Nipple inversion and severe cracking

Patient's question:

Nipple fissure, with pus bumps, and recurrent pus. It's extremely painful when nursing. Both nipples have fissures. It's been painful for over 40 days. I have inverted nipples, but the baby has managed to latch. Can I still breastfeed?

Doctor's answer:

Analysis of the Condition: Hello, the female breast is a lactating organ, with the nipple protruding at the center of the areola, where all the milk ducts open. It plays a significant role in human reproduction and life. At the same time, the breast, as a secondary sexual characteristic, directly participates in forming the beautiful curves of a woman's body, serving as a symbol of beauty and love.
Causes of inverted nipples are varied, but most are due to underdeveloped smooth muscle in the areola of the nipple and a lack of supportive tissue beneath it. Since nipples can change under emotional and various stimulatory influences, inverted nipples can be corrected. The methods are as follows:
1. Manual traction: For mild inversion, after puberty, especially during pregnancy, the nipple can be gently pulled outward and stretched multiple times a day.
2. Suction therapy: After pregnancy, use a breast pump to draw the nipple multiple times a day, utilizing its negative pressure to promote nipple expansion.
3. Surgical correction: If the above methods are ineffective, surgery can be performed to cut the overly tight smooth muscle fibers and connective tissues without damaging the milk ducts, allowing the nipple to protrude.
Additionally, it is important to wear loose-fitting underwear and bras, avoid tight clothing, and avoid sleeping on your stomach.

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