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Hi Sharon,
I just turned 50 and I am currently going through menopause, and since I've started menopause; I've been having the same exact sharp burning pain at the tip of my left nipple that you've been discribing...as a matter of fact I was looking on the website for some information about this condition and have concluded that it is related to my menopause, however I do encourage you to go to a clinic just to make sure. I really know what you're going through. God Bless