It seems to me that the only reason to question if the pain in a mother's
milk ducts is, in fact, pain from a yeast infection, when she has obvious
nipple yeast, is if one sees the nipple as a "one-way street" in which milk
flows out but nothing can enter the breast from the nipple.

I don't hear anyone trying to "prove" that mastitis could possibly be
caused by bacteria entering through damaged nipples. It is treated in an
effective method for the resolution of the infection.

When a mother has nipple yeast accompanied by deep breast pain and pain in
the milk ducts (clearly experienced and described by the patient), why
worry about *proving* that it is candida, when treatment with adequate
doses of antifungal medications resolves the pain?

We all know of plenty of instances of treatment without proof, or even
clear evidence. To demand proof of candida is about something other than
cautionary medicine.  In my opinion.

Pat Gima, IBCLC
Milwaukee, Wisconsin

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