The use of a breast pump or other suction device immediately before a feeding may help to draw out inverted nipples. Some sex toys designed for nipple stimulation, such as suction cups or clamps , may also cause inverted nipples to protract or stay protracted longer. Also, grade-1 inverted nipples may occasionally pop up without manipulation or pressure. Although both techniques are heavily promoted, a study found that not only do shells and the Hoffman technique not promote more successful breastfeeding, but they may also actually disrupt it. Inverted nipple grade 3 describes a severely inverted and retracted nipple which can rarely be pulled out physically and which requires surgery to be protracted.
Frequent stimulation such as sexual intercourse and foreplay such as nipple sucking also helps the nipple protract. Some women also find that using a nipple shield can help facilitate breastfeeding. A hospital grade electric pump may be used for this purpose. Most women with inverted nipples who give birth are able to breastfeed without complication, but inexperienced mothers may experience higher than average pain and soreness when initially attempting to breastfeed. The success of both of these methods, from a cosmetic standpoint, is mixed. When a mother uses proper breastfeeding technique, the infant latches onto the areola , not the nipple, so women with inverted nipples are actually able to breastfeed without any problem. On histological examination, these nipples have rich collagenous stromata with numerous bundles of smooth muscle. These methods are often used in preparation for breastfeeding, which can sometimes cause inverted nipples to become protracted permanently. If pierced when protracted, the jewellery may prevent the nipple from returning to its inverted state. One inverted nipple and one erect nipple Grading system[ edit ] The three grades of inverted nipples are defined on how easily the nipple may be protracted and the degree of fibrosis existent in the breast, as well as the damage it has caused on the milk ducts. There is no soft-tissue deficiency of the nipple. Pregnancy and breastfeeding[ edit ] Individuals with inverted nipples may find that their nipples protract come out temporarily or permanently during pregnancy, or as a result of breastfeeding. The lactiferous duct should be normal without any retraction. Some special devices are specifically designed to draw out inverted nipples, or a home-made nipple protractor can be constructed out of a ml disposable syringe. The grade-1 inverted nipple maintains its projections and rarely retracts. Milk ducts are often constricted, and breast feeding is difficult, but not necessarily impossible. Inverted nipples can also occur after sudden and major weight loss. The shells are worn inside the bra. These are "shy nipples". This method will only be effective if the nipple can be temporarily protracted. Some sex toys designed for nipple stimulation, such as suction cups or clamps , may also cause inverted nipples to protract or stay protracted longer. The bulk of soft tissue is markedly insufficient in the nipple. Women with grade-3 inverted nipples may also struggle with infections, rashes, or problems with nipple hygiene. It is believed to have minimal or no fibrosis. Also, grade-1 inverted nipples may occasionally pop up without manipulation or pressure.
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