Hormonal Influences

A worsening or aggravation of existing symptoms, or even the emergence of new ones just before the menstrual cycle, followed by an improvement during menstruation or immediately following, can happen. Some of the change may be related to changes in core body temperature as happens with ovulation.

During pregnancy it is observed that MS can often seem to remit with an improvement in symptoms and the disappearance of relapses. There is however a slight increased risk of relapse in the first three months immediately postpartum.

Management

In extreme cases, consultation with a gynecologist may be helpful.

Key Healthcare Professionals

• Family physician
• MS nurse