Patient's Query
Hello doctor,
I am a 33‑year‑old woman who received a diagnosis of multiple sclerosis last year. My primary symptoms include numbness in my legs and blurred vision. Although I am currently on medication, I still find myself feeling uncertain about the future. I wonder whether I might eventually need a wheelchair; could pregnancy exacerbate my MS? And what lifestyle changes might help slow its progression? Please help.
Thank you
Hi,
Welcome to icliniq.com.
I understand your concern.
Being diagnosed with multiple sclerosis at 33 can indeed feel overwhelming, especially when symptoms like leg numbness and blurred vision arise. However, the progression of MS varies widely, and many individuals lead active, rewarding lives for years without needing mobility aids.
Early and consistent treatment with disease‑modifying therapies plays a vital role in reducing relapses and slowing disease advancement, thereby helping preserve both mobility and quality of life.
Regarding pregnancy, substantial research, including the PRIMS study, confirms a significant decrease in relapse rates during pregnancy, especially in the third trimester (around a 70 % reduction). The postpartum period can carry a slightly increased risk of relapse, particularly within the first few months, although more recent studies report fewer relapses than earlier data suggested. Overall, pregnancy does not appear to worsen long‑term MS outcomes and may even be associated with slower disability progression.
Lifestyle changes that can help slow MS activity include:
Engaging in regular low‑ to moderate‑intensity exercise to support muscle strength and balance.
Following a nutritious, balanced diet—rich in fruits, vegetables, lean proteins, healthy fats, and vitamin D.
Avoiding smoking, managing stress, and prioritizing good sleep hygiene.
Maintaining routine neurology follow‑ups, symptom monitoring, and adhering to prescribed medication to promote long‑term independence.
I hope this helps.
Kindly revert if there are any queries.
Thank you.
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Answered byDr. Ashraf Ghani
Medically reviewed byiCliniq medical review team
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