Nipple hair in women: Causes, removal options & when to see a doctor

Wondering why you have nipple hair? Learn the common causes like PCOS, medications and genetics plus safe and effective removal methods. Know when to consult your doctor.
How much nipple hair is normal and what is the normal amount of nipple hair? You’re not the only one thinking about this. So here’s your answer.
Nipple hair in women is completely normal as areas around your nipples contain hair follicles, just like the rest of your body.
Hair strands on your breast or nipple can be upsetting, whether for aesthetic or sensitivity of the areola area. But it's not a reason to panic.
Nipple hairs are usually finer and lighter than hair on other parts of your body and sometimes barely noticeable. But thick, dark, coarse hair that appears suddenly could signal an underlying issue.
If it’s also accompanied by excessive hair on the stomach, chest, back, or chin, areas typically associated with male-pattern hair growth, it may be a sign of hirsutism.
In this article, we will look at the common causes of nipple hair, removal options and when it might be time to see a doctor.
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Causes of Nipple Hair in Women
1. Hormonal changes.
Hormones are messengers controlling many processes including hair growth.
These hormone levels usually fluctuate during puberty, ovulation, pregnancy and childbirth and this affects hair growth.
Sex hormones/androgens
Although androgens are present in men and women, they’re higher in men. Testosterone is a common androgen and stimulates hair growth, especially in certain areas.
When androgen levels rise in females, it causes male-pattern hair growth around the breast and nipple.
2. Polycystic Ovarian Syndrome
The condition affects about 5% to 26% of females. The ovarian cysts associated with PCOS often trigger the overproduction of androgens. Then the increased androgen level can lead to excessive hair growth including nipple hair.
3. Cushing Syndrome
Cushing’s syndrome occurs when the body is exposed to high levels of cortisol–the main stress hormone over a prolonged period. Studies show it affects women more than men, with a ratio between 3:1 and 8:1.
One of the common causes is the use of glucocorticoids for treatment and herbal preparations.
Glucocorticoids fight inflammation and support your immune system, but also increase cortisol which leads to excessive hair growth.
Excessive cortisol production by the adrenal gland can occur due to conditions such as pituitary adenomas or certain tumors. This also causes unwanted hair on the breasts and around the nipples.
4. Medications
Certain medications and hormonal treatments affect hormone balance and trigger nipple hair growth. These medications cause androgens to stimulate the hair follicles to induce hair growth on the breast and nipple. Some examples of these medications include:
- Testosterone
- Danazol (used in treating endometriosis)
- Corticotropin
- Metyrapone
- Anabolic steroids
- Glucocorticoids
- Minoxidil (used for hair growth)
5. Genetics
The structure, texture, thickness, and growth rate of your hair are all influenced by your genes.
Genetic differences explain why some people naturally have more body hair than others.
If you are naturally hairy in other areas, you’ll likely have hair around your nipples and breasts.
6. Ethnicity and race
Statistics show that hair density varies by ethnicity and race. For example, Africans tend to have lower hair density and growth, Asians typically have faster growth and thicker hair strands, while Caucasians have the highest density overall. These factors can influence how noticeable hair is around your nipples. If you have a denser body, you’re prone to nipple hair.
Nipple Hair Removal Methods
If the nipple hair is not causing any pain or discomfort, it’s best to leave it alone. However, if you’d like to remove them, there are also some options.
1. Trimming
Trimming involves using a small, clean pair of scissors to trim visible hair above the skin’s surface. While this is one of the safest methods, you should take care to avoid injuries, especially around the nipple. When trimming, hold your skin down with one hand while cutting the hair with the other. Ensure to keep your scissors close to the skin.
Because hair will grow back, you’d have to trim it regularly. Remember that cuts increase your risk of infection so trim carefully.
2. Tweezing
Tweezing is also known as plucking. It removes individual hairs from the root, making it ideal for sparse nipple hair. It can be time-consuming but the results are worth it. It’s best to tweeze after a warm shower when follicles are open and skin is soft.
Avoid over-tweezing, as it can cause irritation and discomfort. Tweezing can result in ingrown hairs if the follicle becomes irritated or blocked.
3. Shaving
Shaving cuts the hair at the skin’s surface, making it temporarily less visible.
You must be very careful to avoid injury. Because the hair grows back quickly after shaving, it increases your risk of irritation or infection.
4. Waxing or sugaring
Waxing or sugaring involves applying a sticky substance that pulls hair from the root when removed. Results in a smooth texture that lasts for weeks so you don't have to wax often.
After waxing, you might feel irritation and if it's hot, it can cause injury.
The American Academy of Dermatology Association recommends not waxing when you are taking drugs like isotretinoin, antibiotics, and tretinoin because they thin the skin. And also increases the chances of skin tears.
To avoid infection, ensure you use your waxing equipment and do not share it with others.
And if you choose to wax, use the service of a professional.
5. Laser or electrolysis
These methods target and destroy hair follicles, resulting in long-term reduction.
Multiple sessions are often required for lasting and sometimes permanent results.
If not done by someone with proper training, it can lead to injury, pain, and infections.
If you choose to do it yourself, make sure to consult a dermatologist first.
6. Hormonal treatment
If the cause of your nipple hair is hormonal, particularly high testosterone, treatment usually involves hormone-regulating medications. While birth control pills, which contain estrogen, may be a common option, explore other possibilities with your doctor.
7. Depilatories
You can apply a cream, lotion, or gel to the skin, which can dissolve unwanted hair.
Some depilatory creams can irritate sensitive skin and may contain harsh chemicals. Always consult your dermatologist before use.
When to see a dermatologist about nipple hair growth
It is normal to have hair on your breast.
However, when it becomes coarser, thicker, and accompanied by
irregular periods, acne, and a deepening voice, it's best to consult your healthcare provider.
Summary
While hairy nipples in women are often harmless, changes in hair thickness, amount, or distribution usually suggest a hormonal imbalance. If you are experiencing additional symptoms like irregular periods, acne, or sudden hair growth on your chin or chest, it's best to consult a healthcare provider.
Whether you choose to trim, tweeze, wax, or seek medical advice, the best approach is one that keeps you comfortable and is recommended by your doctor.
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