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Darkening of the areolas could be hormone-related, depending on the timing of your menstrual cycle, and is also a sign of pregnancy (from the hormones). There are some conditions that cause darkening of the areolas, but have other symptoms (such as flaky/scaly skin on the nipple).

I am more concerned about the breast pain you are experiencing, and this coupled with skin changes of your breast, we would highly recommend that you make an appointment with your gynecologist to rule out any health conditions. Pain in a woman's breasts are not uncommon, but should be medically evaluated.

November 10, 2009 - 2:12pm

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