Dry Nipples During Pregnancy: How to Keep Your Skin Comfortable

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Dry Nipples During Pregnancy: How to Keep Your Skin Comfortable

Many women often undergo alterations in their breast and nipple areas while pregnant. One prevalent change observed by some women is the development of dry, flaky, itchy, or irritated nipples. While dry nipples are rarely serious, the discomfort can be annoying. Understanding what causes dry nipples during pregnancy and how to find relief can help mothers-to-be better manage this symptom.

What Causes Dry Nipples in Pregnancy?

There are a few key factors that can lead to flaky,  dry nipples during pregnancy:

  • Hormonal Shifts – Pregnancy brings about elevated hormone levels, including estrogen, progesterone, prolactin, and hCG. These variations can lead to transformations in the breasts, potentially resulting in dryness and a drooping sensation in the nipples, as well as an enlargement of the areola.
  • Increased Blood Flow – More blood flows to the breast area during pregnancy which can accentuate skin dryness and flaking.
  • Breast Growth – Expanding breast size causes the skin to stretch. This puts tension on the nipple area leading to dryness and irritation.
  • Montgomery Glands – These small glands on the areola secrete a lubricating substance. Hormonal changes can cause the glands to produce less lubricant, resulting in dryness.
  • Dry Air/Cold Weather – Dry air due to indoor heating or cold weather outdoors can make nipples prone to cracking and flaking.

In some cases, dry nipples may result from conditions like eczema or psoriasis flaring up during pregnancy. Yeast infections and nipple dermatitis can also contribute to nipple dryness.

Managing Dry Nipples During Pregnancy

While dry, irritated nipples are rarely dangerous, the discomfort can be bothersome. Luckily, there are several ways to find relief:

  • Moisturize – Massage nipple cream, coconut oil, shea butter, or pure lanolin onto nipples and areola 1-2 times per day to hydrate skin.
  • Use Humidifiers – Indoor humidifiers add moisture back into dry air which can help prevent cracked skin.
  • Avoid Irritants – Steer clear of irritating soaps, fabrics, lotions, or detergents that could aggravate dry nipples.
  • Take Warm Showers – Limit shower time and temperature to avoid stripping away the skin’s natural moisture.
  • Wear Breathable Fabrics – Choose soft, breathable bras and tops to prevent chafing and irritation.
  • Apply Cold Compresses – Soothe nipple discomfort with cold compresses in between moisturizing.
  • Use Nipple Shields – Wearing nipple shields inside your bra may reduce friction and pull on tender skin.
  • Try Over-the-Counter Creams – If itchiness or flaking persists, hydrocortisone or anti-fungal creams may help. Ask your doctor first.
  • Prescription Therapy – For severe cases, prescription steroids or antibiotic creams may be warranted. Discuss options with your OB-GYN.
  • Avoid Stimulation – Limiting stimulation of nipples can minimize discomfort during extreme sensitivity or drying.

When to Seek Help for Dry Nipples During Pregnancy

In most cases, dry nipples during pregnancy will resolve after delivery as hormones return to normal. But if severe cracking, bleeding, pain, or complications like infection occur, contact your OB-GYN right away. Extreme nipple/breast changes could signal an underlying condition requiring treatment.

Likewise, consult your doctor if over-the-counter methods fail to provide relief. Prescription therapies or additional care may be needed for lasting comfort.

Frequently Asked Questions:

Here are answers to some common questions about dry nipples during pregnancy:

  • Are dry nipples a sign of pregnancy?
    Answer: They can be. Many women first notice nipple and breast changes 1-2 weeks after conception. Dryness, tightness, and tingling are common. But dry nipples during pregnancy alone are not definitive proof of pregnancy.
  • How early in pregnancy do nipples change?
    Answer: Nipple changes like dryness, darkening, or sensitivity can strike as early as 1-2 weeks after conception due to rapidly increasing hormones. Changes continue progressing throughout pregnancy.
  • Do nipples go back to normal after breastfeeding?
    Answer: Yes, usually. For most women, nipples return to their pre-pregnancy appearance and texture after completing breastfeeding. But some subtle differences may persist like a larger areola size.
  • Can dry nipples affect breastfeeding?
    Answer: Severely dry, cracked, or bleeding nipples can make breastfeeding more challenging and uncomfortable. But proper lubrication and care can usually prevent complications. Consult your lactation consultant if problems persist.
  • Should I avoid nipple stimulation if they are dry?
    Answer: It’s wise to avoid stimulating dry nipples during pregnancy to allow skin to heal. But occasional stimulation won’t impede healing. Discomfort is your guide. Avoid stimulation that seems to worsen pain or irritation.
  • What if my nipples won’t stay moisturized?
    Answer: Try changing products until you find one that provides lasting moisture relief. Look for thick, protective creams designed specifically for nipples. Ask your OB-GYN or lactation consultant for recommendations. Persistent dryness may need prescription therapy.


Dry, flaky, irritated nipples are a common nuisance during pregnancy thanks to shifting hormones, expanding breast tissue, and increased dryness. While rarely a major concern, sore nipples can certainly be uncomfortable. The good news is that modifying hygiene habits, moisturizing diligently, and wearing loose clothing can usually provide soothing relief. But if over-the-counter comfort measures fail, consult your OB-GYN about stronger prescription options to ease nipple dryness. With a little patience and TLC, those nipples can regain their healthy, hydrated glow!

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