with MS who want to have children should talk to their doctor before trying to
become pregnant and should think about the following:
Men with MS may need help to overcome erectile or ejaculatory
Some medicines used to treat MS should not be used during
pregnancy, and some should not be used during breast-feeding. If you are taking
medicine for MS, use reliable birth control until you decide to try to become
pregnant. Talk to your doctor about when to stop taking the medicine. In some
cases, your doctor may suggest that you wait to start trying to get pregnant
until a relapse has ended and you are not taking medicine.
symptoms common in pregnancy and after the baby's birth can be made worse by
MS. These include depression and fatigue. Plan for any help you may need to
manage your work, household, and other children during pregnancy and for the
first few months after the baby is born.
The baby may be slightly
more likely to develop MS later in life than a child born to parents who do not
Think clearly, and talk with
your partner and doctor about the future. Some people with MS become disabled
over time. Because of this, some couples decide not to have children or to have
fewer children than they might have otherwise. Other couples don't change their
plans for a family after they learn about MS.
obstetrician to care for you through your pregnancy
and delivery. Find one who is willing to work closely with the doctor who helps you
manage your MS. Because fatigue, depression, and medicine use during
breast-feeding are all issues to think about after the baby is born, you may
also want the
pediatrician you choose for your baby to be aware of
Constipation. Weakness and spasms in the bowel and a low
level of physical activity are common in people who have MS and can lead to
Pressure sores. These can develop when
a person has to sit or lie in bed for long periods of time, especially if the
person is unable to change positions.
Reduced ability to move and
walk, which makes it necessary to use a wheelchair some or all of the
should not interfere with most routine health care procedures, such as dental
anesthesia, general anesthesia (except if you have respiratory problems), and
vaccinations, including flu shots. But it is not clear whether the nasal
spray flu vaccine (FluMist) is safe to use when you have MS. The nasal spray
vaccine should not be used by people who are taking medicines that suppress the
immune system (immunosuppressants), such as mitoxantrone, cyclophosphamide, or
methotrexate; people who have problems with their immune systems; or people
who have long-term health problems.