Nipple Changes and Hormone Treatment: What You Need to Know
It is common for people who take oestrogen to have some nipple discharge. This is called galactorrhoea and typically presents as white, yellow, or cloudy discharge from both nipples, which occurs upon squeezing or pressing on the nipples.
While peeling of the skin on the nipple is not a common side effect of gender affirming hormone treatment, hormonal changes can be associated with skin changes. If your skin becomes dryer due to the hormonal changes, this may increase the risk of peeling.
However, it is also important to consider other factors that may be contributing to the peeling. These include eczema, friction or rubbing from clothing, and allergic reactions to certain soaps or detergents.
Much less commonly, changes in the nipple can be associated with a very rare cancer called Paget’s disease of the breast. If you experience any symptoms such as redness, soreness, straw coloured or bloody nipple discharge, nipple inversion or lumps in the breast, it is recommended that you see a doctor as soon as possible to investigate any underlying medical cause. Prompt medical assessment is essential in such cases to ensure timely diagnosis and appropriate treatment.
Navigating these concerns can be overwhelming, but seeking medical guidance and support is crucial. Open communication fosters a collaborative approach to health management, empowering individuals to make informed decisions about their wellbeing.
In essence, while changes in nipple appearance or sensation may provoke worry, understanding the potential causes and knowing when to seek medical attention is essential. By remaining vigilant and seeking appropriate care, individuals can navigate these changes with confidence and ensure their overall health and wellbeing are prioritized throughout their gender affirming journey.
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