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Ask a doctor on the topic of Gynecology

Appearance of the breast and breastfeeding.

Hello, my son is now 15 months old. Two weeks after birth, I discovered a dent in the right breast in the nipple area. My midwife explained to me that there was a milk reservoir above it pressing on the nipple area. Now, a year later and after significant weight loss (10 kilos) - I only breastfeed in the mornings and evenings - the dent is still there in its normal state (it looks normal when I'm cold). Above the dent, I see a small thickening. Is this the milk duct protruding - I have small breasts. I went to the gynecologist, but she did not feel anything. Two weeks ago, I had a breast ultrasound, which was also unremarkable. For safety, I should have another check after weaning. I would really like to continue breastfeeding, but I also have great concerns. Are such changes common during breastfeeding? Thank you for your response.

Dr. med. Olaf Stephan

Dear inquirer,

Unfortunately, based solely on your description, I cannot definitively tell you what kind of change you may be observing in your breast. However, it is important to consider that during the breastfeeding period and immediately thereafter, the breast can undergo significant changes in shape, tissue texture, and size, partly due to ongoing milk production and hormonal influences. Given that there is no palpable tumor finding and no suspicious structures were visible in the ultrasound examination, you can continue breastfeeding calmly at present. As mentioned, any changes in breast shape that occur are usually harmless and typically resolve after weaning. A follow-up sonography after weaning is definitely recommended and will likely provide you with a reassuringly normal result. I hope that I was able to help you further, sincerely O. Stephan.

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Experte für Gynecology

Dr. med. Olaf Stephan

Dr. med. Olaf Stephan

Berlin

Ärztliche Tätigkeit seit ca. 17 Jahren, durchweg im stationären Bereich, neben den o.g. Fachrichtungen Erfahrungen in der Intensivmedizin, Angiologie, Kardiologie und gastroenterologischen Endoskopie vorhanden.

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