Antifungal pessaries are safe to use during pregnancy and are also safe for the mother to use if the baby is being breastfed. There have been no recorded harmful effects on the unborn in animal or human studies when creams or pessaries have been used. If a vaginal cream or pessary is being used small amounts of the antifungal medication are absorbed from the vagina into the circulation. The medication is then conveyed to the liver where it is metabolised. It is then transported through the circulation to the kidneys where it is excreted from the body in the urine. The practice of using vaginal pessaries while breastfeeding is perfectly safe.