How can I manage eczema while preparing for pregnancy?

Question

Hello doctor,

I am a 27-year-old female with eczema since childhood. Of late, I have noticed severe flare-ups around my eyes, chest, and armpits, particularly worsening just before my period. Could hormonal changes be contributing to this?

I have used steroid treatments in the past, but I am concerned about the safety of applying them for the long term on sensitive areas such as my face and breasts. Are these medications safe to use in those areas?

I am also starting to consider pregnancy and would like to know whether my eczema or the treatments I use could impact a future baby. Please explain, in simple terms, how to manage my eczema safely, mainly now that I am preparing for a possible pregnancy.

Please help.

Thank you for your guidance.

Answer 1

Hi,

Welcome to icliniq.com.

I understand from what you have told me that you have experienced severe chronic eczema. Please do not worry; the actual skin condition will not harm the baby. During pregnancy, sometimes extreme hormonal changes may cause more noticeable itching or flare-ups.

Once necessary evaluations are undertaken and completed, you can safely be initiated on appropriate oral medications if required.

Meanwhile, here are some important skin-care measures that will help in managing your symptoms:

Keep your skin protected, especially in cold or dry weather.
Use mild soaps, shampoos, and skincare products. Make sure to read the labels.
Rinse clothes twice to remove any detergent residue.
Limit showers or baths to once a day for 10 to 15 minutes, with lukewarm water.
Wash with mild cleansers that would not strip your skin's natural oils.
Apply a good moisturizer two to three times per day to the face and body, including directly after bathing.

You may continue with the use of tacrolimus 0.03% ointment on the face for treatment, together with a non-sedating antihistamine like Fexofenadine, after consultation with a nearby dermatologist who will physically examine you and assess the severity of your eczema.

I hope this helps.

Thank you.