I have vasospasm in primarily the right nipple. It is not *classic* in appearance all of the time but the pain is excruciating and makes feeding a hellish experience. So even though my nipple looks fine, it is the vasospasm / ache in the breast that makes me sit there with a fist in the side of the breast until is ceases (about 20 minutes). When my babies are little I take a combination of nifidepine SR and magnesium as well as the natural treatments of keeping the breast warm (I always wear a breastfeeding top and bra under my top) and heat packs, not getting cold after a shower etc etc.

It settled after 6-8 months of feeding and I was able to cease the nifedipine. I think the increase in mouth size and a decrease in suction intensity helped to ease the symptoms. I am currently 33w and still feeding DD (17 months) and I have noticed the symptoms are returning slightly. I have recommenced on magnesium, wear the multiple layers and will start nifedipine as soon as this baby is born to manage the complications and pain.