary nipple size and texture variations.
Permanent nipple changes are often seen with aging and after breast surgeries and weight loss.
Illustration by Emily Roberts for Verywell Health
While usually no cause for concern, some nipple changes can indicate an underlying condition that needs evaluation.
Nipple Color
It is normal for your nipple andareolacolors to be slightly different.
The areola is often darker than the nipple itself.
Depending on your skin tone, the color can range from pale pink to dark brown.
The areola is usually between 3 and 6 centimeters (1.2 inches to 2.4 inches) across.
Typically, female breasts are fully developed between 17 and 18 years old.
However, they can continue to grow into the early 20s.
Montgomery glands, which lubricate the nipple and areola during lactation, are the raised areas on the areola.
During pregnancy, Montgomery glands enlarge in preparation for breastfeeding.
As a result, they can become clogged, resulting in an infection.
Clogged Montgomery glands can be treated with antibiotics and home remedies.
Areola Hair
It’s normal to have a few hairs on your areolas.
More hair than that can be a sign of polycystic ovary syndrome (PCOS).
PCOS is a hormonal imbalance (when there are more androgen hormones than typical) that can cause infertility.
It can be brought on by hormonal changes or pregnancy.
If benign (not harmful), the discharge usually comes from both breasts.
The fluid may leak spontaneously or only when the breasts are squeezed or stimulated.
Nipple Pain
Somenipple painis normal/expected.
For example, it’s common for your breasts and nipples to be sore just before menstruation.
In addition, breastfeeding can cause raw, cracked, and bleeding nipples.
Researchers estimate that 80% to 90% of people who breastfeed experience sore nipples at some point.
Inverted nipples can also occur as part of the normalaging process, typically on both sides.
Summary
Nipples and areolas vary in size, shape, color, and texture.
It is important to become familiar with how your nipples and areolas look.
Sudden changes in their appearance should be reported to your healthcare provider immediately.
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