Hi, I'm a 23 year old female I noticed yesterday

Patient : Hi, I'm a 23 year old female. I noticed yesterday a small dark spot on my left nipple (right in the middle) and today noticed it bilaterally. I suspect it might be bloody discharge as it can be picked off like a scab and bleeds slightly if so. I am not pregnant or breast feeding. What could this be caused by?
Symptoms:  Dark spot on nipple
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