The 2nd edition of Riordan and Auerbach's BF and Human Lactation states on page 492, maternal medications such as fluconazole (Diflucan) and oral contraceptives, may be associated w/ vasospasm. The reference is, Escott R: Vasospasm of the nipple: another case {letter}. JHL 10:6 1994, I don't have the Escott letter. I don't know if it is an opinion or fact. Just passing it along. The reason I had the reference in mind is I'm currently working w/ a mom with terrible yeast whose nipples seem to vasospasm when she pumps and she has no history of Raynauds. At least we think it is a vasopspasm. Her nipples turn white where the flange meets the breast and after pumping the nipple and areola are very dark purple. If anyone has any insight into this, we would really appreciate it. Using a Symphony, have changed suction and flange size and are now using glass flanges w/ some relief. No real change with nifedipine and nitroglycerin ointment gave mom a migraine (tried it for 2 days). Maybe it isn't vasospasm, any thoughts? Mom also has OALD if that helps. On the up side the yeast and her baby's suck seem to be improving and baby has started nursing again. She does not seem to get nearly as purple w/ the baby. Thanks, Mandy Frost, MS,RD,IBCLC *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html