Presentation Information

Dr. Naomi Dow

The Thrush Trap: Re-thinking Nipple and Breast Pain

  • Speaker: Dr. Naomi Dow , BSc (Hons), MBChB (Hons), MRCGP (2016), IBCLC
  • Presentation Type:
  • Duration: 60 Mins
  • Credits:
Abstract:

For decades, the diagnosis of nipple or breast ""thrush"" has been widely applied to lactating individuals experiencing symptoms such as deep breast pain, nipple burning, or skin changes. But how evidence-based is this label? Where did the Candida narrative originate from, and why has it persisted despite limited supporting data?
This presentation critically examines the foundations of the thrush diagnosis through the lenses of anatomy, physiology, microbiology, and pharmacology. It explores emerging research that challenges traditional thinking and highlights recent, evidence-informed updates to clinical guidance. Attendees will be guided through a reassessment of how nipple and breast pain is approached in breastfeeding individuals, with practical implications for diagnosis and management.
By the end, participants will feel empowered to move beyond outdated narratives and toward more accurate and effective care - reducing unnecessary or incorrect treatment and ultimately supporting better lactation outcomes.