White spots on the nipples

White spots on the nipples rarely is the sign of some serious disorder. This is an alarming symptom, predominantly, for young nulliparous girls. In some cases, these spots may indicate cancer (most often benign) or  a damage caused by an infectious agent.


A whitehead pimple on the nipple may appear both in men and women at any age. If there are no other symptoms or underlying factors (pregnancy and lactation), then acne is diagnosed. However it is strictly recommended not to make a self-diagnosis in case with whitehead pimples on the nipples, a visit to a senologist is absolutely necessary.

Causes of purulent pimples:

  1. a hormonal imbalance (most often in teenagers and elderly people, and in women during the period);
  2. bacterial agents (streptococcus and staphylococcus);
  3. diabetes;
  4. low immune function.

A consultation of a specialist is necessary to treat acne, self-treatment may aggravate the condition and lead to complications. Never stab or squeeze whitehead pimples around the nipple as it may lead to an infection. Additionally, there is a risk of spreading the rash even more to other areas of the body.

Acne prevention:

  • personal hygiene (especially in the breastfeeding period);
  • aloe vera or carrot juice applications;
  • restraint from spicy, hot food rich in easily digested carbohydrates and fats;
  • pine-tar soap;
  • comfortable organic and natural underwear of appropriate size;
  • air bath for the nipples.

Fordyce spots

A white spot on the nipple may be a congenital cosmetic defect caused by the wrong location of sebaceous glands. This disorder is called Fordyce spots. When the oils get blocked in the sebaceous gland, bumps are formed.

Localization of the spots:

  1. lips;
  2. nipples;
  3. external sex organs.

These bumps are not a pathology, however they may become inflamed and Fox-Fordyce disease may develop.

Symptoms of the disease:

  • white spots on the nipples in men and women in the form of nodules or stains;
  • itching and burning;
  • aggravation during the period;
  • duration of the disorder over ten years.

In some cases spontaneous healing is possible, however tusually symptomatic treatment is indicated. Surgical removal of the malformations by the laser or laser resurfacing is also applied.


This disease is caused by the bacteria Candid albicans which is the element of the conditionally pathogenic flora in the intestine and vagina in women, and it is also present on the skin and in the environment. Pathology develops with the underlying factors leading to the depression of immune respond.

Candidosis on the nipples occurs in the period of lactation. In this case, both the mother and the baby are affected. A woman has a white stain on the nipple during the breastfeeding. A discharge that is cheesy in appearance is a typical sign of the thrush. In babies the infection appears in the mouth and it has the same symptoms. Cheesy-like discharge may cause painful erosion.

Consequences of the nipples candidosis:

  • cracks of the nipples and around them;
  •  maceration;
  • erosion and ulceration;
  • pain during breastfeeding.

The treatment of candidosis is complex and indicated for both the mother and the baby to prevent the occurrence of the infection. The consultation of a specialist is necessary to choose drugs safe for the baby. Personal hygiene of the nipples is a critical preventing factor as well as immunity support.

Why during the pregnancy white spots appear on the nipples?

Montgomery tubercles are the glands located around the nipples in women and may be enlarged during the first days of pregnancy.

Formations have an appearance of white spots around the nipples and do not require any treatment.

The number of glands is different in every woman, but on average there are 10-12 tubercles on each mammal gland. It is believed that a great number of enlarged glands means that a woman will have enough milk to feed the baby. Some doctors say that formation of white spots on the nipples is one of the first signs of pregnancy.

However not every woman has white spots during the pregnancy and breastfeeding. Usually these formations disappear when a woman stops breastfeeding, but sometimes they are left for the rest of the life. This is normal and does not require any medical interference.

A white spot on the nipple during breastfeeding

A blocked milk duct is a frequent condition in breastfeeding women. Pathology is characterized by the narrowing or complete obstruction of the duct which prevents milk from escaping. The consequence of the blocked duct is the development of the mastitis and lactostasis.

Causes of a white spot on the nipple in a breastfeeding woman:

  • poor nipple latch by a baby (the milk is not escaping from all the ducts);
  • a diet rich in calcium (dairy products);
  • long intervals between the feedings.

Among other symptoms, except a white spot on the nipple, are skin peeling, itching and discomfort in the affected area. The very first sign of inflammation (mastitis) is a blister above the affected duct.

To eliminate the blockage, feed the baby from the affected breast pressing its chin to the formation, if possible. If this method of treatment will not be successful after two attempts, it is possible that the baby sucks weakly.

The second way of eliminating the problem consists of the two stages:

  1. apply a warm compress or gently massage warm oil (not hot) into the nipple (you may also use a cloth for massaging);
  2. breastfeed the baby to help to eject clogged milk by gently massaging along the duct as in milk expression (for a better effect use a pump).

If the cause of the blocked duct is a too long interval between the feedings, then keep to the regular schedule, breastfeeding the baby every hour and do not offer the breast to the baby whenever it wants.

If all these methods failed, consult a doctor.

Never stab a blister which is formed above the blocked duct to prevent the risk of an infection.

Only a doctor should recommend a proper treatment.

Recurrence of the disorder indicates that a baby does not suck hard enough and in this case a doctor should also examine the baby as in the future the mother may have blocked milk ducts and the baby may be undernourished. Too frequent recurrences may indicate health problems in a woman and may require special physiotherapeutic procedures and the use of lecithin.

Preventive measures:

  • alternate breasts when breastfeeding;
  • when the very first signs of the blockage appear, make the warm compress and try to squeeze stored fat (if this is painful or not effective, stop doing it);
  • proper personal hygiene.

White spots on the nipples is a frequent condition in pregnant and breastfeeding women. Often a woman may manage it herself, but still it will be reasonable to consult a doctor. White spots in young nulliparous girls appear very rarely, but they are the warning sign and require medical examination.