Psoriasis in Pregnancy: Symptoms, Risks, and Safe Relief Tips

A Pregnancy Surprise and a Flare-Up She Didn’t Expect

When Ana found out she was pregnant, she expected the morning sickness, mood swings, and midnight cravings. But what caught her off guard was the sudden flare-up of her psoriasis. Her elbows, which had been clear for months, started itching again. She noticed red patches forming on her scalp and legs. Was it the hormones? Stress? Was her psoriasis going to get worse during the pregnancy?

Ana is not alone. Many women living with psoriasis find themselves asking the same questions when they become pregnant: Will my psoriasis get worse? Can I keep using my medication? Will my baby be okay?

This article walks you through what to expect, what to watch out for, and how to manage psoriasis during pregnancy—safely and confidently.

Does Pregnancy Make Psoriasis Better or Worse?

The answer isn’t the same for everyone. Hormonal changes in pregnancy can impact psoriasis differently depending on your immune system.

• About 40-60% of pregnant women with psoriasis actually report an improvement in their symptoms.

• Around 10-20% experience a worsening of symptoms.

• The rest might not notice much change at all.

Why the Improvement for Some?

During pregnancy, the immune system changes to protect the baby. This shift includes higher levels of anti-inflammatory markers, which can calm the overactive immune response that drives psoriasis. In some women, this means fewer flares and smoother skin.

Why It Can Get Worse for Others

For other women, pregnancy can bring added stress, disrupted sleep, and hormone fluctuations that actually trigger flares. If you had to stop a treatment due to safety concerns, your symptoms might come back stronger.

And once the baby arrives? That’s another twist. Postpartum flare-ups are common due to the sudden drop in pregnancy hormone.

Recognizing Psoriasis Symptoms During Pregnancy

Pregnancy comes with many skin changes: stretch marks, dry skin, even pregnancy rashes. So how do you know if it's psoriasis?

Look for classic symptoms:

• Red patches with silvery-white scales

• Dry, cracked skin that may bleed

• Itching or burning in common areas: scalp, elbows, knees, lower back

Some women experience symptoms in new areas, like under the breasts or on the abdomen, as skin stretches and becomes more sensitive.

If you're unsure, always consult your dermatologist. Don’t dismiss changes in your skin—even during pregnancy.

What Are the Risks of Psoriasis During Pregnancy?

The good news? Mild to moderate psoriasis generally doesn’t increase the risk of pregnancy complications. But for women with severe psoriasis, some studies suggest a slightly higher risk of:

• Low birth weight

• Preterm birth

• Preeclampsia

These risks may be more linked to systemic inflammation, or the medications used to treat severe cases. It’s important to maintain open communication with both your OB-GYN and your dermatologist throughout your pregnancy.

Also, managing stress is essential. Stress is a known psoriasis trigger and can also affect your overall pregnancy health.

Managing Psoriasis Flare-Ups Safely During Pregnancy

If you experience flare-ups during pregnancy, there are safe ways to get relief:

1. Keep Skin Moisturized

Dry, itchy skin is your enemy. Use fragrance-free moisturizers, oils, or balms regularly—especially after a shower.

2. Stay Cool and Comfortable

Heat and sweat can worsen symptoms. Wear breathable, loose-fitting clothing and avoid long hot showers.

3. Identify Your Triggers

Hormones aren’t the only culprits. Stress, poor sleep, and infections can all cause flare-ups. Practice relaxation techniques like prenatal yoga or deep breathing.

4. Eat for Skin Health

While there's no psoriasis-specific diet, many women find anti-inflammatory foods helpful: leafy greens, fatty fish, berries, and whole grains.

Psoriasis Treatments During Pregnancy: What’s Safe?

Here’s a quick breakdown of common treatment options and their safety:

Safe Options:

• Moisturizers & Emollients: Always safe and effective for daily use.

• Low-Potency Topical Steroids: Generally considered safe in small amounts.

• Coal Tar (limited use): Can be used cautiously—check with your doctor first.

• Phototherapy (Narrowband UVB): A safe, drug-free option for moderate cases.

Use with Caution:

• Salicylic Acid: Avoid using on large areas of the body.

• Vitamin D Creams (Calcipotriol): Limited use only under medical guidance.

Avoid Completely:

• Methotrexate and Acitretin: These are strongly linked to birth defects.

• Systemic Medications and Biologics: Some may be safe, but always consult your healthcare provider first.

If you’re using Nopsor Shampoo (which contains coal tar and salicylic acid), discuss it with your doctor to determine safe usage levels during pregnancy.

Emotional Health Matters Too

Living with psoriasis can already feel overwhelming—add pregnancy to the mix, and it's easy to feel emotionally drained. Many women experience:

• Anxiety over flares or treatment options

• Frustration from itching or pain

• Isolation from not knowing others going through the same

Join support groups or online forums. Talking to other moms with psoriasis can make a big difference. And don’t hesitate to seek help from a therapist if stress starts affecting your mental well-being.

When to Call Your Doctor

Don’t wait to seek medical advice if:

• Your psoriasis is spreading rapidly or causing severe discomfort

• You notice signs of infection (redness, warmth, pus)

• You feel emotionally overwhelmed

• You have questions about your medications

A good rule of thumb: when in doubt, check it out. Your medical team is there to help.

Final Thoughts: A Healthier Pregnancy with Psoriasis

Psoriasis doesn’t have to take over your pregnancy experience. By staying informed, choosing safe treatments, and getting support when you need it, you can manage flares and focus on the journey ahead.

Like Ana, many women navigate pregnancy with psoriasis successfully. With some planning and the right care, you can too.

Let this chapter be about growth, resilience, and preparation for both you and your baby.

Want more support managing psoriasis naturally and safely? Explore psoriasis-friendly products at www.nopsor-usa.com.

References

1. Murase, J. E., Chan, K. K., Garite, T. J., Cooper, D. M., & Weinstein, G. D. (2005).
   Hormonal effect on psoriasis in pregnancy and post partum.
   Archives of Dermatology, 141(5), 601–606.
   ➤ https://pubmed.ncbi.nlm.nih.gov/17511935/

2. Hale, E. K., & Pomeranz, M. K. (2007).
   Dermatologic disorders in pregnancy.
   American Journal of Clinical Dermatology, 8(6), 341–353.
   ➤ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2699636/

3. Chun, K., et al. (2017).
   Psoriasis and adverse pregnancy outcomes: A population-based study.
   Journal of the American Academy of Dermatology, 76(6), 1213–1219.
   ➤ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5816357/

4. Barrett, M., et al. (2017).
   Phototherapy during pregnancy: What are the risks?
   International Journal of Women's Dermatology, 3(4), 205–209.
   ➤ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5849438/