Everything You Wanted To Know About Your Nipples

We asked Sarah Moore, an international board-certified lactation consultant (IBCLC), Dr. Kelsey Kossl, an obstetrician/gynecologist in New York, and Dr. Julia Kearney an obstetrician/gynecologist in Indianapolis for answers to our most common, painful, and embarrassing nipple questions. Grab an ice pack and settle in. 

How do I know if my nipple shape is good for breastfeeding?

While it’s true that naturally protruding nipples make it easier for a baby to latch on and breastfeed, “babies are very good at drawing out a flat nipple,” says Moore. Very few women have truly inverted nipples, but if you do, ask your healthcare provider or a lactation consult for tips on how to hold your nipple, so it protrudes. 

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Can I do anything to prepare my nipples for breastfeeding?

Applying a nipple balm regularly before you give birth will ensure you start off with well-moisturized nipples. If your nipples become cracked, bruised, or blistered when you start breastfeeding, check your latch with a lactation consultant and continue to use nipple balm to speed up the healing process.  

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I’ve heard that scrubbing my nipples will make them less sensitive if nursing is painful. Is that true?

Under no circumstance should you scrub your nipples in the hopes that this will toughen them up, says Kossl. On the contrary, scrubbing or exfoliating the nipples in any way could create micro-abrasions that can lead to infection.

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Will my nipples get bigger when I’m breastfeeding?

Your nipples don’t actually grow from breastfeeding, but the baby’s sucking draws out flat nipples which will make them appear larger. You also may notice that are the little bumps around your nipples and areolae which more pronounced. These are sebaceous glands that help keep the area lubricated during breastfeeding, says Moore.

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Is it normal for my nipples to get darker?

Darkened nipples and areolas are totally normal. Experts say that this is one of the many ways your body prepares for a new baby: The increased contrast helps your baby find your nipple. After pregnancy and breastfeeding, your nipples will likely lighten again.

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How can I prevent sore nipples?

It is normal for your nipples to become more sensitive in the first weeks after you have given birth. But if it feels like your baby is pinching or biting your nipple, your baby’s latch needs to be fixed right away to avoid further problems and potential complications. “The baby should have all of the nipple and as much of the areola as possible in their mouth,” advises Moore. 

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Is it true that my nipples can develop a yeast infection?

Yes. Though not common, you can actually get a yeast infection on your nipples and areolae when you breastfeed. This is called thrush and it feels like painful burning and itching sensation. Call your doctor if you are experiencing these symptoms as you will need antifungal medication. “An underlying yeast infection can make breastfeeding very painful,” says Dr. Kearney. “It only affects about five percent of my patients, but it is something to look out for because we do see it.” To avoid thrush, change nursing pads and bras often if you are leaking to avoid trapping moisture around your breasts.

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What can I do to prevent my nipples from getting dry and cracked? 

Some irritation is inevitable. After all, your nipples are being sucked, pulled, and coated in saliva. (Think of how lips get chapped when you continuously lick them.) Beyond fixing a poor latch, “there are things you can do to promote nipple health,” says Moore, who suggests washing your nipples daily with warm water, allowing them to air dry between feedings, and using a soothing nipple balm.

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Is it normal for pumping to hurt my nipples?

Any discomfort during pumping is likely due to a poor fit, so check your flange size [LINK TO STORY] and adjust it if necessary. 

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My nipples are cracked and bleeding. Now what?

First, you need to find the source of the problem, which is likely that your baby is not latching on correctly. Ask a lactation consultant for assistance [LINK TO STORY]. “You can continue breastfeeding if your nipples are bleeding,” says Moore. But if you’re in pain, you won’t want to. To ease the pain and begin healing, Moore offers these suggestions: Before feeding, use warm compresses to stimulate flow and express some milk to lubricate the nipple. After feeding, prepare saline rinse in two small bowls or shot glasses and dip your nipples into them.