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Addison Disease & pregnancy?


My sister-in-law who is 36 years old and pregnant has Addison Disease. Does anyone knows about the risks of this condition in pregnancy and the outcomes. I have been reasearching for good websites on the matter but all of them just give me very brief information. I really want to help her because she lives abroad and i don't thinks she realizes how serious her situation is.
Any help is appreciated.

From what I can tell the biggest difficulty is coping with the required change in medication regime during the pregnancy and especially after the birth. As your sister-in-law's hormones require artificial replacement, extra stresses (childbirth, late-night feedings, etc) would require extra doses of steroids to match. I think she'll want to keep in close contact with her endocrinologist to ensure everything's going smoothly, as well as having her family and herself watching for behavioural changes indicative of low steroid levels. In terms of outcomes, with proper care and monitoring, the birth should be fine, and Addison's itself is rarely inherited.

Hope this helps a bit, and best of luck to her!

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