I have inverted nipples, and I am extremely embarrassed by this -- so much so that I don't even discuss this with my OB-GYN. Is there anything I can do to correct this? I am a 37-year-old who refused to even attempt to breastfeed my son because I was too ashamed to ever let anyone see my nipples.

-- Laurie

Inverted nipples are pretty common, and they're nothing your gynecologist hasn't seen before. They do not happen through any action of yours, and they should not be a reason for embarrassment. I find it somewhat ironic that we are upset by nipples that are "in" and belly buttons that are "out."

Many times, inverted nipples will become "outies" during the course of pregnancy. There are a few tricks to encourage this, such as rolling or pulling the nipples. Pulling is just that -- pull them out (gently!) and hold them there for several seconds a few times a day. Rolling involves gently pulling the nipples out and then rolling them between thumb and forefinger for a few minutes once or twice a day. Nipple shields are probably the most effective at coaxing the nipples out -- they are worn over the nipples, for several hours a day. They exert a constant gentle pressure that helps to draw the nipple out. Shields are usually recommended for pregnant women preparing to breastfeed, although I don't see why they wouldn't help even if you are not currently pregnant.

This is not an uncommon condition. An excellent resource is The Complete Book of Breastfeeding, which has several pages devoted to inverted nipples. A lactation consultant or your local La Leche League are also good resources.