''not sexually active'' probably means not being engaged sexually with another person. Sexual activeness need not be restricted to a 2-person act, however. Fungae can easily be self-infected from using fingers or utensils to manipulate a diversity of bodyparts. She can be a carrier in her mouth or vaginally without ever meeting with another person. 
So besides mentioning antifungae medications, I would also discuss personal hygiene and ways of infection from one bodypart to another.
I do not think it is appropriate to assume total sexual in-activeness in a healthy 18 year old person.

Warmly,

Gonneke, IBCLC, LLLL retired, MOM and grandmom off to her grandsons 3rd birthday right away now.




--- On Sun, 9/6/09, lisa clements <[log in to unmask]> wrote:

This one is quite out of left field.
My daughters 18 yo friend asked me a question as she said for the last year and a half she has been getting on and off an itchy nipple and breast, which when she scratches sometimes weeps a serous ooze, and then occassionally bleeds. It then will go away for a few weeks and then reappear. She does sometimes put bepanthen cream on for a few days, but she says its not regular  application coz she forgets to do it. I said it could be a fungal infection or a skin irritation. She doesn't normally get excema. 
She says she keeps on meaning to go to the docs, but just never gets round to it.
I would be pretty sure she's not sexually active and she's deifinitely nulliparous.
Sh just sorta asked me quickly bfore she left this evening. I suggested putting on an antifungal cream for at least 2 weeks and if it goes away it was probably thrush.
Is there anything else I should check with her.
Thank in advance for any suggestions for all.
From Lisa in Canbera, who's head is spinning from the wonderful and fantastic   A.L.C.A. conference that was held  this weekend in Canberra. Thanks to all involved. 
 
See ya!
Lisa Clements, who is now 2/3 of the way through her Midwifery. Yay! Only 4 more months to go.


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