itching nipple- age 43-not breastfeeding

[Jocjacj]

My rt areola has been itching for 3 years - since apprx my last pregnancy.  I had a mammo and they said everything was normal, but for something such as Paget's, had to go back to my regular dr.  My regular dr. had sent me for the mammo because of my symptom of itching.  I went thru menopause early (age 35).  I have tried all suggestions, ie., premarin cream, hydrocortisone, triamcinilone, yeast infection cream.  Of note, I don't have dry skin there.  It is an itch I can't scratch.  I keep putting off going to a specialist as I think I am just nuts.  I don't even know if there is anything that can be done.  The only thing is, there are no lumps, but that nipple seems to have a "core" to it as compared to the other.  Nothing else unusual.  The itching is embarrassing.  I find myself w/my hand in my shirt whether I am in public or not - I can't help it.  


This discussion is related to Itchy Nipples - Breast Cancer.

[Jocjacj]

I had just stumbled across info about the KOH and had been pondering having that done.  I think I will.  Thanks for your reassurance.  

[PaulMD]

Hi there.

The fact that the mammograms are normal are indeed comforting in the sense that we may not be dealing with something serious.  Off hand, the most common cause for this itching are fungal infections, even if you already have used anti-fungal creams, these infections may recur.  I suggest that you have this looked at by a dermatologist.  A test called KOH smear will determine if there are fungal elements in the areola.  A skin biopsy may be needed to ultimately find the cause.  You may discuss these options with the dermatologist.  For now, keep the area dry and avoid any form of trauma to the area.

Regards and God bless.