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Register for OBGYN.net Breast Care FAQ - Breast Pain, Itching, Lumps, Bumps and Discharge
Please note: All information contained in this section is for informational and educational purposes. It is not meant to be a substitute for a hands-on medical examination and diagnosis by a qualified medical professional. Please always check with your healthcare provider before starting, stopping or changing your medications. If you are experiencing symptoms that worry you please make an appointment with your healthcare provider for a thorough examination.
Pain & Itching: (including rashes, pimples and sores)
Q: Just found out I was pregnant not sure how far along. I also have PCOS and my breasts are very tender and leaking. I'm wondering is it normal to be leaking this early on in pregnancy, and is the shooting pains normal?
A: Breast pain can be one of the effects of early pregnancy. Leaking can occur in some women. See your regular doctor if these symptoms become too troublesome, otherwise, wear a good support bra and congratulations on the pregnancy.
Hannah Brooks, MD, FACS
Q: I am married but not pregnant. In the last few weeks, I began noticing something strange with my nipples. They are
always erect and when I touch them they feel a little painful. As a result, I have asked my husband to not kiss my nipples.
This is really strange and I wonder if there is something wrong with my nipples. Can someone provide me with a possible
explanation?
A: This does not sound too concerning. It may be your nipples are getting more stimulation than before! If the problem
persists or is associated with redness, swelling, or other signs of infection, then have your regular doctor check. If it is just
increased sensitivity, just give it some time.
Hannah Brooks, MD, FACS
Q: am 55 years old, about a year ago one of my breasts started leaking and it was very painful, the doctor I saw gave me
some drugs and said it was probably due to menopause. The problem did go away for a while and now it's back, what advice
would you give on how to deal with this problem?
A: If you are having pain and discharge from one breast, you must have this checked thoroughly. You will need a
mammogram, sonogram, good breast examination and possibly further testing such as a biopsy. This should not be neglected.
Seek out a surgeon, preferably one experienced with breast disease.
Hannah Brooks, MD, FACS
Q: I am a healthy 25 year old & I am experiencing sore, tender breasts. I have never experienced this before and I was
wondering some reasons this could be happening.
A: At your age, sore breasts can mean anything from pregnancy to fibrocystic breast condition to hormonal imbalance,
among other reasons. Please check the information on painful breasts at http://www.imaginis.com
for information and recommendations for management. Be sure you are not pregnant before taking any supplements or medications.
Hannah Brooks, MD, FACS
Q: I have suffered from a sore right erect nipple for the past 3 years. This generally
occurs in winter and lasts about 2 weeks each year. It tends to ease with heat. However, this year it has started to itch and subsequently is sore from the
itching. It is also dry although I have not experienced flaky skin. I have not tried creams and would like one recommended for
sensitive skim. I am unsure if to try a cortisone, antihistamine, antifungal or even an intense moisturiser
A: This should be checked out with imaging since there is a change in the symptoms.
Hannah Brooks, MD, FACS
Q: I have a light blue/black bruise (like a shadow) with burning in my right breast. No pregnancies or breastfeeding in 6
years. I have had questionable mammograms with follow-up ultrasounds on this
right breast before. Lumps were determined to be lymph glands, round and no calcifications. I have had no injury. I do have "lumpy" breasts and history
in close female members of the family. Is this something to be checked?
A: With a family history, questionable mammograms, and a right breast exam different from the left, there are enough
reasons to consider a second opinion, especially by a breast specialist. Depending on the full review of your
x-rays and a careful examination, a biopsy may be recommended.
Hannah Brooks, MD, FACS
Q: I have been on the BCP Yasmin for 2 months and have been experiencing severe breast tenderness...so much that just wearing clothes is
irritating. Is there anything I can do? Will it go away? My breasts have also increased in size a full cup (which I did not want to happen). Help!
A: BCP can cause severe breast pain due to the hormonal effects. Some women find it subsides after the body adjusts--usually a few months or cycles.
Hannah Brooks, MD, FACS
Q: I have been on the pill for two cycles. My last period was at the expected time. However, my breasts have remained sore
since that time, which was about a week ago. This pain is not completely unbearable, but rather
irritating. I use condoms along with the pill whenever I have sex, and have not been with anyone for about four weeks, so i don't believe this is due
to pregnancy. I was wondering what might be causing this, and how I can alleviate
it.
A: Many women experience breast pain, sometimes severe, while they are adjusting to birth control pills. If the symptoms
persist for more than 3-6 cycles, discuss different pill formulations with your doctor.
Hannah Brooks, MD, FACS
Q: I have been on birth control pills for about 4 months. Before Ii started taking the pill, breast tenderness was normal for me
beginning 6-7 days before my period would start. However, during the first 3 months on the pill, I experienced little or no
breast pain. My period is due in a little over a week, and my breasts have again begun to feel very tender, and my nipple
sore. Is this my body getting used to the pills, or is this abnormal to have breast pain while on the pill?
A: Many women experience breast swelling and pain on the birth control pills. Often, the reaction lessens over time. Discuss
this with the doctor who prescribed the pills for more information.
Hannah Brooks, MD, FACS
Q: I weaned my son about six months ago. One of the reasons that I weaned him when I did was the pain I felt in my
nipples. I continue feeling this irritation in both nipples, and my left breast is swollen and painful, as is the upper part of my
left arm. Any ideas of what I should do?
A: It may be you had a mastitis and have an abscess or other infection in the breast. There may be other causes as well.
See your doctor as quickly as possible about this. A sonogram may be ordered after examination. Six months is a long time.
Hannah Brooks, MD, FACS
Q: I'm 15 and lately my boobs have felt really sensitive. Even when something rubs against them it feels really sensitive. I didn't know where else to
ask this because I'm to embarrassed to talk to my mom or friends.
A: It is very common for young women to have very sensitive breasts as the hormonal changes take effect in their bodies. Other reasons for breast
sensitivity for people in your age group include certain medications, birth control pills, or pregnancy.
Good luck.
Hannah Brooks, MD, FACS
Q: Last night an area on my breast approximately 2 inches in size became red and itchy. It was bright red and splotchy. Today the area is shiny
and very bright red and oozing a yellow substance. The area is on the side of my breast and I noticed the area above it is all yellow. I figured if it
doesn't clear up in a couple of days a trip to the doctor would be in order but I was wondering what this could be.
A: this sounds like and infection. You are right to follow up in a few days if it does not entirely clear up. Even if it does, be sure to have your routine
breast examination and mammogram on time if you are due.
Hannah Brooks, MD, FACS
Q: I have gained some weight. I noticed my nipples becoming very sore so purchased larger bras. However, my nipples are extremely sore especially
right after taking my bra off. I have no lumps, discharge, etc. but have noticed my breasts feel firmer. Any suggestions and/or ideas to help alleviate
my problem. It is most uncomfortable. Thank you so very much.
A: There is some good information on breast pain and ideas to alleviate it on the
http://www.imaginis.com website. What you describe may be due to
weight gain and how your bras fit, as you suspected. If you are going through menopause, taking hormonal replacement, or other medications, this
may also be a factor.
Hannah Brooks, MD, FACS
Q: What are the reasons for breast tenderness and pain other than PMS and pregnancy? Also, when during one's cycle is it normal to
experience breast pain? Thank you.
A: There are many reasons for pain. And for some women pain is "normal" throughout their cycles. Some reading material on this subject is available
at http://www.imaginis.com
and other breast websites.
Hannah Brooks, MD, FACS
Q: I sometimes get sharp, burning type pains in my breasts. Is this from the fibrocystic condition? Thank you.
A: Yes, there are many different kinds of pains that women experience from this condition.
Hannah Brooks, MD, FACS
Q: I have been on the BCP Yasmin for 2 months and have been experiencing
severe breast tenderness...so much that just wearing clothes is
irritating. Is there anything I can do? Will it go away? My breasts have also increased in size a full cup (which I
did not want to happen). Help!
A: BCP can cause severe breast pain due to the hormonal effects. Some women find it subsides after the body adjusts--usually a few months or
cycles.
Hannah Brooks, MD, FACS
Q: Both breasts are swollen and itching . i am fifty one. could this be related to
menopause?
A: Absolutely. But be sure to have your yearly mammograms and a full check up and instruction in monthly self examination.
Hannah Brooks, MD, FACS
Q: I have been have sharp pains in my breast for about 2 weeks now. They are not constant pains. My baby is 4 months old & I am not
breastfeeding. Any suggestions?
A: Did you recently stop breastfeeding? Are you on any medications or birth control pills? Did you tend to have fibrocystic breasts before your
periods? (it may be your period/and or ovulation is ready to return...)
Hannah Brooks, MD, FACS
Q: Just found out I was pregnant not sure how far along. I also have PCOS and my breasts are very tender and leaking. I'm wondering is it normal
to be leaking this early on in pregnancy, and is the shooting pains normal?
A: Breast pain can be one of the effects of early pregnancy. Leaking can occur in some women. See your regular doctor if these symptoms become
too troublesome, otherwise, wear a good support bra and congratulations on the pregnancy.
Hannah Brooks, MD, FACS
Q: I have red pimples on my left breast. When picked they look as if they are clogged hairs. They also itch. What can this be?
A: These can be anything skin-related, from allergy to skin gland infections. If they do not clear up with cleaning and minimal treatment, they should
be looked at by a general internist or family practitioner. It does not seem that you need a breast specialist for this.
Hannah Brooks, MD, FACS
Q: I noticed that my nipples were very rough and dry to the touch. Today, after my shower, I realized that tiny scabs had formed on my nipples and
the scabs were falling off. What's happening? I'm not pregnant or lactating. Any ideas?
A: Some women may experience tiny amounts of discharge that appear to form "scabs" when the skin is drier. You can try treating with lanolin and
see if this clears up.
Hannah Brooks, MD, FACS
Q: For a little while now, I have brown patches of itchy skin on my breasts.
I don't really remember when I first noticed them. I went to a doctor they saw it but
didn't mention anything about it, any ideas?
A: I cannot tell you what it might be. It sounds related to the skin. You should ask your primary care doctor about it.
Hannah Brooks, MD, FACS
Q: I am a 23 year old female. For the last 4 months my breasts have been tender and sore. I also have been noticing a size increase with them also.
I'm almost to the point where I need to purchase a bigger bra. I'm wondering if it's possible for them to be growing and that's why there so sensitive.
Is this even possible at my age? Thank you for your help in advance.
A: Yes, breast growth is possible at your age. You should also make sure you are not pregnant.
Hannah Brooks, MD, FACS
Q: I have very itchy flaking nipples that are somewhat sore. I am pregnant. Could it be a yeast infection or do you have to be breast feeding to get
one on your nipples.
A: It may be an infection. It may also simply be due to the pregnancy itself. Some women do experience eczematoid changes of the nipple during
pregnancy. If simple measures such as nipple ointments that are used for breastfeeding women don't work out, have your doctor evaluate and
advise you.
Hannah Brooks, MD, FACS
Q: I am 32 years old, and I have had at least 6 boils on my left breast, in the past month. Just when one goes away, another one
occurs. They are very painful, and produces swelling, redness, and much discomfort. My breast is always sore to the touch, because
there's not much of a break in between outbreaks. Is this something to be concerned about, other than infected hair
follicles??
A: Look up information on hidradenitis suppurativa and see if it fits the description of the condition you have. It is a skin condition that affects the
armpits, groin, and breast skin as the most common sites.
Hannah Brooks, MD, FACS
Q: My right breast has been itching almost continuously for the past few days. There is no obvious rash or dryness. The feeling is as if it
is coming
from inside the breast, not from the skin. The itching is most intense around the nipple, although the entire breast area does itch. I am 46 years old
and have had some perimenopausal symptoms. Could this be another symptom?
A: You may have very odd sensations in one or both breasts in the perimenopausal period. Be sure to keep up with regular self examination,
mammograms, and clinical examinations and more serious breast problems will show themselves. If this symptom persists for more than a few weeks
without change, have it checked.
Hannah Brooks, MD, FACS
Q: Hi I am a 20 y/o never been pregnant and not on birth control. Yesterday morning I woke up with a very sore and painful nipple area. It feels like
there is a small lump (a little smaller than a dime) right under my nipple and areola. There is no discoloration, redness or discharge as of yet but it is
very painful to move even if nothing is touching the nipple area. Any idea what this could be?
A: This sudden painful lump could be an infection, injury, or a cyst. It can be treated conservatively with warm compresses and see if it progresses
or if it drains on its own through the nipple. If it does not resolve in one-two weeks, then have your doctor look at it.
Hannah Brooks, MD, FACS
Q: Is breast pain a sign of cancer? In all the books that I have read says that cancer in the breast usually that there isn't any pain.
A: There are exceptions to every rule. Breast pain, in most instances, is an indication of a benign process such as fibrocystic breast condition, mastitis, fat necrosis due to trauma, and so on. Nevertheless, while breast masses due to cancer are generally not painful, there are some that can
be associated with pain. Pain is only a single symptom. A diagnosis of any breast problem is made by synthesizing a complex of patient history,
physical symptoms and findings, and test results. No one sign or symptom provides an accurate answer.
Hannah Brooks, MD, FACS
Q: For the past 2 weeks my left breast really aches. It is more toward my armpit and the pain seems to be more underneath
the breast tissue. It does not hurt to touch but it hurts when I breath or move in certain directions. I have sustained no
injury to my ribs so I really don't know what the deal is. I never have achy breasts before my period. What can this be?
A: Pain that is elicited with movement may be due to injury or strain to underlying muscles, ribs, cartilage, or connective
tissue, as you suspect. If you have recently been moving heavy things, been picking up a child frequently, been exercising
heavily (especially upper body), or have been performing other activities that may
contribute to strain, it may be the cause. If the pain persists, or if you develop additional symptoms, have your doctor check for causes related to lung, chest, breast,
etc.
Hannah Brooks, MD, FACS
Q: The other morning I noticed a scabby sore on my breast right next to the
areola. I don't remember scratching myself or other wounding and I couldn't find any pinpricks on blood on the sheets. It is not raised, it hurts around
the edge and is itching a little. My first reaction is it was some type of puncture wound and is now scabbing. But then I wondered I if it
could be a form of sudden eruption of a possibly cancerous mole. What is recommended?
A: If the skin lesion does not completely resolve with conservative measures (i.e. antibiotic, antifungal, cortisone or other
medical treatments recommended by your doctor), then a biopsy is in order. You should give it some time...but don't wait if
it takes more than a few weeks to resolve.
Hannah Brooks, MD, FACS
Q: All day today I have had very sharp twinging pains shooting through my left breast... it feels as if they originate inside
the breast's lower half, and end up near the nipple inside. I've never felt anything like this before and wonder what the cause
could be. I'm almost 51, in my 11th day of a weight-loss diet (low carb), and just started taking 50mg Synthroid in the
mornings (today is my first day) for hypothyroidism. Should I be worried?
A: You should start with an exam and workup including mammogram. Sometimes these shooting pains can indicate a growth
(not necessarily cancerous) in a duct, or it may indicate the development of cysts (also usually benign). The best way to
allay your fears is to get it checked.
Hannah Brooks, MD, FACS
Q: I was recently diagnosed with mastitis, and I'm not a breast feeding mother. My youngest child is seven years old. Can
you please tell me where I can get information on someone who has mastitis AND It's not from breastfeeding?
A: It's a common misconception that mastitis only occurs in breastfeeding women. In fact, some reports indicate a greater
percentage of mastitis cases occur in NON lactating women! Some causes may include low grade infection (from oral/nipple
contact); smoking; repeated irritation or trauma; among other causes. The best way to manage is to diagnose the
underlying cause of the mastitis. Be aware that any "mastitis" that does not clear up with a short course of conservative
treatment requires further investigation and possible biopsy.
Hannah Brooks, MD, FACS
Q: I am a 54 woman who has noticed a sizeable shrinkage in my left breast. I am having pain in the nipple area along with under the arm.
A: You should see your doctor as quickly as possible to evaluate this breast 'shrinkage and pain.' At times, a growth in the breast can cause the tissues to pull in or up and make it look as if the breast is smaller or more dense. Be sure to have a mammogram before your appointment and bring the results with you so your doctor can move forward with additional diagnostic workup. If you do not have insurance, contact your local American Cancer Society at 1800-ACS- 2345 and as for Breast Partnership information for examination and mammogram to get started. Please contact us again if you have additional questions.
Hannah Brooks, MD, FACS
Q: For the past three months I've had itching in one breast during my period & the week previous. There is no lump or visible
sign of a problem. I've been taking Ortho Novum for 14 years (currently age 33) and generally have breast tenderness
monthly, but this itching is new. I've also been under an unusually high amount of stress the past six months. I just read
about Inflammatory Breast Cancer and am wondering if this monthly itching is something I should worry about or just related to
the pill & stress?
A: Hard to say if this is anything serious or not. Any new symptom in the breast should be checked. First, have an exam.
Your doctor may recommend a mammogram, sonogram or both to evaluate the breast further.
Q: For the last couple of days, I have sores on both of my breasts and also dry skins on both of my nipples. Is there
something wrong with my breasts? My fiance likes to squeeze my breasts whenever we're fooling around. Does that have
anything to do with the sores? Thanks!
A: I cannot answer as to whether there is something wrong; however, if this is a change for you and is not resolving on its
own after a few weeks, you should have it looked at. It may be a sign of a skin allergy or infection, or it may signal some
other underlying disorder. It is rare that something on both nipples signals cancer, so don't worry about that, but do have it
checked by a doctor within a few weeks if it still bothers you.
Hannah Brooks, MD, FACS
Q: Well, have returned from mammogram and breast ultra sound. Now panicked more than ever. Very hard (solid) lump!! Doctor?
Radiologist? came in.. very clinical, and said lump needs to come out right away. Said stats are on my side as to benign, but his
reactions have me just beside myself. I would appreciate any thoughts.
A: Stay calm. The radiologist just wants to be clear that you understand a solid lump is something that needs to be
tested--so don't let his reaction upset you. See a breast surgeon. Have the lump removed...It is minor surgery and you will
go home the same day. Odds are still in your favor that the lump will turn out benign.
Hannah Brooks, MD, FACS
Q: My impression is that malignant lumps aren't painful. Is that a misconception. I have a lump in my armpit but its sore.. my mother found a lump in
her armpit that wasn't sore that was malignant. Is it possible this lump is malignant?
A: While it is true that malignancies in the breast are often non- tender, it is never a hard and fast rule. The determination of whether the lymph
node you are feeling is serious should be made by a physician. The workup you will undergo will depend on many factors in your personal history, the
history of the lump itself, examination, and, possibly, imaging studies or biopsy. I cannot tell how far a diagnostic workup should progress in your
particular case, but a good check-up is certainly in order. Good luck.
Hannah Brooks, MD, FACS
Q: On self exam a very painful small pea size lump was found. I am 62 post
menopausal who hasn't had a mammogram. I self exam on a regular basis, and this was a new
find. What are cysts and there symptoms?
A: If you find something new on self exam, you really should have the area imaged, and at your age, possibly
biopsied. There
is information on breast cysts and other lumps at http://www.imaginis.com
and http://www.northshorelij.com
(under breast health) as well as other good medical sites. If you have trouble with insurance, contact your local American Cancer Society
for free screening and mammogram with the "Breast Health Partnership" program.
Hannah Brooks, MD, FACS
Q: I have little bumps on areolas and tips are peeling, looks like
I took sandpaper to them...looks odd and is freaking me out. HELP!
A: This could be a skin infection or eczema or some other dermatologic condition. If this does not clear with conservative
management such as antifungal cream or antibiotic ointment, then have it looked at by your doctor. Try to review possible
exposures, other causes, and when the symptoms were first noted.
Hannah Brooks, MD, FACS
Q: I have lumps on both sides of my chest. I don't really have breasts yet, more like "buds" as my mother would call them. I can sort of lift them up underneath my skin too, is this normal? They are kind of large, much bigger than a pea size.
A: Those breast buds are perfectly normal and will develop into breast tissue. Some girls are delayed in breast development. If you have any concerns about the rate of your development, speak to your doctor on your next exam.
Hannah Brooks, MD, FACS
Q: Can you get warts on the breasts? I have several strange bumps on my areola of both
breasts, and am quite concerned. They look somewhat like pimples, but are not going away like pimples do. They do not hurt.
A: You can get warts on any part of the skin, but what you're describing sounds like the normal array of Montgomery glands.
Small 'bumps' are normal on the nipple areola area. If they do not hurt, do not appear infected, and there are no other
symptoms, then they may become prominent if one is pregnant or on birth control pills. If you are concerned and this does
not fit what you are experiencing, have a doctor or experienced breast nurse take a look at it.
Hannah Brooks, MD, FACS
Q: What is a papilloma in the breast. A biopsy was done and it's non- cancerous and the Doctor wants to remove the
papilloma. What is it? Where does it come from? Can it turn to Cancer?
A: A papilloma is a small wart-like growth within a breast duct. It arises from the epithelial cells lining the duct and is
sometimes found because it produces a bloody nipple discharge. There is not much to worry about regarding cancer risk, but
if your surgeon is recommending removal, it is a good idea to follow up. Removal
of a small papilloma will probably entail a duct excision. This is a relatively minor operation and should have good cosmetic outcome.
Hannah Brooks, MD, FACS
Q: I'm only 20 years old, and have recently found a very painful lump in my left breast. I'm reluctant to go to the doctor, because breast cancer
has affected 5 straight generations of my family and I'm afraid of what I might find. Is there any way it could be something else?
A: Although a painful lump in someone your age is more likely to be benign--perhaps a breast cyst or fibroadenoma or infection--it is crucial that the
mass be checked because of your strong family history. While it may be frightening to imagine the worst...the chances are that your mass will be
benign. If not, the best outcome is always achieved when you address abnormalities as soon as you note them. If you are frightened, take a friend
or family member with you-- but go!
Hannah Brooks, MD, FACS
Q: I discovered a lump in my right breast and went to see the doctor. She
told me to come and see her after a week if it wasn't gone. Since then these sores suddenly
appeared on my breast. They formed like a row.. Plus I have this burning sensation under my arms.. What can this be? My nerves
are finished.. I can't stop crying,,... Please help
A: A 'lump' associated with sores may indicate a skin infection of the breast. Please don't jump to the conclusion that you have cancer, as this is
NOT the most common diagnosis! Follow up with your doctor and have the workup pursued in a systematic way. Good luck.
Hannah Brooks, MD, FACS
Q: Yesterday I discovered a lump or acne in my armpit. It is painful, hard and has no head. How long should I give this before I have it checked. I
don't want to go to the doctor if it is just a pimple or acne. I have never had any thing like this before and have no history of BC in my family.
A: A lump in the armpit, if it is "acne like" as you describe is a skin related infection. If it came on rapidly and is painful, you can use warm compresses
and observe for a short while. If it worsens, please see a doctor for drainage and/or antibiotic treatment. If it is a
persistent lump and does not appear to behave like an infection, it should be investigated more fully.
Hannah Brooks, MD, FACS
Q: My 16 yr. old granddaughter has found a lump in her left breast....had a biopsy performed results were neg. lump at that time was the size of a
pea six months ago, now is the size of a lima bean and another has appeared to the right of the first...are not painful, but at that age she feels
disfigured.....the biggest one can be seen when wearing a bathing suit or tight shirt, her doctor says not to worry about it...the cysts is solid not
liquid...should she get a second opinion?
A: By definition, cysts are liquid (fluid) filled and not solid. In a young woman, these tender lumps are most likely benign fibroadenomas. If they are
causing her discomfort or are growing, you should seek a second opinion from a surgeon.
Hannah Brooks, MD, FACS
Q: On the areola of my breast, there are pimple-like bumps...White puss comes from them if squeezed. How can I get rid of these bumps?
A: Do not squeeze these bumps. They are likely normal. They are probably secreting sebum (oil) from glands of the nipple/areola skin. You will infect
them if you squeeze them. If they become reddened or painful, you should have them checked for infection.
Hannah Brooks, MD, FACS
Q: Isn't there anything that can be done to minimize or get rid of these bumps, even if they are
normal? I have them too and they make me very self-conscious. I've heard that they are related to pregnancy, but
I've never been pregnant.
A: I still think the best thing is to let these alone. Avoid irritation by strong detergents or rough materials in you bra or clothing. Do not manipulate
the nipple or the 'bumps' because that will increase the inflammation and the chance of infection. Speak with your doctor about any other ideas
he/she may have.
Hannah Brooks, MD, FACS
Q: While I was getting dressed this morning I noticed a lump the size of a pea under my left arm on the same side as the lump in my breast. Could
this be linked to one another or just a fluke? What should I do? It feels like it is hard and it
doesn't move when I touch it. It is a bit painful also.
A: The underarm lump may be anything from an infected skin gland (if it's superficial), to a lymph node. This should be checked along with the breast
problem.
Hannah Brooks, MD, FACS
Q: I have two small wart-like bumps on my right breast. They are NOT in or on my areola area. They concern me. What are they and what should I
do about them if anything?
A: If you've always had them, they may simply be part of the nipple areola tissue. If they are new and don't seem to be resolving, you should have
them looked at by a doctor. If uninsured, try low-cost clinics at your local hospital and see if there is a breast clinic available.
Hannah Brooks, MD, FACS
Q: I have a Lump about 1/4 of an inch long on my underarm, it is tender to touch and the skin surrounding it, 3 inches in diameter, is red and slightly
swollen. It only started three days ago and I was wondering what it could be.
A: This sounds like an infection and it should be looked at by a physician. This can be related to a skin problem, for example, an infected ingrown hair
or infected oil gland, or it may be related to something deeper involving the breast tissue or the lymph node (gland) in the area.
Hannah Brooks, MD, FACS
Q: I am a 40 year old women with 3 children, my mother died of breast cancer 11 years ago. Two years ago I found a lump
(which was not cancer) it was removed, at the same time I discovered the same breast that the lump was remove from was
dry and itchy. I brought this to my doctors attention, however; his response was "nothing to worry about." The skin peels
off, on its own, and the area remains itchy. The mammogram as well as the sonogram shows nothing. Is there anything I can
do to relieve the itch and get rid of the dry skin?
A: I would seek a second opinion, particularly if this is only on one breast. If a surgeon does not determine this needs biopsy,
perhaps a dermatologist will.
Hannah Brooks, MD, FACS
Q: I am 52 yrs old, using HRT (del estrogen injections monthly) and also have breast implants (15 yrs now). For the past
several months I have had extremely tender "lumps" just under the nipple area. More pronounced on one side, but present on
both. My husband says he can definitely feel the lumps, so I know it's not my imagination. They are relatively soft to the
touch, more of a thickening than an actual hard lump. I have searched your forum and haven't found anything similar. Any
suggestions or ideas of what might be going on?
A: An ultrasound of these "lumps" may reveal their true nature. They may be dilated ducts or
something related to the skin of the nipple areola area, and so on.
Hannah Brooks, MD, FACS
Q: I am 45 years old, postmenopausal for the past 2 1/2 years. A few days ago, I detected a lump between ribs no. 2 and 3
on the right side. It doesn't hurt, it doesn't move when I move the skin, size approx. 1 cm, no discoloration. I'm supposed to
see my gyn in August. Can the lump wait until then?
A: I don't think you should wait longer than two or three weeks to see if this resolves. It is always safer to check new
findings out sooner rather than later. Why worry for the next few months? You can start with a diagnostic mammogram as
well as a local sonogram of the mass. If it is solid , it should be tested.
Hannah Brooks, MD, FACS
Q: My doctor examined a lump near my right breast under my arm last year and determined that although it was painful, it
was cyclical and benign. Now the lump is always there, always sore. I have pain running down my right arm that extends to
the mid-forearm, and especially in the elbow. Could these two things be connected, and should I revisit the doctor for
another examination?
A: I cannot tell you for sure if the two symptoms are related, although some women do report "referred" pain when there is a
breast problem. The fact that you have a persistent breast mass requires further evaluation. Depending on your age and
other factors, various tests may be indicated. Have your doctor evaluate your lump and see a specialist if you feel you need
more information and further workup.
Hannah Brooks, MD, FACS
Q: I'm 14 and my left breast hurts badly and it has a hard lump in it. It's also turning red where the lump is and feels warm.
A: If you have a painful, red lump in a swollen breast you may have an infection; it may also be due to other conditions. It's
important to have it checked immediately. Use warm compresses and have it seen by a doctor as soon as possible. If you
are unable to mention it to your parents, call a hospital and look for an adolescent clinic and explain your problem. It would
be best to speak to your Mom or Dad about it if you can.
Hannah Brooks, MD, FACS
Q: I have an appointment with a general surgeon with reference to a lump in my right breast at about the 10
o'clock location. Since cancer is wide spread throughout my family, should I request that the lump be removed and
biopsy or should a needle biopsy be enough.
A: If the lump is solid, it should be tested. There are many factors influencing the decision regarding whether a lumps should
simply be needled (fine needle biopsy or core needle biopsy-a test of some cells or bit of tissue) or completely removed
(excisional biopsy). In the end, the decision is yours, provided you understand that a suspicious needle biopsy will require
that you have the entire lump removed in the end. It is a good idea to ask your surgeon what he or she recommends and
why.
Hannah Brooks, MD, FACS
Q: I have a lump in one of my breasts. My aunt says that she had one before and that her doctor told her that it was from
lack of orgasm-- something to do with the connection between the ovaries and the breasts. I was having emotional problems
at the time I found the lump and they did affect my sexual response. I recently had a baby and know that nursing causes
you to stop ovulating. Now I'm thinking that she may be right. Lumps are common but it's hard to ask everyone how their sex
life is. Know anything about this?
A: I have never encountered the kinds of connections between breast lumps and sexual responsiveness you are describing. I
think the best advice to follow is your own doctor's recommendations regarding breast lumps...whether they occur during
ovulation or otherwise.
Hannah Brooks, MD, FACS
Q: I know there are those large mushy lumps that aren't cancer, but what about the little ones that are harder , like the eraser on the end of a pencil? Do cancerous lumps usually start close to the chest wall (where you can feel your ribs through your breast) or in the actual breast tissue
itself?
A: The "harder" lumps can also be normal for you. If there are many of them, just become familiar with the way they feel after your period each
month. They are likely to be gland tissue or small fibroadenomas. If there is a specific one and it is not like the others, it should be checked.
Hannah Brooks, MD, FACS
Q: I have never been pregnant but I have a very small amount of breast milk. I was giving myself a breast exam and a tiny amount of milk came out.
Is this normal?
A: It is not unusual for tiny amounts of milk to be expressed when the nipples are squeezed or stimulated. Some women also experience this if they
are on BC pills. It is not dangerous.
Hannah Brooks, MD, FACS
Q: I had a child 18 months ago and I did breastfeed is it normal to have fluid still in my breast?
A: It can be, especially if you are still stimulating the breasts or checking periodically to see if the milk is still present. The best approach is
compression, ice, and not stimulate or squeeze the nipples. If it is much more than a small amount, see your doctor.
Hannah Brooks, MD, FACS
Q: I was doing my self breast exam and noticed clear liquid drainage from my right breast. I have had soreness in both
breasts but more from the right. I was switched from Loestrin to Mircett oral contraceptives 10 days ago because of my
migraines. Could this be related or should I be concerned and get a physical exam.
A: Although it may be related, it is best to have a unilateral discharge checked. Imaging studies may be indicated, and a
smear of the discharge may be performed. If the discharge persists, further testing may be needed.
Hannah Brooks, MD, FACS
Q: I have a question regarding fluid coming from the breast. I breast- fed both my children for their first year (youngest is
now 5). To this day I still get the let down feeling around my cycle times with a clear discharge in one breast and a
clear/milky discharge in the other. Is this normal and how long can it last?
A: Some women experience discharge intermittently throughout their lives. If your prolactin levels are normal, and you have
no other physiologic abnormalities, then this could be normal for you.
Hannah Brooks, MD, FACS
Q: I have had a milky nipple discharge from both breasts, but the left produces more than the right breast. I am 26 years
old, no child, no pregnant, using birth pill control for more than 8 years. The discharge is both spontaneous and when I
squeeze the nipple. I am concerned about this. If you can help me with this, I would appreciate.
A: Birth control pills can sometimes be the cause of bilateral breast discharge as the hormones they contain stimulate the
breast tissue. Speak to the gyn who prescribes your contraceptives about this symptom. There may be other hormonal
causes that need to be investigated.
Hannah Brooks, MD, FACS
Q: I've noticed clear discharge from some of my Montgomery glands in one part of my right breast. I haven't been able to
find any information about this anywhere, and don't want to go to the doctor if this is normal. It's been happening
consistently for the past month and is only in the right breast. Should I be concerned?
A: Any change in the breast, especially if only occurring on one side, deserves an examination and the appropriate work-up.
Please see your doctor at your earliest convenience.
Hannah Brooks, MD, FACS
Q: I've had green nipple discharge in both nipples for over a year now. I'm afraid to see a doctor especially because I don't
have health insurance. Could you tell me what could possibly be wrong? The right nipple
excretes upon applied pressure a dark green discharge and the left with applied pressure a milky green
discharge.
A: Bilateral breast discharge is generally associated with benign conditions. It would be good for you to go to a low cost
clinic and get a check-up including a look at this and whether you have any hormonal reasons for continuing discharge. If not,
it may just be normal for you. You can read more about discharge at http://www.imaginis.com
and other safe websites.
Hannah Brooks, MD, FACS
Q: On squeezing my nipples, I get a dark brown discharge. Is it normal? Can some one give guidance on this.
A: Nipple discharges can be normal in some women. If you are having the discharge from both sides, it is more likely that it is due to a systemic
cause (i.e. involving your system, such as a hormonal cause, certain medicines, even too much stimulation or squeezing, etc). If the discharge is
only on one side, it may be due to something going on in the breast itself. Either way, you should question your doctor about it if it persists more
than a few months. Also keep track of whether it changes during your menstrual cycle (I am assuming you are premenopausal). Good luck.
Hannah Brooks, MD, FACS
