Anne, For the OB doctor who wants to see studies documenting yeast in the breast, and who feels diflucan (fluconazole) is too strong to use during nursing: Have him order 500 copies of Kay Hoover's 1996, 4 page handout on "The Link Between Infants' Oral Thrush and Nipple/Breast Pain in Lactating Women." After he reads about the predisposing factors (such as antibiotic treatment) and detecting the presence of nipple and breast candidiasis (including reports of shooting, burning pain that continues after feedings, and that may occur even with an asymptomatic baby), and a range of possible treatments (including the dosages for fluconazole), and a list of up to date references, he will have a wonderful handout with 2 full color pages of illustrated instructions for the mothers in his practice, all at a considerable cost savings over purchasing of individual copies. (And cheaper than you can copy it yourself, although Kay Hoover gives permission to do so). You can get these from Kay Hoover, IBCLC. The handout has her address and phone number on it, but I think I can't give it out here, according to Lactnet rules. E-mail me privately if you would like it. We ordered a large quantity for our state breastfeeding coalition, and have divided them up so we can supply them to our own area pediatricians, pharmacies, and directly to mothers. Anne Altshuler, RN, MS, IBCLC and LLL leader in Madison, WI [log in to unmask]