Seeking Advice: Breast Health Concerns
I’m a 25-year-old woman, a smoker, with a medical history that includes only polycystic ovary syndrome (PCOS). Recently, I discovered a lump in my armpit that has persisted for roughly three weeks. Thankfully, it has reduced in size quite a bit since I first noticed it. However, today I observed a change in the appearance of my nipple. Just a month ago, I had my blood tests done, and the results came back normal. Additionally, I have a swollen lymph node in my neck, which my doctor believes is linked to a cyst in my throat. I've been advised to monitor the lump in my armpit and to check for any lumps in my breasts. While the size of the lump has improved, I now see some redness beneath my nipple. Could this indicate breast cancer, or is it merely an instance of irritation? Also, I began a new birth control nearly a month ago and am about to start my first period since then, if that information is relevant.
Answers (1)

8/13/2025, 12:21:06 AM
OpenHealth AI
It's understandable to be concerned about the changes you're noticing in your breast and armpit area, especially with a medical history that includes PCOS. Let's break down your concerns and focus on what steps to take.
Main Points:
- The lump in your armpit has shrunk, which is a positive sign, but the red appearance under your nipple and the swollen lymph node should still be monitored carefully.
- These changes may not immediately indicate breast cancer, but it’s essential to remain vigilant and consider possible causes, including irritation or hormonal changes from your new birth control.
Explanation:
Lumps under the arm and changes in breast tissue can have several causes, including hormonal fluctuations due to birth control, infections, or benign cysts. The improvement in the size of your armpit lump is encouraging; however, the redness under your nipple warrants attention, as it could suggest irritation, infection, or other changes in breast tissue.
Next Steps:
-
Monitor Symptoms: Keep an eye on the color, size, and any other changes in the lump under your armpit and the appearance of your nipple. Note any additional symptoms such as pain, discharge, or changes that develop over time.
-
Self-Exam: Continue to perform self-exams of your breasts and the lump in your armpit regularly. Look for any new lumps, changes in skin texture, or unusual discharge from the nipple.
-
Maintain Communication: Since you’ve noticed redness beneath your nipple, it’s important to follow up with a healthcare provider if these changes persist or worsen. Consider scheduling a follow-up appointment to discuss your findings, especially in light of your polycystic ovary syndrome (PCOS) and new birth control.
-
Lifestyle Adjustments: As a smoker, consider exploring resources to quit smoking. Smoking can affect overall health, including breast health, and quitting can have immediate benefits for your body.
-
Stay Informed and Reassured: It's natural to worry, but issues like changes in breast tissue are often benign. Acknowledging and understanding your body will empower better self-care.
Remember, being proactive about your health is essential. If you have worsening symptoms or if anything makes you uncomfortable, please reach out to a healthcare provider.
Related Questions
Seeking Advice for Enduring Sinus Pain and Confusing Medical Opinions
Hello everyone! I’m a 28-year-old male and have been grappling with sinus pressure and discomfort on the right side of my face for nearly a year. Alongside this, I have experienced significant pain around my tooth #3. I've encountered frequent headaches and noticed that I’ve fallen ill more this year than I have in the past 5 to 7 years; it always begins with a sinus infection that escalates over time. During this challenging period, I've consulted various ENT specialists and dental professionals, yet none have been able to pinpoint the source of my pain and frustration. My sleep quality has deteriorated, and I often experience a sensation of weakness in my right nostril when I breathe. Six months ago, I underwent a root canal, and all my dental providers—my dentist, oral surgeon, and endodontist—have confirmed that the procedure was successful. Despite this, I still feel an unusual pressure when I push on the tooth with my tongue or when it’s manipulated during dental examinations. After visiting three different ENTs who concluded that surgery was not advisable, I managed to find a specialist willing to address my deviated septum and enlarge my turbinates, along with performing a Functional Endoscopic Sinus Surgery (FESS) to clear out the cyst located near tooth #3. This recommendation has left me feeling apprehensive, especially after being told by other specialists that surgery wasn’t warranted. Additionally, I’ve connected with an oral surgeon who proposes conducting an apicoectomy on tooth #3 and examining the cyst further. This option appears to be the least invasive compared to my dentist's suggestion of extracting the tooth altogether and replacing it with an implant. I’m reaching out for any guidance regarding these alternatives, as they all seem to carry their own risks and uncertainties about resolving my problem. I have CT scan results available, but for some reason, I'm unable to attach them here! Thank you for your support!
What kind of back support should I consider for my boyfriend?
I'm a 21-year-old female, and my boyfriend hasn’t reported any health issues that I'm aware of, but he does carry some extra weight primarily from stress-related eating. His working situation isn’t ideal—he tends to slouch while using his computer because of an awkwardly positioned desk in shared living quarters with his roommate. With his birthday coming up next month, I wanted to buy him a chair that offers lumbar and neck support. However, I fear such a chair might overcrowd the already cramped space. Thus, I thought about alternatives, like a lightweight, foldable table paired with a foam wedge or a similar item that would provide some back support. This way, he could comfortably sit on his bed while coding and still keep the support item tidy against the wall when it’s not in use. As someone who's struggled with health issues since I was 16, including rheumatoid arthritis and TMJ, I genuinely empathize with the discomfort that chronic conditions bring. My main concern is to prevent my boyfriend from developing any spinal problems as he occupies this workspace. This adjustment is only a temporary measure until he graduates in three years or secures enough clients to afford a more suitable living arrangement. I believe that any form of support is better than none, and I would appreciate any advice from the medical community here. Thank you!
Can I Practice Martial Arts as a Nearsighted Individual?
Hello! I'm a 24-year-old male with significant nearsightedness, sitting at nearly -10 diopters, which has mostly settled over time. I'm curious about the risks involved, particularly concerning retinal detachment. I've been contemplating engaging in martial arts for recreational purposes, although I have not decided on a specific discipline yet. Given my visual condition, would it be unwise or risky to pursue this activity?
Concerns Regarding AndroGel Use in Young Male Athletes
Greetings, I want to clarify from the outset that I do not support the use of testosterone gel, nor do I encourage my son to engage in such practices. My concern lies with a couple of friends of my son, who have been close for over a decade, and their parents appear to be pursuing potentially hazardous decisions in an unrelenting attempt to secure Division I athletic scholarships for their kids. My son is 15 and excels in his sport. During our first preseason practice recently, I noticed that two boys, who previously seemed smaller in stature, had remarkably gained about 15-20 pounds of muscle over the past three months of summer training. They are just 14 and 15 years old. While conversing with one of the mothers, I joked about how exorbitant their grocery expenses must be to facilitate such weight gain. She casually remarked that it wasn’t solely a dietary issue; they had arranged for a doctor appointment, which resulted in a prescription for testosterone gel (likely AndroGel). She mentioned that the boys were using one application daily. This revelation raised some alarm for me; I’m not entirely sure about the implications, but it sounds risky. This usage appears to be off-label and amounts to cheating, despite the absence of drug testing at this age group. Her reassurance that “it’s safe” because their physician is reputed for advising athletes left me stunned. Am I overly concerned and misinformed? Can a typical 15-year-old really benefit from a testosterone supplement as merely a means to enhance their growth? It feels surreal to me, but I could be misjudging the situation.
Should Uncircumcised Men Moisturize Their Glans?
As a 24-year-old male weighing 165 pounds, a smoker, currently prescribed Vyvanse (70mg) and Thyroxine (25ug), and having undergone a brief treatment of doxycycline for acne, I also take magnesium along with Omega-3 supplements, B vitamins, and occasionally L-tyrosine. I find myself perplexed by the query in the title. The guidance I've encountered online is often inconsistent, and my understanding is somewhat hindered as English is not my primary language. At present, I have no major issues with my glans or foreskin—there are no irritations, redness, or unusual growths—yet I do experience some dryness and flakiness during masturbation. To address this, I’ve started applying petroleum jelly; however, masturbation isn’t a daily occurrence, while showering happens regularly, leading me to question my hygiene practices. Notably, I do not produce smegma. Guidelines I have read vary significantly: some recommend skipping soap altogether and merely rinsing with water, while others suggest using a gentle soap without scrubbing harshly. There’s also advice to use soap substitutes, and caution against letting any shampoo contact the genital area, implying rinsing should be done with my head tilted forward to prevent drippage. Currently, my routine involves using a Dove product—either a shower gel, cream, or soap substitute—applying it from my neck down. I retract my foreskin and give it a brief wash with my soapy hand before rinsing off both the shampoo and the gel—while still retracted—to ensure no residual product is left behind. After showering, I gently dab the glans with a towel, then let it air dry for about 10 minutes while still retracted before rolling it back into place and getting dressed. To summarize my inquiries: 1) During showers, should I simply rinse with water or incorporate something else? 2) Is it acceptable to pat the area dry, or should I put it back in place while still damp? 3) If drying is necessary, is air drying preferable, or is towel drying acceptable, or does it not really matter? 4) If moisturizing is advisable, should I apply the moisturizer while it’s still damp after showering, or after fully drying? 5) Lastly, if I should moisturize, must I allow it to air dry before rolling it back up?