Nikki, that's a really good question.  I do not ask my clients about
pinching unless they bring it up.  I ask about response to cold or
arousal.  Some of the most accessible nipples I've ever seen simply do
nothing but stay there when pinched.

I do have a semi-related question from a mom which I was unable to answer:
When a mom has pencil-eraser nipples postpartum, which never go back to
flat and smooth like they used to pre-pregnancy (ie they always protrude
rather firmly), will there be a point post-weaning, where they will go back
to flat?  The mom's nipples even show through a padded bra and this has led
to some awkwardness in professional settings.  High school, I know, but
there it is :P

Lynn Carter OFS LLLL IBCLC
Missouri, USA

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