What Could Be Causing My Itchy And Partially Hard Nipple?

Question

Asked by askandlearn

What Could Be Causing My Itchy And Partially Hard Nipple?

Hello...I am a 46 year old female. History: had 3 cysts at the same time in the left breast when about 40. Took Prempro for 1.5 years when 43 but discontinued due mostly to continuously swollen and tender breasts. Now use progesterone cream 3 weeks out of the month, taking a break at my period. Periods have been a little sporadic in the last few years, but mostly regular. About a year ago, my right breat itched gradually more and more. When I finally examined it, pressing on it to see if I could feel a lump, there was suddenly a lot of discharge - mostly white-ish. That surprised me, so I continued to press on it, moving my fingers around, almost like squeezing a pimple. A lot came out, and the discharge stayed white, but became darker just before no more would come out. The itching seemed to subside after that. My annual mammogram was normal. About a year later, the right nipple continued to itch and looked a little different than the left- more "hard", or sensitized. I also had another lump on the same side, had a diag. mammogram and ultrasound, and was diagnosed with a benign simple cyst, 2 X 1.5 cm. The dr. also gave me an Rx for a prolactin test, but I bought Susan Love's book, researched that and found the test is to detect a pituitary tumor and thus should be a bilateral condition - and mine is right side only. Left breast is totally asymptomatic. The reason I'm writing is that the lump is gone, but the right nipple continues to itch somewhat, and the bottom part of the nipple seems harder to me than the rest of the nipple. I've already had a mammogram and ultrasound - what could be causing continued itching and the hard-ish spot? My dr. seems to brush these concerns aside and I don't know what else to do. Thank you for your help.

Answer

Hi - Considering how long this has been going on, I'd doubt it was cancer. However, if I were you, I'd ask to see a breast specialist. A specialist could test for (and almost certainly eliminate) Paget's Disease of the Breast, a rare cancer; and could also figure out what's going on, and hopefully treat it. Just because your regular doctor brushes it off, doesn't mean you shouldn't pursue it, right? Get another opinion from a specialist. Good luck - PJH