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Planning a pregnancy with fibromyalgia: What to expect?

Published 14 Aug 2023 • By Polina Kochetkova

Any person’s decision to start a family is exciting and transformative. However, it poses special problems and concerns for fibromyalgia-affected women. A chronic pain syndrome called fibromyalgia is characterized by widespread musculoskeletal discomfort, exhaustion, sleep disorders, and cognitive challenges.

Planning a pregnancy while suffering from fibromyalgia demands careful planning and knowledge of the condition's potential effects on both the mother and the unborn child. In this article, we'll discuss what to anticipate when preparing for pregnancy while dealing with fibromyalgia and offer helpful tips and guidance for handling this journey.

Discover in this article!

Planning a pregnancy with fibromyalgia: What to expect?

Definition of fibromyalgia

A condition known as fibromyalgia is characterized by widespread musculoskeletal discomfort and tender spots that hurt to touch. Along with this chronic pain come sleep issues, extreme exhaustion, and mood swings.

A fibromyalgia symptom that never goes away is pain. Furthermore, the apex of the spinal column, the lower back, and the cervical spine may also be impacted. Additionally, it can be felt in pressure sites in the elbows, knees, hips, shoulders, and trapezius muscles. These delicate areas are distinctive to the condition since they are consistent from patient to patient.

There are multiple and recurring fibromyalgia triggers. Physical trauma (like whiplash) or a fall are two examples of them, but they can also include emotional shock, grief, stress, or a change in one's personal or work circumstances.

Preparing for pregnancy with fibromyalgia

It is crucial to talk with your healthcare team, including your rheumatologist, obstetrician, and any other experts engaged in your care, before beginning your journey to become pregnant. Disclosing your existing fibromyalgia symptoms and treatments, as well as your wish to become pregnant, is important.

To ensure your health during pregnancy, your medical team will assess your condition and develop a specific preconception strategy. They may alter your drug regimen, suggest lifestyle modifications, and offer advice on how to control fibromyalgia symptoms while pregnant. Some important factors to consider when planning a pregnancy with fibromyalgia are:

Fertility considerations

Fertility may be impacted by fibromyalgia, while there isn't a lot of research on this topic. Consider consulting a fertility expert for advice if you're having trouble becoming pregnant to look into your choices.

Management of medication

Preparing for pregnancy while living with fibromyalgia requires careful medication management. Some drugs used to treat the symptoms of fibromyalgia might not be safe to take while pregnant because they might harm the growing fetus. Your medication plan might be adjusted by your healthcare providers, who might switch out some medications for safer ones or lower dosages. To protect your health and the well-being of your unborn child, it is crucial that you respect their advice.

Support and emotional well-being

Especially for women with chronic diseases, getting ready for pregnancy can bring up a range of emotions. Put your emotional health first and surround yourself with a strong support network. Participating in counseling or therapy might help you deal with any emotional difficulties that come up during your journey. Joining support groups can be a great way to exchange stories and get advice from people who have successfully managed fibromyalgia during pregnancy.

Having a pregnancy with fibromyalgia

It takes a combination of courage, self-care, and open communication with medical specialists to carry through a pregnancy while suffering from fibromyalgia. Women with fibromyalgia can have a healthy and enjoyable pregnancy experience, even though it may present special challenges. Embrace your inner strength, place a high priority on your health, and ask for help from family members and other women who have experienced similar difficulties.

Each woman's fibromyalgia symptoms can be affected by pregnancy differently. While some people's discomfort and fatigue may momentarily ease, others may endure more severe symptoms, particularly in the first and third trimesters. It's critical to be informed of these possible changes and to be open with your medical staff. They can offer suggestions for secure pain management during pregnancy and assist you in controlling any flare-ups.

Making changes in your way of life might greatly enhance the management of fibromyalgia symptoms while pregnant. Consider the following lifestyle factors:

A well-balanced diet high in fruits, vegetables, whole grains, lean proteins, and healthy fats is recommended as part of nutrition. Avoid processed foods and excessive sugars, which can aggravate fatigue and inflammation. Exercise regularly, preferably in low-impact activities like swimming, walking, or prenatal yoga. Your muscles can become stronger with exercise, and it can also increase flexibility and improve your general health. Before beginning any fitness program while pregnant, always check with a medical expert.

Pregnancy can be stressful, particularly for fibromyalgia sufferers. Reduce stress and improve the quality of your sleep by incorporating relaxation techniques like mindfulness, deep breathing exercises, or mild massages.

Post pregnancy recovering with fibromyalgia

For each new mother, the postpartum time may be both joyful and difficult. Due to interrupted sleep patterns and the physical demands of caring for a baby, it is imperative for women with fibromyalgia to be prepared for potential flare-ups at this time.

Fibromyalgia may cause increased pain and fatigue during the postpartum period due to sleep disturbances and the physical demands of caring for a newborn. Prioritize pain management strategies recommended by your healthcare team, such as gentle exercises, heat or cold therapy, and over-the-counter pain relievers deemed safe during breastfeeding. Restorative sleep is crucial, so try to nap when your baby does or enlist the help of a loved one to care for the baby while you rest.

For many women, breastfeeding can be a pleasurable experience, but those who have fibromyalgia may have difficulties. Due to the breasts' increased sensitivity and pain sensitivity, some fibromyalgia patients find breastfeeding painful. Formula feeding can be a good substitute that enables you to prioritize your health while still making sure your baby is well nourished.

As you recover, remember to pace yourself when resuming daily activities. Start with small tasks and gradually increase your level of engagement. Avoid pushing yourself too hard or comparing your recovery with others. Each woman's post-pregnancy journey is unique, and it's essential to prioritize your well-being above all else.

Key takeaway

Although there may be additional factors, having fibromyalgia does not preclude a woman from getting pregnant.

Ask your doctor whether there is any specific support available if you are pregnant or intend to become pregnant.

You can move through this transformative period with assurance and grace by paying attention to your body, managing pain and exhaustion, and placing a high priority on mental well-being. Keep in mind that you aren't going it alone, and with the help of your family, friends, and medical professionals, you can welcome motherhood with the love and care it deserves.


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avatar Polina Kochetkova

Author: Polina Kochetkova, Health Writer

Polina is a content creator at Carenity, specialised in health writing. Polina is pursuing her bachelors in fashion marketing from IFA Paris University and in her spare time loves to play tennis and listen to music.

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