How to Manage Psoriasis Flares During Pregnancy Safely

When the Glow Comes with a Flare

Ana expected pregnancy to bring glowing skin and excitement. But instead of the "pregnancy glow," she got red, inflamed patches on her back and arms that she hadn’t seen since her early twenties. Her psoriasis, which had been quiet for years, flared up just as she entered her second trimester.

"I didn’t want to take anything that could harm my baby," she said, "but I also couldn’t sleep from the itching."

If you’re pregnant and dealing with a psoriasis flare-up, you're not alone. While some people with psoriasis experience relief during pregnancy, others face unexpected worsening of symptoms. This article will help you understand why that happens and offer safe, doctor-approved strategies to manage flares while protecting your baby.

Disclaimer: This article is for educational purposes only. It is not a substitute for medical advice. Please speak with your OB-GYN and dermatologist before starting or stopping any treatments.

Why Psoriasis May Flare During Pregnancy

Pregnancy creates a tidal wave of hormonal, immune, and emotional changes. While some find their psoriasis goes into remission, up to 23% of women experience worsened symptoms during pregnancy. Why?

• Hormonal Shifts: Estrogen and progesterone levels rise significantly. In some people, this balances inflammation; in others, it seems to provoke it.

• Immune System Changes: Pregnancy suppresses parts of the immune system to protect the fetus, but autoimmune conditions like psoriasis don’t always respond predictably.

• Stopping Medications: Many women pause psoriasis treatments due to safety concerns, which can leave symptoms unmanaged.

To understand more about these body changes, visit our post: Psoriasis in Pregnancy: Symptoms, Risks, and Safe Relief Tips.

Signs of a Psoriasis Flare-Up During Pregnancy

Not all changes in skin during pregnancy are due to psoriasis, so it’s important to track what you’re experiencing.

Common flare symptoms include:

• Thick, red plaques with silvery scales

• Worsening itching or burning

• New spots in areas like the belly or breasts

• Cracking or bleeding patches

• Increased emotional distress due to appearance or discomfort

If you’re unsure whether it’s psoriasis or something else like eczema or PUPPP, consult a dermatologist early.

What to Avoid During a Flare (Especially While Pregnant)

Pregnancy limits some treatment options due to potential risks. Here are products and ingredients to avoid unless specifically approved by your doctor:

• High-potency corticosteroids: These can be absorbed systemically and may not be safe in large amounts.

• Coal tar: Some studies suggest a potential risk of birth defects.

• Salicylic acid (in large quantities): Can be absorbed and may affect the baby.

• Methotrexate or acitretin: These medications are unsafe for pregnancy and should be stopped well before conception.

For more on what to avoid, see Safe Psoriasis Treatments During Pregnancy.

Safe and Effective Ways to Soothe Flares

Thankfully, there are treatments that can provide relief without putting your baby at risk.

✅ Low-Potency Corticosteroids

• These can help control inflammation and are generally safe when used on small areas under medical guidance.

• Always wipe off any residue before breastfeeding or skin-to-skin contact.

✅ Moisturizers and Emollients

• Use thick, fragrance-free creams or ointments twice daily.

• Look for products with ceramides, shea butter, or colloidal oatmeal.

✅ Oatmeal Baths

• Lukewarm oatmeal baths can calm itching without medication.

✅ Phototherapy (Narrowband UVB)

• Considered one of the safest options for moderate psoriasis during pregnancy.

• Always avoid tanning beds or UVA treatments with psoralens.

For more detailed treatment info, refer to Safe Psoriasis Treatments for Pregnancy.

Natural Relief Strategies That Can Help

Many moms-to-be look for natural ways to reduce flares. Here are some gentle, pregnancy-safe options:

🥦 Diet

• Focus on anti-inflammatory foods like leafy greens, berries, and fatty fish.

• Drink plenty of water throughout the day.

🧘 Stress Management

• Try prenatal yoga, breathing exercises, or guided meditation.

• Even 5 minutes a day can reduce flare-related stress.

😴 Sleep and Rest

• Rest is critical for immune balance and flare recovery.

• Use pillows to support comfort and sleep position.

👕 Clothing

• Wear loose, breathable fabrics to reduce irritation.

• Avoid wool or tight-fitting synthetics.

These tips are also helpful postpartum. Read Postpartum Psoriasis: What to Expect After Birth to prepare ahead.

Tracking and Communicating With Your Doctor

Managing flares during pregnancy is all about teamwork between you and your healthcare providers.

Here’s how to stay on top of symptoms:

• Keep a daily or weekly flare journal

• Note triggers, symptoms, relief methods, and any new products used

• Bring your notes to OB or dermatologist visits

Questions to ask include:

• What treatments are safest at my stage of pregnancy?

• Can I continue moisturizers or over-the-counter products?

• Should we consider phototherapy if flares worsen?

Final Thoughts: Relief Is Possible Without Risk

If your psoriasis flares during pregnancy, don’t panic. There are safe, gentle, and effective strategies that can help you feel better without compromising your baby’s health.

Just like Ana, you can work with your doctor to find a path that keeps your skin calm and your confidence high. With the right care, you can enjoy your pregnancy journey and take care of your skin at the same time.

For moms planning to nurse, you may also like: Breastfeeding and Psoriasis: Challenges and Tips.

Looking for herbal-based support to gently manage psoriasis symptoms? Visit www.nopsor-usa.com to explore natural relief options made with care.

Reminder: This guide is for educational purposes only. Always speak with your doctor or dermatologist for a plan tailored to your pregnancy.

References

• National Psoriasis Foundation – Psoriasis and Pregnancy/Breastfeeding
  Offers insights into psoriasis flares, medication safety, and managing symptoms while pregnant.
  🔗 https://www.psoriasis.org/pregnancy-and-breastfeeding/

• La Leche League International – Psoriasis and Breastfeeding
  Useful for understanding treatment safety around pregnancy and postpartum care.
  🔗 https://llli.org/news/psoriasis-and-breastfeeding/