Is it okay to get pregnant if you are on steroids for adrenal insufficiency?

Yes if... You are well controlled, followed by endocrinologist and high-risk pregnancy obstetrician.
Absolutely. Women with ai can be pregnant and receive the standard ai treatment. If nausea and vomiting in early pregnancy interfere with oral medication, steroid injections may be necessary. During delivery, women are treated with intravenous stress dosing of Hydrocortisone and following delivery, the dose can be gradually tapered to the usual maintenance doses of hydrocortisone. Good luck !