Katy: I think this mom has systemic yeast problems and should seek out full family treatment as well as look at the research by Truss (THE MISSING DIAGNOSIS) and Crook (THE YEAST CONNECTION and WOMEN AND THE YEAST CONNECTION). I'd also refer you to the LN archives for the many yeast posts and to my Midwifery Today article on treating Breast Yeast (email me if you don't have access to MT). Has she tried long-course (4 weeks of fluconazole?) plus topicals such as gentian violet or clotrimazole? Chris Chris Hafner-Eaton, PhD, MPH, CHES, IBCLC email: [log in to unmask] HSR & Health Educational Consultant