While I'm a big APNO fan, if it doesn't show improvement - it may not be the appropriate treatment for this Mom. APNO targets several possible issues, perhaps she needs something thrush specific. Is baby being treated?
I also had persistent yeast with my 2nd child - genetian violet did nothing for it, nor did nystatin. After 10 weeks of that, baby and I both did a two week course of diflucan and it was gone to never return again!
I wouldn't expect a household with frequent yeast usage to be a cause of thrush . . .
Ellen
Ellen Rubin, MA, IBCLC, LLLL
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