When women have white dots on their nipples and pain, the following possibilities are considered: 1. In youthful development: the nipples secrete fluid because of development, which crystallizes at the nipples, resulting in white dots on the nipples. 2. Sebaceous gland infection: when the secretion of sebaceous glands increases, if not treated in time, purulent infection may occur, resulting in small white dots on the nipples with pain. 3. Blocked milk ducts, bacterial Infection: This may be due to the fact that when breastfeeding, milk is not discharged in time and stagnation occurs, thus causing blockage of the milk ducts, which, together with bacterial infection, may lead to the symptoms of small white dots on the nipples, accompanied by infection. 4. Breast diseases: such as mastitis or breast hyperplasia leads to. Therefore, women with white spots on the nipples and pain are recommended to have further diagnosis by the breast surgery department of the local hospital, and then actively cooperate with the treatment after clear treatment.