About the Author
Dr. Emmal is a long-term sufferer of fibromyalgia. She currently resides in Vancouver, B.C.
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Pregnancy
If you are of childbearing age and want a family,you probably have many questions concerning how fibromyalgia will affect your pregnancy, perception of pain and your sexuality. Unfortunately,there has been almost no research conducted on these aspects of fibromyalgia and female sexuality. The only journal article published on this topic concludes that pregnancy worsens FMS symptoms, especially during the last trimester. Pain medications you have routinely been taking for FMS may need to be adjusted or even discontinued before conception. Discuss medications with your physician before you try to become pregnant so that you will not be taking drugs that could be harmful to the fetus. Increasing exercise, however, is a natural and safe way to affect your perception of pain. After giving birth, estrogen levels drop, causing a deficiency of serotonin. Postpartum depression can be triggered by the decrease in these mood-altering chemicals and should be brought to the attention of your doctor. Most symptoms will improve within six months after birth, and babies born to mothers who have fibromyalgia appear to be healthy in every way.
Your fitness level will greatly affect the course of your pregnancy. In fact, you will need to be as fit as possible even before conceiving. There are various types of exercise that you can do during pregnancy and after birth. An excellent book is 'Easy Exercises for Pregnancy' by Janet Belaskas. Most of the exercises involve gentle stretching. You may wish to do some of them on a bed rather than on the floor. This book includes a good discussion of pelvic floor muscle exercises (Kegels), which are essential both during and after pregnancy. They will support your expanding uterus and give you the strength to push effectively during labor. They will also prevent stress incontinence during your pregnancy when your enlarged uterus presses against the bladder. Contraction of the pelvic floor muscles during orgasm may actually assist you in becoming pregnant, as it is believed that the contractions of the uterus during orgasm may help propel sperm from the uterus into the fallopian tubes, where it will fertilize an egg.