Why might my nipples be itchy without any visible irritation?

Itchy nipples can sometimes occur even if there is no visible irritation. One possible cause is nipple eczema, which can cause itching and discomfort. According to the literature, nipple eczema might not always present with visible changes, but it can still cause significant itchiness.

Another potential cause is Paget's disease of the breast. This condition is a rare form of breast cancer that can start with itching and might not initially show visible signs. While Paget's disease can mimic benign conditions, it is important to consider it, especially if the itchiness persists or is accompanied by other symptoms.

If you experience persistent itching, it is important to consult with a healthcare professional to determine the cause and appropriate treatment. They can help differentiate between benign conditions like eczema and more serious conditions like Paget's disease.