The Montgomery glands (orMontgomery tubercles)are small glands aroundthe nippleson theareola. These glands are typically not noticeable until a person becomes pregnant. As the breasts grow and change during pregnancy to prepare forlactation, the Montgomery glands also get larger. They begin to erupt and may look like pimples on the nipple and areola.
The number of visible bumps on the areola is different for each pregnant person. Each areola can have anywhere from zero to approximately 40 tubercles, with an average of about 10 to 15 on each side. There are often more in the upper outer part of the areola. Thesize of the areoladoesn't affect the number of glands there are.
Learn more about Montgomery glands, including why you have them, how to care for them, and when to contact your doctor.
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What Montgomery Glands Do
The Montgomery glands are a combination of milk glands and sebaceous glands. They can release a small amount ofbreast milk, but they mostly produce a natural, oily substance that cleans and lubricates the nipple and areola.Thisoily substance contains antibacterial properties that helps to protectthebreasts from infectionby preventing the growth of microorganisms and germs. It also provides a natural moisturizer for your nipples.
The areolar glands arebelieved to play an important role ingetting breastfeeding off to a good start, attachment, and bonding. They give off a scent that can help the newborn find the nipple and encourage the baby tolatch onand breastfeed immediately after birth. The odor is also thought to promote parent-newborn recognition and bonding.
Studies show that the babies of breastfeeding parents who have more areolar glands find the breast and begin breastfeeding faster than those with parents who have fewer areolar glands. More Montgomery glands are also associated with better newborn growth.
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How To Care for Montgomery Glands
The Montgomery glands don't typically require special care, but there are some things to avoid, especially when breastfeeding or chestfeeding:
- Avoid harsh soaps. If your nipples and areola are soft and healthy, leave the Montgomery glands alone. Wash your breasts with warm water and avoid soaps that can wash away the protective substance secreted by your Montgomery glands.
- Avoid popping.Even though these glands may look like pimples, they are not. Don't try topop them as this could cause harm.
- Don't treat with acne medication. Not only can acne medication dry out your areola, but many acne treatments may be dangerous for your baby and harmful to your skin. Avoid them while you're pregnant and breastfeeding.
- Don't usenipple creams, lotions, or ointments to prevent potential problems. These products are only necessary if you have sore, cracked nipples or an infection. Some nipple creams can even make the problems worse.
If you have any concerns about your Montgomery glands or are experiencing a breast or nipple issue, talk to your health care provider about the best way to treat the problem.
Signs of Montgomery Gland Infection
Even though the Montgomery glands help to kill germs and keep the areola clean, they cannot completely preventbreast problems. It's still possible for the areolar glands to become irritated and infected. This is more likely if your nipples and areola become cracked and damaged.
Itis important to check your breasts regularly. When you know what's normal for you, it will be easier to recognize when something looks different.
For example, you can expect raised Montgomery glands during pregnancy and breastfeeding or chestfeeding. But if you notice that they or any part of the breast becomes red, swollen (larger than they were), and painful, or you get a fever, you should contact your doctor for anexamination and treatment. These are signs of an infection such as nipple thrush and mastitis.
Montgomery Gland Removal
Montgomery glands are a healthy part of your breast anatomy. Once your baby is born, and breastfeeding has ended, those little bumps may shrink back down on their own.Or they may stay a bit bumpy, which is perfectly normal.
If desired, a minor surgery can remove the Montgomery glands. Your provider will make an incision to remove the bumps. This procedure should not interfere with your ability to breastfeed in the future. Surgery to remove Montgomery glands doesn't affect your breast tissue ormilk ducts.
