Tender Itchy Nipples
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Tender Itchy Nipples
Medically Reviewed by Carol DerSarkissian, MD on January 19, 2022
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Lots of things can make your nipples itchy. They’re sensitive in general. They also stick out, and they can get irritated from friction, eczema, breastfeeding, or pregnancy. Rarely, itchy nipples can be a sign of a more serious condition. Even if your urge to scratch is great, the problem is usually easy to treat. If you’ve been using over-the-counter products for a couple of weeks and the itch isn’t gone, check with your doctor.
Cold, dry weather can lead to major itching all over your body, including on the breasts and nipples. If that’s the cause, your nipples may look raw or chafed. Keep baths and showers to under 10 minutes. Use lukewarm water, since hot water washes away essential oils and dries out your skin even more. Gently pat your skin with a towel until it’s almost dry, and moisturize with a thick cream or ointment. Run a humidifier to add moisture.
It can cause a crusty rash on your nipples and the flat part around it, especially if you’ve had eczema before. Use a thick moisturizer with ceramides, a waxy ingredient that helps heal the skin. A topical steroid cream like hydrocortisone can help with swelling and itching. Your doctor can prescribe stronger prescription ointments. See them right away if you notice any oozing or tenderness, which could be a sign of infection.
Your new soap, lotion, or laundry detergent could be behind your itchy nipples. The chemicals in many cleansing products can cause a rash called contact dermatitis. It can show up as itchy red patches on your body. Switch to soaps and cleansers that are hypoallergenic, unscented, and free of dyes, and you’ll know if that’s the problem.
Your breasts and nipples may be reacting to the elastic or dye used to make your bra or lingerie. Contact dermatitis can cause redness and itching on the areas of the skin that touch the fabric, like your nipples. If you’ve recently started wearing a new bra, go back to your old one for a while and see if the itch goes away.
Your nipples can chafe when they rub against clothing while you exercise or because your bra is too tight. It’s usually more painful than itchy, but some women say the friction can feel like itching or burning. Apply petroleum jelly to the area before workouts to protect it from irritation, and make sure your bra fits well.
Weight gain, morning sickness, hormone swings, and ... itchy nipples? Yep, add that to the list of symptoms of pregnancy. Blame it on hormone changes and skin stretching as your breasts and nipples expand to get ready for a nursing baby. Cocoa butter, coconut oil, or a lanolin ointment rubbed on the nipples can help lessen the itch.
Milk residue, plugged milk ducts, and problems with your baby latching on during feedings all can make nipples itchy and sore. It’s important to keep the area clean and dry and to continue to pump or nurse. Lanolin ointment and silicone gel pads cooled in the refrigerator can help ease your discomfort.
If you’re breastfeeding, and if your nipples and surrounding area are not only itchy but shiny or flaky, and you feel sharp pain while nursing, see your doctor. Those are signs of thrush, a fungal infection. Your doctor may prescribe an antifungal cream to put on your nipples and breasts, as well as a mild antifungal medication you take by mouth.
This stage of your life can make your skin thinner, drier, and more easily irritated. Blame it on your hormones going up and down and on lower levels of estrogen. Your body makes less oil, so it’s harder for your skin to retain moisture. The itch can strike just about anywhere on the body, including the vagina and nipples. Fight the dryness by using mild cleansers, moisturizing often, and taking fewer hot showers.
Treatment for breast cancer can lead to severe itching in the breasts and nipples, even long after it ends. Radiation kills skin cells and causes dryness, burning, and itching as the skin peels off. Massage the area with an ice cube, wear soft, loose-fitting clothes, and drink plenty of fluids. Oral antihistamines can help. Your doctor also can prescribe a corticosteroid to rub on the skin.
This rare form of breast cancer starts in the breast ducts and spreads to the nipple and nearby area. It can look a lot like eczema, with crusted, scaly, and itchy skin. But it often affects just one nipple, and you may also see blood or yellow discharge. If the rash doesn’t respond to eczema treatments, you may need a biopsy of a tissue sample to be sure. Paget's disease usually is treated with surgery, followed by radiation.
Sometimes, a noncancerous tumor in the breast duct can cause an itchy, crusted nipple. You may feel a small lump or notice a clear or bloody discharge from the nipple. To make the diagnosis, your doctor may X-ray your breast duct or order an ultrasound, mammogram, or biopsy. The treatment is usually surgery.
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Lauren Eckert Ploch, MD, dermatologist, Augusta, GA.
Meghan Feely, MD, dermatologist, New York.
Leena Nathan, MD, assistant clinical professor, UCLA department of obstetrics and gynecology.
La Leche League International: “Is thrush causing my sore nipples?”
Oregon Health & Science University: “Loving Your Skin Through Menopause.”
National Cancer Institute: “Causes of Pruritus in Cancer Patients.”
University of New Mexico Comprehensive Cancer Center: “Itching.”
American Cancer Society: “Paget Disease of the Nipple,” “Intraductal Papillomas of the Breast.”
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By Jenny Hills, Nutritionist and Medical Writer
Health
Sore Nipples: 15 Reasons for Sensitive, Tender or Painful Nipples was last modified: May 27th, 2020 by Jenny Hills, Nutritionist and Medical Writer
Jenny Hills, Nutritionist and Medical Writer says:
Experiencing the discomfort of sore nipples from time to time is an annoyance that most women have to put up with. Nipple pain can be caused from something as simple as chaffing or allergies to clothing, or it could be caused by an infection. Changes during the menstrual cycle can also cause nipples to become sensitive, tender, or hurt more than usual. Very often pregnant women and women who are breastfeeding complain that their nipples become very sore.
Unfortunately, painful nipples can also be accompanied with other symptoms that can add to your discomfort. Infections in the glands around the nipples can result in some discharge, or the area around the nipple can become dry and cracked. In some cases, you could have some nipple itching, tenderness, or notice that your nipples are red and swollen.
Most of the time, sore nipples are not a sign of anything serious, and are more of an irritation. Some home remedies to help alleviate the pain and discomfort of sore nipples include cold or warm compress, aloe vera, apple cider vinegar, coconut oil, or tea tree oil. In rare occasions, sore nipples with some unexplained discharge could indicate a more serious condition that needs attention by a doctor.
In the article, you will find out the many reasons why your nipples hurt and what you can do to about it.
Nipple problems can also affect men; however more women suffer from sore and painful nipples. Nipples constantly rubbing against clothing can cause friction or allergic reactions and be a reason why nipples in both men and women become sore. There may also be some redness and signs of irritation around the nipple.
According to doctors from WebMD, soreness, bleeding, and itching can accompany many causes of nipple pain. Sometimes hormonal changes can cause the nipple to feel tender and more sensitive and the areolas to be larger. You may also feel a tingling sensation in the nipple or the surrounding area. 1
Let’s look in more detail at the most common reasons why you might be experiencing nipple pain.
Friction is a common reason why men and women can have sore and sensitive nipples. Very often sore nipples caused by friction is called “jogger’s nipple.”
The journal Sports Medicine reported that nipple soreness caused by running, exercising, or taking part in other sports is common among athletes. This can happen if you wear a sports bra that doesn’t fit properly, or synthetic fabrics rub against your nipples. 2
Doctors from WebMD say that constant rubbing against the nipple can also cause signs of irritation, dry nipples, and even bleeding. 1
You can avoid getting sore nipples from jogging or working out if you wear the appropriate clothing made from natural materials. If your nipple is damaged and sore, you could try using nipple shields or applying a barrier cream to prevent nipple infections.
Hormonal fluctuations during your menstrual cycle affects your breasts and is often a reason for nipples hurting right before your period.
According to OB/GYN Dr. Traci Johnson, symptoms of painful and sore breasts are usually more noticeable just before your period. You may find that your breasts and nipples are more sensitive or tender than usual. The breast and nipple soreness should only last a few days into your period. If you notice any unusual discharge, you should speak to your doctor. 3
If you are affected by other symptoms of PMS, then you can try some of these 12 helpful natural ways to relieve PMS . There you can find out how magnesium and vitamin B6 can help to reduce the severity of PMS symptoms. You can also relieve menstrual cramps with these natural ways .
Your nipples are very sensitive and can have an allergic reaction to soaps, fabrics, or other allergens. If you have noticed that your nipples are tender and itching after you changed your laundry detergent, soap, or moisturizer, the nipple discomfort could be from allergies. In this case, identifying and removing the allergen should solve the problem.
Breast sensitivity and soreness can happen if you become pregnant, and the nipple tenderness can increase during your pregnancy.
Doctors from the American Pregnancy Association report that hormonal changes cause your breasts to become more sensitive, and this is often felt particularly in the nipples. Other breast changes during pregnancy include darkening of the area around your nipples, and your nipple may stick out more and become larger. 4
Some other signs of early pregnancy include cramping when implantation happens , a missed period, nausea and vomiting, increased Montgomery glands , and an increase in cervical discharge . If you think you are pregnant, you can find out here when is the earliest time to take a pregnancy test .
Breastfeeding can cause the breast tissue to become sensitive and sore and cause persistent nipple pain.
The International Journal of Environmental Research and Public Health reported that many breastfeeding mothers complain of sore and tender nipples. This was a reason why almost 40% of women discontinued breastfeeding. Some of the reasons for nipple pain while breastfeeding are incorrectly placing the baby, infection, and inflammation. 5
To help avoid sore and painful nipples while breastfeeding, the Journal de Pediatria reported that proper breastfeeding technique is essential. The nipples should be kept dry and you should use nursing pads. 6
Nipple infections that cause pain during breastfeeding are also common. Bacterial infections or candidiasis can cause more nipple problems. This could result in breast and nipple itching , redness, and burning twinges in the breasts. Other complications to the nipples or breasts during breastfeeding could be inflammation or plugged nipple ducts. 6
Mastitis can also cause the breasts and nipples to become red, tender, and sore due to infection in the breast tissue.
Clinical Professor of Obstetrics and Gynecology, Dr. Suzanne Trupin says that mastitis often affects breastfeeding mothers. However, breast inflammation can occur in other women and post-menopausal women. The signs of mastitis are redness around the nipple spreading up the breast, fever and chills, and warmth of the breast. 7
If you have signs of mastitis, you should see your doctor to get the right treatment to resolve the infection.
Inflammation of the breasts, that may or may not be caused by an infection, can cause nipple tenderness and nipple pain.
According to a report published in the journal Diagnostic and Interventional Imaging , breast inflammation can be caused by mastitis, an abscess, or other infection. Depending on the cause of the inflammation, there may be nipple discharge, pain and swelling, and lesions on the areola. 8
Nipple vasospasm can be a reason for painful nipple spasms that last for a few minutes or many hours.
According to doctors from the Herzl Family Practice Clinic, emotional stress, exposure to cold temperatures, or breastfeeding can cause nipple vasospasm. The pain in the nipple is caused as blood vessels contract. This results in throbbing and needle-like pains in the nipple. You also may notice that the nipple pain increases in the cold. 9
If you suffer from chronic burning pain in your nipples, you should seek medical advice. However, doctors say that very often, a warm compress is enough to help relieve the pain.
Raynaud’s syndrome can be a reason for deep nipple pain in women who breastfeed.
Doctors from the Mayo Clinic say that Raynaud’s syndrome in an autoimmune condition that results in constricted blood vessels in certain areas of the body. It can cause numbness in the fingers or toes, nose, lips, and even nipples. The affected body part, for example, the nipple, usually becomes sore as it warms up and blood flows to the nipple. 10
The journal JAMA Dermatology reported that Raynaud’s syndrome of the nipple is sometimes a complication of breastfeeding, mastitis, or Candida infection . 11
A candida infection of the nipple can cause nipple thrush and can make nipples sore and sensitive when breastfeeding
Cracked and dry nipples are often to blame for candida infections getting into the nipples. Doctors from the National Health Service say that candida fungus can affect both of your nipples and also your baby’s mouth. You may feel that the nipples are painful to touch or very tender after feeding. The nipple pain can be extreme and last for a few hours. 12
Pain in just one nipple that is sore to touch could be caused by an abscess in the breast.
According to the journal Radio Graphics , breast abscesses that cause nipple pain are usually associated with some redness and heat around the affected area. Very rarely is a fever associated with a breast abscess. A breast abscess can also be a reason for nipple pain in men. 13
Because any lump in the breast could be something more serious, you should have any new breast lumps checked out by a qualified doctor.
If you are suffering from tender and sore nipples that are cracked, it could be a sign of nipple eczema or dermatitis.
Eczema or various forms of dermatitis can cause red rashes that are sore, itchy, and may have blisters. Some forms of dermatitis are caused by irritants that affect the skin. Because the nipple is especially sensitive area, it is prone to getting irritated.
For example, the journal BMC Dermatology described a condition called “guitar nipple.” This is caused by constant rubbing of the musical instrument against the nipple area. 14 Also, dermatitis is a common reason for nipple pain in breastfeeding mothers. 5
To avoid outbreaks of eczema on your breast that cause your nipple to hurt and feel extremely sore, you should try to identify the source of the irritant. It is also good to avoid harsh soaps and keep your nipples well-moisturized.
Nipple piercing will cause sore nipples for a week or so after the piercing. However secondary bacterial wounds in the piercing wound could cause swollen nipples that are painful and ooze pus.
Nipple piercing can also cause other complications. The Journal of the American College of Surgeons reported that nipple piercings can cause breast abscesses. These are difficult to treat and cause very painful nipples. Sometimes, the breast abscess can appear as late as seven years after the piercing. 15
Another reason that nipple piercing can cause excruciating nipple pain on your right or left nipple is if the jewelry tears. The American Journal of Clinical Dermatology reported that piercings in the nipple are especially prone to tearing. 16
Paget’s disease is a rare type of cancer that can affect the nipple and cause burning nipple pain as the disease progresses.
Obstetrician and gynecologist Dr. Nivin Todd says that the early signs of Paget’s disease are mild itching around the nipple. In time, the itching can become more severe and the nipple can be sore to touch. There may be some signs of bloody discharge from the nipple. 17
In rare cases, nipple pain and discharge can be a sign of breast cancer .
According to the International Journal of Preventive Medicine , not all breast cancer lumps cause pain. However, you should always have lumps in your breast checked out if they are painful or not. Doctors say that if you notice changes in your nipples like dimpling, rashes over the nipple, or change in nipple shape, you should visit your doctor. 18
Thankfully, most cases of sore and sensitive nipples can be easily resolved. There are many effective home remedies to help reduce nipple pain and tenderness as well as treat other symptoms like itching. Here are some of the best.
You can use a cold or warm compress to help reduce nipple pain and ease the discomfort that it causes.
Doctors from WebMD say that ice packs or warm compresses can do much to ease pain from sore nipples. 1
How to make a warm or cold compress to soothe sore nipples:
For this method, you can use old chamomile tea bags. Chamomile tea has healing qualities and studies have shown that it can reduce inflammation, itching, inflammatory pain, and soreness. 23 It is up to you if you want to use warm chamomile tea bags to relieve nipple pain or cold tea bags.
Another way to treat painful and irritated nipple is to use the healing power of aloe vera . Aloe vera contains many vitamins and nutrients that nourish damaged skin and address the causes of irritation.
The Indian Journal of Dermatology published a review on the effect of aloe vera on the skin . In the review, it found that aloe vera has antimicrobial and anti-inflammatory properties that can help to heal wounds, treat dermatitis, get rid of fungal and bacterial skin infections, and moisturize the skin. 25
Use aloe vera gel on your sore nipples by applying it this way:
Raw unprocessed apple cider vinegar (ACV) can help to soothe sore nipples and stop them from itching. The acidic nature of apple cider vinegar helps to reduce the pH levels on the skin.
Apple cider vinegar is also antiseptic and astringent that can help to stop infections. According to information published in the journal Wounds , acetic acid (of which apple cider vinegar
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