Nipples can hurt to the touch for several common reasons, including friction from clothing or bras, hormonal changes related to menstrual cycles or pregnancy, breastfeeding issues, infections, skin conditions like eczema or dermatitis, and even injury or irritation from sexual contact. Tight clothing or poorly fitting bras can cause chafing and soreness, while hormonal fluctuations can make nipples tender especially before periods or during pregnancy. Breastfeeding can cause nipple pain if the baby doesn't latch properly. Infections like yeast or bacterial infections can also cause soreness. Some skin conditions or allergic reactions to detergents or lotions may cause nipple irritation. Although rare, persistent nipple pain could be a sign of a more serious condition such as breast cancer and should be evaluated by a doctor if accompanied by other symptoms like nipple changes, discharge, or lumps.
Common Causes of Nipple Pain
- Friction and irritation: from rubbing of clothing or bras, especially during exercise or prolonged wear
- Hormonal changes: causing breast and nipple tenderness related to menstrual cycle, pregnancy, or breastfeeding
- Breastfeeding issues: improper latch or prolonged feeding causing cracked or sore nipples
- Infections: yeast (thrush), bacterial mastitis, or other infections causing nipple pain and redness
- Skin conditions: eczema, dermatitis, or allergic reactions causing rash and soreness
- Other causes: trauma, sexual activity-related irritation, or rarely breast cancer-related symptoms
When to Seek Medical Advice
- If nipple pain is severe, persistent, or worsening
- If accompanied by changes in nipple appearance (inversion, scaling, redness)
- If there is any nipple discharge other than breast milk
- Presence of lumps or other breast changes
- Signs of infection such as fever, pus, or severe redness
Addressing the cause usually involves treating friction with better-fitting clothing, managing hormonal symptoms, improving breastfeeding technique, treating infections, or managing skin conditions. A healthcare professional can provide a proper diagnosis and treatment plan if the cause is unclear or symptoms persist.
