The first step in treating thrush is to get an accurate diagnosis from your healthcare provider. There is no reliable lab test for thrush. If your doctor diagnoses thrush, it is essential for both you and your baby to be treated for thrush at the same time, even if only one of you has symptoms. Yeast is easily spread and thrives in warm moist environments such as your baby's mouth and your nipples.
Thrush on the nipples can be very difficult to treat and should be done with the guidance of a healthcare provider. There are many treatment options from topical anti-fungal creams to anti-fungal oral medication; your doctor can help you decide the correct treatment to choose. An alternative health care practitioner, such as a naturopathic doctor, can provide guidance with the use of nutraceuticals and homeopathy. The most important part of treatment for thrush is to complete the treatment, even after your nipples begin to feel better. Tell your doctor if you are not feeling better within the first week of treatment. You can find more information in Information Sheet #461 Thrush & the Breastfeeding Family (revised 2016), or contact a La Leche League Leader.