History[ edit ] The medieval queen Isabeau of Bavaria to is the first historically documented case of pierced nipples. Male nipple piercing was reported to be done by the Karankawa Native Americans, female nipple piercing is practiced by the Kabyle people in Algeria. The anthropologist Hans Peter Duerr traces the earliest known practice of female nipple piercing as a fashion statement to the Court of Queen Isabeau of Bavaria to , quoting Eduard Fuchs he describes that: However, these sources are difficult to verify. For a long time I could not understand why I should consent to such a painful operation without sufficient reason. I soon, however came to the conclusion that many ladies are ready to bear the passing pain for the sake of love.