Psoriasis during pregnancy

Psoriasis is a chronic autoimmune skin condition that causes red, scaly patches on the skin. Pregnancy can affect psoriasis in a few ways, both positively and negatively.

Firstly, it is important to note that psoriasis does not affect fertility or the ability to conceive, so women with psoriasis can still become pregnant.

During pregnancy, some women experience improvements in their psoriasis symptoms, while others may experience worsening of the condition. This is mainly due to hormonal changes in the body. The increase in estrogen during pregnancy can lead to an improvement in psoriasis symptoms, as estrogen is known to have anti-inflammatory effects. On the other hand, the stress of pregnancy and the immune system changes that come with it can trigger or worsen psoriasis in some women.

There are also special considerations for psoriasis treatment during pregnancy. Some medications commonly used to treat psoriasis are not recommended during pregnancy, as they can be harmful to the developing fetus. For example, methotrexate, which is a common treatment for severe psoriasis, can cause birth defects and should be avoided during pregnancy. Similarly, biologic agents, which are newer medications that target specific aspects of the immune system, should also be used with caution during pregnancy.

However, there are still treatment options available for women with psoriasis who are pregnant or planning to become pregnant. Topical treatments such as corticosteroid creams and ointments are generally considered safe during pregnancy and can help alleviate mild to moderate psoriasis symptoms. Phototherapy, which involves exposing the skin to controlled doses of ultraviolet light, can also be safe and effective for some women with psoriasis during pregnancy.

Overall, women with psoriasis who are pregnant or planning to become pregnant should work closely with their healthcare provider to develop a treatment plan that is safe and effective for both themselves and their developing fetus.