A 39-year-old male asked:
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my wife is 37 and has multiple sclerosis. she wants to get pregnant but i'm afraid that stopping her medication will do her harm. is it safe?

4 doctor answers
Dr. Addagada Rao
55 years experience General Surgery
Yes: On the contrary ms will reduce the exacerbations , complications rate is same as non ms patients including postpartum issues, how ever need a team of collaborating physicians during pregnancy to carry through , when to take or to stop medications , speak to her doctor. Good luck.
Answered on Apr 12, 2013
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Dr. William Gaya
28 years experience Neurology
Multiple sclerosis: It is a concern. Removing certain medications can increase the relapse rate immediately after stopping the medication (immune reconstitution syndrome). This is not seen with the older "platform" therapies. Copaxone (glatiramer) is category b for pregnancy. Nevertheless, all my patients have opted to stay off medication during their pregnancies. Good thing is relapse rate is reduced during 2-3rd trimester.
Answered on Jun 24, 2014
Dr. Liza Kunz
Dr. Liza Kunz answered
20 years experience Maternal-Fetal Medicine
Preconception appt: It sounds like your wife should make appointments with her neurologist, and her ob, to discuss the risks, and outline a plan for how they would manage her during pregnancy. Ms patients typically do well if their disease is well controlled prior to pregnancy.
Answered on Apr 20, 2013
Dr. Bennett Machanic
51 years experience Neurology
Pregnancy protects: MS stabiilzes in most cases during pregnancy with decreased disease activity until about 6 weeks after labor and delivery. Depending upon your medication, need to stop prior to conception, but no reason why she cannot have a child.
Answered on Sep 29, 2016

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