What Causes Dark Nipples?

What Causes Dark Nipples?

When it comes to nipples and breasts, there is no average shape, size, or color. Each woman is different. The breasts of one woman change even during the course of life in stages such as puberty or menopause, or during pregnancy or breastfeeding.

Nipples are commonly divided, based on appearance, into normal, flat, puffy or inverted. Usually, an inverted nipple doesn´t affect the individual whatsoever physically and the only worry may be on self-opinion and confidence and dealing with that change of the body.

There are many things involving nipples directly that are normal to some and unimaginable to others. For example, in Japan, a common treatment for dark nipples can be makeup! For women in Japan, it is normal and very popular to put makeup on their nipples. Women of Asian descent are known to have darker, brownish nipples. The make-up is supposed to make the nipples look pinker and brighter.

Of course, in the above-mentioned cases, such as menstruation and puberty, the change in color is normal and a doctor´s visit is not necessary. There are however scenarios, in which this change is a signal of a condition that needs to be attended to. The most common causes of dark nipples are:

Birth control pills

Since they contain the synthetic version of estrogen and progesterone, birth control pills affect a woman´s body, by causing a hormonal change. Its main function is to prevent a pregnancy but comes with its side effects. Dark nipples are one of them, but this doesn´t need to be treated in any way. Usually, once the woman stops using the oral contraceptive, the darkening should clear up. Keep in mind that birth control pills can’t be used as an abortion option.


Birth control pills are also known to be a possible cause of melasma. Melasma is a skin condition, characterized by darker patches and in some cases, this patch can be found around the nipple area. Most commonly, these dark patches appear on the chin, forehead, around the cheeks or nose. The condition occurs more in women than in men and is, therefore, other known as the mask of pregnancy, as many of the affected women are pregnant.

Melasma´s most common cause is an increased sensitivity to hormones such as estrogen and progesterone. This is why, just like with darker nipples, any hormonal change is a risk factor for melasma. Pregnancy, menstruation, birth control pills, or hormone therapy, are all possible triggers of melasma. It is also believed that an increased exposure to the sun can lead to melasma, due to the ultraviolet rays and its effects on the skin.


Another big, but natural hormone change occurs during puberty. It´s when the estrogen levels are at their highest point and when the ovaries release the hormone, causing the breasts to begin developing. During this change, the nipples may change in color, as well as elevate from the skin surrounding it.


Pregnancy also leads to a hormonal change within the body, as it produces naturally more estrogen and progesterone. Milk-production is being prepared during this stage and the breasts start to change in size. They become sorer and, in most cases, become darker. Some tend to believe, that this is a natural process, there to help the newborn detect more easily their food source. Babies have still undeveloped eyesight and dark nipples after birth are believed to be an evolutionary “trick”.  

There have been cases, where individuals had many, tiny hairs that show around the nipple, darker than any other hair in the body. So tiny, that it´s sometimes left undetected as such and individuals may get the visual conclusion that the nipples are darker. This hair growth is just as normal as any other in the body and should not be seen as an alarm. It has been proved that all adult individuals have hair around the nipple area. The only difference is that in some individuals these hairs can only be spotted with a microscope.

Menstrual cycle

Women also go through a hormonal change during menstruation. During this time, the hormone levels fly up in preparation to release the egg. Similarly, the breasts change and, in some cases, this may lead to darker nipples during ovulation. This usually clears up at the end of the cycle.

Although in most cases, a change in color isn´t a reason to worry, there is a serious condition that initially starts to show itself by darker nipples.

Paget´s disease

Paget´s disease of the breast is a cancer type that usually starts developing in the nipple. If you notice darker nipples, you should pay attention to whether any other Paget´s disease symptom is present. The symptoms may be a nipple that is more flattened, itching or a feeling of tingling, a crusty skin around the nipple area and in some cases even a discharge of the nipple, usually yellow or bloody.

Paget´s disease commonly affects older individuals, rather than ones in puberty. However, it can and in rare cases affects teenagers during puberty. If you´re experiencing any of the symptoms above, it is best to visit your doctor and have that checked out! Paget´s disease is believed to be caused by a tumor of the breasts that spreads its cancerogenic cells through the milk ducts to the nipple.

Patients who have Paget´s disease of the nipple almost in all cases also have a tumor in the same breast. Paget´s disease is in most cases treated through a removal of the affected nipple and a radiation of the breast, to make sure all cancer cells are getting fought against. In some cases, especially when combined with a tumor, a biopsy may be necessary for the trial to remove the cancer cells.

How well the treatment will work depends on the stage of Paget´s disease the therapy began. It makes a big difference whether Paget´s disease is combined with a tumor or not and if breast cancer is present.

It is, therefore, most important to consult a physician upon noticing symptoms that differ from your normal state of being. An early diagnosis makes a big difference when it comes to breast or nipple cancer or many other conditions!

Similar Articles

Top 7 Reasons Behind Your Frequent Urination

Do many nighttime wake-up calls or interruptions to your daytime activities result from frequent bathroom visits? Six to seven trips to the bathroom in a 24-hour period is normal for most people. However, urinating more frequently could be a symptom of a serious problem.

5 Common Gynecological Issues That Can Affect the Cervix

The cervix is the lower part of the womb (uterus), where the fetus develops during pregnancy. A tiny hole in the cervix widens during birthing. It also lets menstrual blood exit her body.

Shatavari for Women wellness

Shatavari is a very renowned ayurvedic herb containing plenty of health benefits. It is also known as the universal rasayan. The word shatavari refers to a woman with a hundred husbands signifying the traditional use of this herb to boost the reproductive system of the body.

6 Myths About Periods That Should Be Addressed ASAP

Despite the fact that around half of the world's population experiences, will experience, or has experienced menstruation, misunderstandings regarding this biological process remain. 

6 Facts About Periods That You Should Be Aware Of

Throughout your life, you may anticipate getting your period roughly 450 times. Even if you've gotten the hang of your cycle, there's a good possibility that some menstruation mysteries remain unanswered

8 Weighty Reasons to Make an Appointment With a Gynecologist

Annual gynecological check-ups are essential for every woman to stay healthy. However, there are a lot of conditions that require medical attention. You should understand that the sooner you will be diagnosed and treated, the easier and more effective the treatment will be

5 Amazing Foods Each Woman Needs to Eat Every Day

It is crucial for everyone to eat a healthy and balanced diet. But certain products can be increasingly important for each gender. The diet for women has its own recommendations. Each food has specific health-promoting benefits that are especially suited to women's health.

Successful Treatment of Adenomyosis: Boon or a Bliss from Ayurveda

Adenomyosis is a medical complication in the endothelial layers of the uterus which often leads to  expansion of the uterus. This subsequently leads to heavy bleeding during menstruation with excessive pain or cramps in the lower abdomen.  It occurs either in the entire uterus or specifically in a particular portion of the uterus which is generally considered to be a benign condition

Asherman’s Syndrome - Symptoms, Diagnosis, Prevention & Treatment

Asherman‘s syndrome is a rare condition, where scar tissue forms in the uterine cavity. This condition usually occurs in women who have had uterine surgery. There are also severe pelvic infections that may lead to Asherman’s syndrome, even if not related to surgery.