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Montgomery Tubercles

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About eight weeks ago, I suddenly developed little white bumps on both areolas...they look similar to small whiteheads or pimples. I had had some breast tenderness for about three weeks prior to that, and have had breast pain/tenderness off-and-on since the bumps appeared. All my periods have been normal...if anything, they've been a little heavier than normal. Despite this, I initially thought I might be pregnant, but several urine home pregnancy tests and two quantitative blood tests (taken at what would have been 5 weeks and 9.5 weeks pregnant) were all negative. I also had an pelvic/transvaginal ultrasound done at what would have been 9.5 weeks pregnant (7.5 weeks past conception) as part of an endometriosis diagnosis, and my gynocologist said there was no signs of pregnancy, and at 7.5 weeks past conception, the embryo would be present and visible on an ultrasound.

According to my gynocologist, the bumps on my nipples are Montgomery Tubercles, and are completely normal, and their appearance, along with the breast pain and tenderness, are likely due to hormonal imbalance, due to major stress I've been under in the last nine months. Unfortunately, the web can be confusing - I've read that these bumps are often a major sign of pregnancy, and I've read about women who had negative urine and blood tests well into their pregnancies, albeit rarely.

Has anyone out there had these bumps appear and not be pregnant? If so, what reason were you given for them occuring? If it was a hormonal imbalance, what caused the imbalance (if you were given an explanation)? Could the endometriosis be leading to a hormonal imbalance?

Thanks ahead of time for any answers/advice! Smile
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replied October 13th, 2008
Especially eHealthy
You are not pregnant. This is more than likely a hormone imbalance. All those pregnancy tests would not be wrong - in addition a transvaginal ultrasound is very invasive. If it can diagnose endometriosis, it would diagnose a pregnancy.

Are you drinking more caffeine than usual? Do your breasts hurt all the time? With pregnancy, they tend to be so sore and so swollen you can't breathe on them (seriously), taking off your bra and showering are both incredibly painful activities.

Not everything is going to be related to pregnancy. Have you researched endometriosis? Endo is SCAR TISSUE. It isn't causing a hormone imbalance. It can cause some painful periods but it isn't affecting your hormones.
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Users who thank Mabel for this post: katrina911 

replied October 13th, 2008
Thanks for the input...I know that it's highly, highly improbable that I would be pregnant, but you probably know how confusing the web can be...

As for the breast pain, I usually have tender, sometimes downright painful, breasts the two weeks leading up to my period (PMS)...however, the last three months, I've had it nearly every day. Some days, it's very faint...other days, if my shirt brushes up against my nipples, it hurts pretty bad. As for my caffeine intake, nothing different in the last three months.

The endo was diagnosed about a month ago. I had been having pretty painful periods for about nine months now, and for the last 5-6 months, had been having symptoms of UTIs around the time of my period, but negative on bacteria in my urine samples. The ultrasound showed no scar tissue/legions in my uterus, ovaries, etc., but they seem to think the endometriosis could be occuring on/around my bladder. They're going to try putting me on Lupron for three months to see if that alleviates the symptoms...if not, they'll likely do a laproscopy, but they're trying to avoid that if possible (which I certainly appreciate).

From what I've read about endo (both on the web and in the literature), experts are still debating the exact cause of endometriosis - genetics, retrograde menstruation, etc. One of the suggested causes is hormonal imbalance (particularly high levels of estrogen), but I can't seem to find more literature on that theory besides the basic mention.

My gynocologist seems to think that high stress could possibly have my hormone levels out of whack...I've been dealing with health problems over the last nine months (which has led to the recent endo diagnosis), have had two major deaths in the family, just finished my masters degree and started my Ph.D., so that theory isn't all that far-fetched. It's just incredibly frustrating having these symptoms, with no real solution to them. I'm sure you can understand that. Smile
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replied December 20th, 2009
I have PCOS and recently I to have had VERY sore breasts along with the apprearance of new and very distinct Montgomery's Tubercles. My gynocologist and endocrinologist have both said this is a part of the hormone imbalance caused by PCOS. I had a fasting sugar/glucose test and failed the insulin part terribly. They have prescribed Metformin and sent me to a dietician. The dietician laid out a plan of balanced carbs & proteins. (And I was pleasantly suprised by how giving the plan is!) If anyone else is experiencing these symptoms and knows they are not pregnant, they may want to look up PCOS symptoms and compare them to their own symptoms.
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replied July 17th, 2010
Montgomery Tubercules not pregnant....
I have montgomery's tubercules too. They seem to come when they should of if I was pregnant. But my period came one day late and it is normal. Negative pregnancy tests as well as going to the doctor. Nothing. Want to get pregnant and maybe it is my body playing massive tricks on me. Not cool...... Odd thing is my name is Katrina too...
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replied October 14th, 2010
It's probably because you went off birth control recently. I have found that women either always have them, from the start of puberty, or they get them soon after stopping birth control, or they get them from pregnancy.
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replied October 30th, 2010
I'm 16 and I've always had white bumps around the areola, and thought it was normal. I didn't even know what they were till now. I have no idea if I'm Pregnant or not, so i started looking through the web and its a sign of pregnancy. So I'm confused because I have always had these bumps.
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replied June 2nd, 2011
shox.. i had some bumps around my aroelas too.. this upsets me coz i dont know if i am pregnant or not. aside from bumps i also have strange feelings that could be pregnancy symptoms... everytime i do test pack, its negative... now i dont wanna try it anymore because, me and my partner is scared to whatever will be the result.. we will be dismayed. Sad
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replied October 23rd, 2011
Hi my name is Katelynn. I think I'm pregnant and everything that you said has been happening to me too! Periods that are heavier than usual, montgomery's tubercules, breast tenderness. I'm going into see my doctor soon. I've taken four home pregnancy tests, all negative, But, some of them changed into positive after a couple of days. if this is your first pregnancy, your hormone levels can be low so it might not show up on tests. the ultrasound might not show anything because the baby night not be big enough just yet. and if you are younger, that could be whats causing it. my friend was 14 when she got pregnant. she took test after test, had her period for the first four months, when she tried to get on birthcontrol, the docotr made her tak e a pregnancy test and it came up positive, if she didn't she probably wouldn't have know until she started getting big. but now she has a little boy named mason. don't be scared if you are. and don't think abou tit. it can cause your body to have false signs. just remember that time can only tell. just give it some time. hopefully evrything will work out.
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replied February 2nd, 2013
I have always had them as well. I never knew they were a sign of pregnancy, but throughout my life I have had two pregnancys and the amount of them has never changed. I'm sure some people just have them normally and others eat them due to hormonal changes. No need to worry!
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