Understanding & Managing Breast Eczema – A Comprehensive Guide

Eczema, also known as Atopic Dermatitis, is characterized by inflamed, itchy, and irritated skin. Around 31.6 million people in the US have one or the other form of eczema. When it specifically affects the breast area, it is called breast eczema. Breast eczema presents unique challenges and considerations due to its location on the body. It is not contagious, however; it can result in infection and pain if not treated in time. Breast eczema has a profound impact on physical and mental health. Hundreds of people report sleep disturbances due to persistent itch and discomfort, leading to mental health problems such as anxiety and depression. There are multiple treatment options available to alleviate or manage the symptoms of breast eczema and clinical trials for eczema are one of them.  

In this article, we will delve into the intricacies of breast eczema, examining its causes, symptoms, management, and far-reaching consequences it can have on one’s holistic health. 

Etiology of Breast Eczema

The etiology, or the causes, of breast eczema can be multifactorial and may vary from person to person. As discussed above, breast eczema is a type of dermatitis that affects the skin on or around the breast area. While the exact cause of breast eczema is not always clear, several factors can contribute to its development: 

Allergens: Exposure to allergens, such as certain fabrics, laundry detergents, or skincare products, can trigger an allergic reaction that result in breast eczema. Allergies to nickel in bra fasteners, for example, are known to cause localized dermatitis. 

Irritants: Contact with irritants like harsh soaps, fragrances, or chemicals in lotions and creams can irritate the skin, leading to eczema symptoms on the breasts. 

Heat and Sweat: Excessive sweating and the blockage of sweat and heat under tight-fitting bras or clothing can create a favorable environment for eczema to develop. 

Infections: Bacterial or fungal infections of the skin, such as Staphylococcus aureus or Candida, can exacerbate or imitate the symptoms of breast eczema. 

Hormonal Changes: Hormonal fluctuations, particularly during menstruation, pregnancy, or menopause, can influence skin sensitivity and contribute to the development of eczema. 

Stress: Emotional stress can have a significant impact on the immune system and may trigger or worsen eczema symptoms, including those on the breasts. 

Genetics: A family history of eczema or atopic dermatitis can increase the likelihood of developing breast eczema. 

Underlying Skin Conditions: Pre-existing skin conditions like atopic dermatitis or psoriasis can increase the probability of developing eczema on the breasts. 

Immune System Dysfunction: A compromised immune system, due to factors such as certain medications or medical conditions, can make the skin more susceptible to eczema. 

Diet: While rare, food allergies or sensitivities may contribute to eczema in some cases. However, this is less common for breast eczema specifically. 

 It’s important to note that the exact cause of breast eczema can be challenging to pinpoint, and it often results from a combination of factors. Effective management typically involves identifying and avoiding triggers, practicing good skincare and hygiene, and in some cases, using prescribed medications or topical treatments to alleviate symptoms. 

How does Breast Eczema Present?

  • Redness or warmth 
  • Itch 
  • Dry scaly skin 
  • Swelling 
  • Liquid oozing from the skin surrounding the breast  
  • Sensitive skin 
  • Thickening of skin 

 The Significant Impact of Breast Eczema on One’s Well-Being

Breast eczema is a skin condition that often goes beyond the surface, affecting a person on multiple levels. The relentless itching and discomfort can transform the simplest daily routines into arduous tasks, undermining physical comfort and sleep. Yet, the impact extends beyond the physical realm, infiltrating one’s self-esteem and body image. The visible signs of eczema in the sensitive breast area can evoke self-consciousness and emotional distress, potentially leading to social withdrawal and strained relationships.  

The emotional toll is inarguable, with stress, anxiety, and even depression often accompanying the chronic nature of the condition. In the workplace and at home, the struggle with breast eczema can disrupt productivity and strain financial resources. It is crucial to recognize and address these multifaceted challenges, seeking medical guidance and emotional support, to effectively manage breast eczema and improve overall well-being. 

How Does Breast Eczema Impact Breastfeeding?

Breast eczema can impact breastfeeding in several ways, potentially posing challenges for both the mother and the baby: 

Discomfort and Pain: Eczema on the breast can cause itching, redness, and soreness, which can make breastfeeding painful for the mother. The constant friction of the baby’s mouth during breastfeeding may exacerbate these symptoms. 

Skin Cracking and Bleeding: In severe cases of breast eczema, the skin may crack and even bleed. This can introduce the risk of infection and make breastfeeding painful and difficult. 

Reduced Milk Supply: The discomfort and pain associated with breast eczema can lead to stress, which may impact milk production. Stress hormones can interfere with the letdown reflex, potentially reducing milk supply. 

Baby’s Irritation: If the eczema is severe or oozing, it can irritate the baby’s skin and cause discomfort during breastfeeding. Babies may become fussy or reluctant to nurse if they experience discomfort. 

Infection Risk: Eczema-prone skin is more vulnerable to bacterial or fungal infections. Scratching or open sores on the breast can introduce infection risk for both the mother and the baby during breastfeeding. 

Psychological Impact: The physical discomfort and challenges of breastfeeding with breast eczema can take a toll on a mother’s mental well-being. This stress and frustration can, in turn, affect the overall breastfeeding experience. 

To manage breast eczema while breastfeeding, the following strategies may help:

Consult a Healthcare Provider: Seek guidance from a healthcare provider or dermatologist to diagnose and treat breast eczema effectively. They can recommend safe and appropriate topical treatments or medications for managing the condition. 

Maintain Good Hygiene: Keep the affected area sterile and dry to avert infection. Gently cleanse the area before and after breastfeeding. 

Consider Moisturizers: Using hypoallergenic and fragrance-free moisturizers or emollients can help keep the skin hydrated and reduce irritation. 

Breastfeeding Positions: Experiment with different breastfeeding positions to minimize discomfort. Some positions may be more comfortable than others when dealing with breast eczema. 

Nursing Pads: Using soft, breathable nursing pads can help reduce friction and irritation on the nipples. 

Stress Management: Stress plays a crucial role in disrupting hormones and may impact the milk supply as discussed above. It is therefore important to seek guidance from a therapist on how to regulate your emotions during challenging times and keep yourself calm so that it does not impact your baby.  


While breast eczema can negatively impact your life, there are lifestyle changes that can help manage the symptoms and live a fulfilling life. If you suspect you have breast eczema or are experiencing persistent symptoms, it’s advisable to consult a healthcare professional or dermatologist for a proper diagnosis and personalized treatment plan. Revival Research Institute is conducting clinical trials for dermatological conditions with the aim of reducing the health burden of individuals affected.

Also Read: How Can You Lose Weight Using Lemon In One Week?

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