Almost all MS patients go into remissions during pregnancy. Relapse rate, however, is high in the first 90 days after delivery. In the course of a woman’s life, the number of pregnancies does not adversely influence the course of MS and in fact, one study showed that the risk of MS is less among women with more pregnancies. Also, fertility and is no different among patients with MS. Lastly, most disease-modifying treatments are “category C” in pregnancy, which means that there are not enough studies to be sure that there are no adverse effects on the fetus. Patients generally have a low awareness of the need for birth control while on these medications.
Jack Florin, MD
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