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Aug 27, 2017 An inverted nipple can be a natural condition many women are born with and might resolve naturally during pregnancy or breastfeeding. However, the condition may occur later, sometimes suddenly, due to various causes, including cancer. Causes of grade 2 inverted nipples. Grade 2 inverted nipples can be coaxed out to protrude, however this is not done as easily as with grade 1 inversions and often after the pressure is released, the nipple falls back to its inverted state. The main causes behind grade 2 inverted nipples are fibrosis and slight retraction of the milk ducts.
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While it's more common to have nipples that are outies rather than innies, having inverted nipples doesn’t mean anything is wrong with you, Dennis Holmes, M.D., breast cancer surgeon and researcher and interim director of the Margie Petersen Breast Center at John Wayne Cancer Institute at Providence Saint John’s Health Center in Santa Monica, Calif., tells SELF. Most often, it's just how your nipples are (like, nipples can be diverse in some pretty fascinating ways, including how they rest on your breasts). FYI: 'flat' nipples aren't necessarily inverted. Flat nipples will occasionally still protrude out when stimulated or cold (you can try lightly pinching the areola or standing in front of a freezer topless to test it out), while inverted nipples will pull into your breast. Depending on how inverted your nipples are, they might actually come out once you start breastfeeding (you can thank the suctioning power of your baby's mouth for that). They might stay that way, too. “In some cases breastfeeding helps the nipple to stay everted even after weaning and other times the nipple inverts again after weaning,” O’Connor says.Even if that happens, with inverted nipples can still be “challenging” in the beginning, O’Connor says.
The baby actually needs to latch onto your areola (the skin that surrounds the nipple) and should bypass your nipples entirely, so it's not like your nipple has to protrude for milk to emerge. But it might still be unpleasant because your skin needs to stretch to accommodate nursing.
And, since inverted nipples are attached to the surrounding breast tissue, they may hurt and bleed a bit when they detach and protrude, O'Connor explains. While this obviously won't feel good for you, it shouldn't cause nursing problems, she says. If you have inverted nipples, there are some things you can do to make the breastfeeding process easier on yourself.Sometimes you can manually pull your nipple out to make it stick out, O’Connor says, adding that some people find that pumping helps with this.
Using a nipple shield, which is a thin, soft, silicone cover that goes over your nipple and allows milk to flow to the baby, can also help the baby latch on better.If you have inverted nipples and you’re worried about your ability to breastfeed, talk to your doctor. They should be able to give you tips in advance of giving birth that will make the process easier. And if the above methods haven't helped solve breastfeeding issues you suspect are due to inverted nipples, talk to your child's pediatrician or see if you can near you.Related:.
RELATED:If you were born with them, inverted nipples don't say anything about your health. You can even breastfeed normally: While babies can have a bit more trouble latching onto an inverted nipple than a protruding one, a little patience while you position yourself and the baby can make it easier for the baby to feed. You can also ask your doctor about special breastfeeding devices, such as breast shells, that help pull out and position an inverted nipple in a way that makes it less difficult for the baby to nurse. I know this goes without saying, but don't be bothered by how your nipples look.
Besides, the only permanent way to change the appearance of your nipples is plastic surgery.RELATED:One important caveat: If one or both of your nipples suddenly flatten or turn inward later in life, speak to your doctor about it. A nipple that changes like this can be normal, but it can also be a red flag for certain breast diseases, including inflammatory or Paget disease of the breast, a rare type of cancer that involves the nipple and the areola.Health’ s medical editor, Roshini Rajapaksa, MD, is assistant professor of medicine at the NYU School of Medicine.
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