Why Are My Nipples Sore? Common Causes and Solutions

Sore nipples are a common concern for women, ranging from mild discomfort to severe pain that may disrupt daily life. While often harmless, ongoing or severe soreness should be evaluated by a healthcare professional. Here are the most common causes of nipple pain and what you can do about it.

Top Causes of Nipple Pain in Women

1. Breastfeeding Challenges

Breastfeeding is a top cause of sore nipples. Issues like poor latch, prolonged feeding sessions, or chafing from breast pumps can lead to cracking, scabbing, and tenderness. Solutions include consulting a lactation specialist, applying lanolin creams, and adjusting feeding positions.

2. Hormonal Changes

Hormonal fluctuations during ovulation, menstruation, pregnancy, or breastfeeding can lead to tender breasts and nipples. This is due to changes in estrogen and progesterone levels, which affect breast tissue sensitivity.

3. Infections

Nipple infections occur when clogged pores or hair follicles become inflamed. Yeast infections, particularly in warm or humid climates, are also a common culprit. To prevent this, keep the area clean and dry, wear breathable fabrics, and avoid using dirty bras.

4. Chafing or Friction (Jogger’s Nipple)

Activities like running, cycling, or wearing ill-fitting bras can cause nipple irritation. Chafing occurs when fabric rubs against the skin repeatedly. Use nipple covers, lubricants, or better-fitting sports bras to prevent this.

5. Allergies or Skin Sensitivities

New detergents, lotions, soaps, or perfumes can irritate sensitive nipple skin, causing redness, itching, or soreness. Allergic reactions may develop suddenly, even with products you've used before. If you've recently introduced new products, switch back to hypoallergenic options and monitor for improvement.

6. Eczema or Psoriasis

Dry, itchy, and inflamed skin can affect the nipple area. If you’ve dealt with eczema or psoriasis elsewhere, these conditions could be causing nipple discomfort. Treatment often involves prescription creams or anti-inflammatory medications.

7. Medications

Certain medications, such as hormone therapies or new prescriptions, can lead to nipple pain as a side effect. Discuss any medication changes with your doctor if you notice this symptom.

8. Pregnancy and Breast Growth

During pregnancy, breast tissue expands, and nipples become more sensitive in preparation for breastfeeding. This can result in soreness or tenderness, especially in the early stages.

9. Trauma or Injury

Accidental bumps, pinching, or wearing clothing that’s too tight can lead to physical injury and soreness. Resting and using soothing ointments can help alleviate discomfort.

10. Breast Cysts or Lumps

While most breast lumps are benign, cysts or fibrocystic changes can cause nipple pain or sensitivity. Always consult a doctor for any new lumps or persistent soreness.

11. Early Signs of Breast Cancer

Though rare, persistent nipple pain accompanied by discharge, redness, swelling, or lumps could indicate early-stage breast cancer. Regular mammograms and prompt evaluation of unusual symptoms are essential.

12. Poorly Fitting Bras

Bras that are too tight, have rough seams, or don’t provide adequate support can irritate the nipples. Opt for soft, well-fitting bras made of breathable fabrics.

13. Sunburn or Weather Exposure

Nipple pain can result from sunburn, cold weather, or wind exposure. Protect the area by applying sunscreen or wearing layers in colder climates.

When to Seek Medical Attention

It’s time to see a doctor if:

• Pain persists or worsens.
• You notice nipple discharge or lumps.
• Redness, swelling, or warmth occurs around the nipple.

Sore nipples can sometimes be an early sign of breast cancer or other underlying conditions that need immediate attention.

How BASS Can Help

At BASS Medical Group, our team of specialists is ready to diagnose and treat nipple pain, whether it’s caused by minor irritation or a more serious issue.

• Schedule a Primary Care Visit: bassmedicalgroup.com/primary-care
• Breast Cancer Specialists: bassmedicalgroup.com/cancer-center

Your health is our priority. Contact us today for personalized care and treatment options.

Looking for more health tips and expert insights? Explore our other blogs at BASS Medical Group Blog for valuable information on a variety of medical topics.