Pregnancy, Postpartum, & Psoriasis
Pregnancy is a time of excitement, anticipation, and change—especially when you’re managing a chronic condition like psoriasis.
Many people are surprised to learn that pregnancy can have unpredictable effects on psoriasis: for some, symptoms improve, while for others, flares may become more troublesome or persist after delivery. The hormonal shifts that occur during pregnancy and after childbirth play a major role in these changes, and every journey is unique. Some expectant mothers experience a welcome reprieve as their skin clears or symptoms lessen, but about a quarter will see their psoriasis worsen, and others may not notice any change at all. The postpartum period, with its hormonal roller coaster and new routines, can also trigger changes—sometimes resulting in a flare of psoriasis symptoms after the baby arrives.
Navigating pregnancy and postpartum with psoriasis requires a careful, personalized approach to treatment. While some topical therapies remain safe during pregnancy, many oral or injectable medications (including some biologics and systemic treatments) are not recommended due to potential effects on the developing baby. It’s essential to work closely with both your dermatologist and your obstetrician to select the safest and most effective options for you and your baby. Moisturizers, fragrance-free emollients, and certain low- to moderate-strength topical corticosteroids are often considered first-line for mild psoriasis during pregnancy. XTRAC® laser therapy might also be discussed as a safe and effective option during pregnancy. For more severe cases, your care team may discuss the potential risks and benefits of specific medications, always prioritizing both maternal and fetal health.
Breastfeeding mothers with psoriasis also have unique considerations, as some medications may pass into breast milk. In most cases, gentle skincare and moisturizers are safe, and topical steroids can be used with guidance—avoiding application to areas that might come into contact with the baby. Open communication with your healthcare providers ensures that your treatment plan remains safe and effective throughout pregnancy, postpartum, and breastfeeding.
Living with psoriasis during this important chapter can feel daunting, but you’re not alone. If you’re planning a pregnancy, currently pregnant, or navigating postpartum with psoriasis, schedule a medical appointment. We’ll help you create a tailored treatment plan that prioritizes both you and your growing family!