IH and Pregnancy
Is pregnancy safe for me? What if my symptoms get worse when I’m pregnant?
Can I take medication during my pregnancy?
Since chronic IH strikes many young women, the issue of pregnancy can be complex. But it’s important to remember that each woman is an individual and her experience is uniquely her own.
Some women with chronic IH have uneventful pregnancies. Others have found that their symptoms became worse during their pregnancies, while still others have reported that their symptoms were better.
Pregnancy can also be a time when the symptoms of intracranial hypertension first appear. In certain cases, the disorder resolves or goes into remission after delivery. The sudden weight gain that accompanies pregnancy and its subsequent weight loss could be an important clue but more research is needed to determine the exact relationship between pregnancy and chronic intracranial hypertension.
Diamox (acetazolamide) is officially classified as a Class-C drug, which means its safety for use during pregnancy has not been established. However, many physicians have reported the use of Diamox to treat IH symptoms after the first 20 weeks of pregnancy. A limited amount of published medical literature suggests that Diamox may be safe even if used earlier, but additional information is needed to answer this question. Surgery is not usually a preferred treatment option because of the use of general anesthesia.
Most importantly, if you have chronic IH and are considering pregnancy, speak with your physician or physicians. Most physicians believe pregnancy in IH patients is a manageable situation. With their guidance, you will be able to make the best decision about pregnancy and your health.