Virtual Consultations Available! Start Your Journey Today.

Schedule A Consultation

Painful Male Nipples: When to Take Action

May 12, 2025

If you’re experiencing painful male nipples, you might feel confused or even embarrassed—but this symptom is more common than you think. Nipple pain in men can range from mild irritation to sharp sensitivity and may stem from a variety of causes, including gynecomastia, injury, infection, or hormonal imbalance.

In this article, we explain what causes nipple pain in men, how to recognize when it’s serious, and what steps to take for proper diagnosis and relief.

Painful Male Nipples: Is It Normal?

Occasional tenderness can happen, especially due to friction, cold weather, or intense physical activity. But persistent or painful male nipples is not normal and should not be ignored—especially if it’s accompanied by swelling, a lump, or nipple changes.

Common Causes of Painful Nipples in Men

1. Gynecomastia (Hormonal Breast Tissue Growth)

One of the most common causes of painful male nipples is gynecomastia—a benign condition where glandular breast tissue enlarges due to an imbalance between testosterone and estrogen.

Typical symptoms painful male nipples include:

  • Puffy or protruding nipples
  • A firm, tender lump beneath the areola
  • Sensitivity to touch, exercise, or clothing
  • Pain that persists for weeks or months

Pain is often an early sign of tissue growth, especially during puberty or hormonal fluctuations.

2. Friction or Chafing

Men who run, cycle, or lift weights may develop nipple chafing from shirt movement or sweat. This is especially common in warm weather or with poor-fitting clothing.

Painful Male Nipples Signs include:

  • Burning or stinging pain
  • Redness or raw skin
  • Pain that improves with rest or skin protection

Using moisture-wicking clothing, nipple guards, or anti-chafe balms can help.

3. Infection or Abscess

Infections of the skin or underlying ducts can lead to:

  • Localized pain and swelling
  • Redness or warmth
  • Discharge or pus
  • Fever (in more severe cases)

If the pain is intense, or if the skin looks inflamed, see a doctor immediately.

4. Allergic Reactions or Irritants

Painful Male Nipples; Soaps, detergents, or body lotions can irritate the nipple area and cause:

  • Itching
  • Burning sensation
  • Painful redness or rash

Try eliminating potential irritants to see if symptoms improve.

5. Male Breast Cancer (Rare but Serious)

Though rare, male breast cancer can present with pain or tenderness, often alongside:

  • A hard lump behind the nipple
  • Nipple inversion or discharge
  • Skin dimpling or discoloration

Any unexplained, persistent pain should be evaluated by a gynecomastia specialist.

Painful Male Nipples: How to Know When to Seek Medical Advice

You should see a specialist if:

  • Nipple pain lasts more than two weeks
  • You feel a lump behind or near the nipple
  • The nipple looks swollen, red, or changes shape
  • You notice nipple discharge
  • Pain worsens over time

While some causes are minor, others—like gynecomastia or breast cancer—require proper diagnosis and targeted treatment.

What Happens During an Evaluation?

At our Newport Beach clinic, Gynecomastia surgeon Dr. Joseph Cruise specializes in diagnosing and treating male chest conditions. During your evaluation, we may:

  • Perform a physical exam of the chest and nipples
  • Order a hormone panel to check testosterone and estrogen levels
  • Conduct imaging (ultrasound or mammogram) if a lump is present
  • Develop a treatment plan based on your diagnosis

If the cause is gynecomastia, we’ll determine whether the tissue is temporary or permanent, and whether gynecomastia surgery is necessary to correct the issue.

When gynecomastia is the cause, and the glandular tissue is permanent, male breast reduction surgery offers the most reliable solution. The procedure involves:

  • Glandular tissue removal
  • Optional liposuction for chest contouring
  • Minimal scarring and fast recovery
  • Permanent results and symptom relief

Most men return to work within a few days and feel significant improvement in comfort and confidence soon after.

Schedule a Consultation

If you’re dealing with painful male nipples and unsure of the cause, don’t wait. Whether it’s gynecomastia, friction, or something more serious, getting answers is the first step to relief.

Schedule a gynecomastia consultation with Dr. Joseph Cruise today. We offer in-person and virtual appointments for patients throughout Southern California and beyond.

Plastic Surgeon | Website |  + posts

Dr. Joseph Cruise is a board-certified plastic surgeon with over 20 years of experience. Regarded as one of the top gynecomastia surgeons in the world, Dr. Cruise has gynecomastia-specific content that can be found at lagynecomastia.org. Dr. Cruise has dedicated his career to cosmetic surgery but has also had extensive training in General Surgery, Hand Surgery, and Microvascular Surgery. Dr. Joseph Cruise is also a member of the Rhinoplasty Society as well as the American Society of Plastic Surgeons.

Posted in Gynecomastia Basics and tagged , , , , , ,

BEFORE AND AFTER PHOTOS

REQUEST VIRTUAL APPOINTMENT

Use our Fast Track program to receive a rapid assessment with a recommended treatment plan and estimated surgical quote.

Get Started

CONTACT US

  • MM slash DD slash YYYY