Is your nipple feeling sore, cracked, or unusually shiny? If you’re breastfeeding, you might be dealing with nipple thrush, a fungal infection affecting breast tissue. While many are familiar with thrush symptoms in infants—like white patches in the mouth and irritability—nipple thrush is less often discussed, despite being quite common among nursing mothers.
Here’s a rundown of nipple thrush from someone who’s experienced it firsthand.
What is Thrush?
Thrush commonly refers to an infection caused by the Candida fungus, typically affecting the mouth or mucous membranes. However, it can also develop on the skin, including the nipples.
How Does It Happen?
The specific triggers for thrush remain uncertain, but factors like antibiotic use can disrupt the body’s natural balance, allowing the fungus to flourish. Conditions such as diabetes, smoking, or the use of corticosteroids may increase the risk. Interestingly, even healthy individuals can contract it.
If you’ve experienced itching or a whitish discharge down south, you’ve likely encountered vaginal thrush or a yeast infection; nipple thrush, oral thrush, and vaginal thrush are essentially variations of the same fungal issue.
Transmission of Thrush
Thrush isn’t contagious in the traditional sense, but it can be transferred between individuals through close contact, such as kissing. This means that if your baby develops thrush, you could also end up with it on your nipple.
Signs and Symptoms
The symptoms of nipple thrush can vary, but many women report significant pain—often sharp and radiating from the nipple into the breast. My own experience included extreme itchiness and dryness, leading to bleeding during feedings. Other common signs include:
- Itching
- Burning sensations
- Redness and swelling
- Peeling skin or blisters
Treatment Options
While it sounds daunting, nipple thrush is treatable. The Academy of Breastfeeding Medicine recommends using nystatin as the first line of treatment, along with topical antifungals. In some cases, a gentian violet solution may be applied, or oral antifungals prescribed.
It’s essential for both you and your baby to receive treatment simultaneously since yeast thrives in warm, moist environments. Regularly cleaning anything that touches your skin or your baby’s mouth—like nipples, pacifiers, and breast pump parts—is crucial. Boiling items that go into your baby’s mouth for 20 minutes daily can help, as can washing toys in hot, soapy water.
Can You Continue Breastfeeding?
Yes, you can continue breastfeeding despite having thrush, though it can be quite uncomfortable. Here are some tips to ease the experience:
- Ice your breasts before feeding to numb the area.
- Start with shorter feedings on your least painful breast.
- Use over-the-counter pain relief like ibuprofen.
- Apply nipple cream for relief from itching and cracking.
- Consider pumping, though results vary; it may be painful for some.
For more tips about managing thrush while breastfeeding, check out this helpful resource on our other blog post here. You can also find authoritative information about home insemination at Make a Mom and invaluable insights on donor insemination at the American Pregnancy Association.
Potential Search Queries
- How to identify nipple thrush
- Breastfeeding with thrush symptoms
- Nipple thrush treatment options
- Signs of thrush in breastfeeding mothers
- Can you breastfeed with thrush?
In summary, nipple thrush can be a painful and uncomfortable condition for breastfeeding mothers. However, understanding the symptoms, treatment options, and ways to manage breastfeeding during this time can help you navigate this issue more easily.

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