What might have happened is that the doctor explained to her that yeast 
infections can go hand in hand with vasospasm and is advising discarding her 
milk to avoid reinfection once she is treated for yeast. You might be able to 
clarify what is going on by talking directly to her the doctor caring for her. 
Make sure that she is using the correct size flange for her pump and that she 
pumps in a really warm room and have her apply heat to her nipples in the 
form of a heating pad when she is done nursing jor pumping. This will help to 
return the circulation to her nipples. It is possible that there is no yeast 
infection at all, but just vasospasms. Ask her about her fingertips and if she 
has problems with them in cold weather. Ask her if her nipples were sensitve 
to cold before she began nursing. Ask her about a history of any autoimmune 
disorders. All of these can point to a predisposition for having vasospasms. 
Also, if she has vasospasms it will make it harder for body to fight off 
microorganisms because of the decreased circulation to the nipples, so she 
may very well have some coexisting skin infection (either yeast or bacterial). 
But first try the heat.If the heat can break through her vasospasms then 
there may not be a need for other treatments.It seems to me that women 
with vasospasms are often treated needlessly for yeast. Also, there is a lot of 
info in the archives about heating milk to kill yeast so that in the event that 
she really does have an infection she can still give the frozen milk to the baby. 
She could also just take a chance and give the frozen milk to the baby and if 
she gets reinfected be treated for yeast again.
Good luck and if nothing else works Procardia is an absolute wonder drug for 
vasospasms, generally just stops them dead in their tracks!!!
Kathy Lilleskov RN IBCLC

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