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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tenderness And Pain In Nipples?

I just starting have tenderness and pain in both nipples, with one side us worst than the other. I ve had augmentation 12 years ago and they have always been sensitive, but this is much different. I just had a mammogram one month ago that was perfectly fine. I m 3 years into medapause, so its not my period or pregnancy. what do you suggest I Do?
Wed, 3 May 2023
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General & Family Physician 's  Response
Hi,

Tenderness and pain in the nipples can have various causes. Some of the common causes are:
* Hormonal changes: Hormonal changes during menopause can cause breast pain and tenderness. The hormonal fluctuations can lead to breast tissue swelling and sensitivity.
* Breast infection: Breast infections, also known as mastitis, can cause pain and tenderness in the breast tissue. Mastitis is usually accompanied by fever, redness, and swelling of the breast.
* Breast cysts: Breast cysts are fluid-filled sacs that can develop in the breast tissue, causing pain and tenderness. They are usually harmless and go away on their own, but if they become large or painful, they may need to be drained.
* Breast cancer: Although breast cancer is not a common cause of nipple tenderness, it can cause changes in the breast tissue, including nipple discharge, swelling, and pain. It is important to do regular breast self-exams and see a doctor if you notice any changes in your breasts.

In your case, since you have already had a mammogram done and it was normal, it is less likely to be a cause for concern. Your doctor may recommend further tests or imaging to rule out any underlying conditions.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Priyanka, General & Family Physician
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What Causes Tenderness And Pain In Nipples?

Hi, Tenderness and pain in the nipples can have various causes. Some of the common causes are: * Hormonal changes: Hormonal changes during menopause can cause breast pain and tenderness. The hormonal fluctuations can lead to breast tissue swelling and sensitivity. * Breast infection: Breast infections, also known as mastitis, can cause pain and tenderness in the breast tissue. Mastitis is usually accompanied by fever, redness, and swelling of the breast. * Breast cysts: Breast cysts are fluid-filled sacs that can develop in the breast tissue, causing pain and tenderness. They are usually harmless and go away on their own, but if they become large or painful, they may need to be drained. * Breast cancer: Although breast cancer is not a common cause of nipple tenderness, it can cause changes in the breast tissue, including nipple discharge, swelling, and pain. It is important to do regular breast self-exams and see a doctor if you notice any changes in your breasts. In your case, since you have already had a mammogram done and it was normal, it is less likely to be a cause for concern. Your doctor may recommend further tests or imaging to rule out any underlying conditions. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician