Treatment for Cushing's syndrome during pregnancy includes medication and regular monitoring, as hormonal changes during pregnancy can worsen Cushing's symptoms. Cushing's syndrome is caused by high levels of cortisol, and hormonal fluctuations during pregnancy can further affect cortisol metabolism, leading to an increased risk of complications such as hypertension and diabetes.
1. Medication Control: Caution is needed when using medications during pregnancy. Generally, medications with minimal impact on the fetus, such as mepiracil and ketoconazole, are chosen to lower cortisol levels. Dosage adjustments should be made under the guidance of a doctor to avoid adverse effects on fetal development.
2. Regular monitoring: During pregnancy, it is necessary to closely monitor blood pressure, blood sugar, and cortisol levels to prevent complications such as gestational hypertension and gestational diabetes. A comprehensive check-up is recommended monthly, with increased frequency if necessary.
3. Lifestyle adjustments: Maintain a healthy diet, avoid high-sugar and high-fat foods, and increase your intake of fiber-rich foods. Engage in appropriate low-intensity exercise, such as walking or prenatal yoga, to help control weight and blood sugar.
4. Psychological support: Pregnancy complicated by Cushing's syndrome may increase the psychological stress of pregnant women. It is recommended to seek help from a psychologist or professional organization to provide psychological counseling and relieve anxiety and depression.
5. Delivery method selection: Based on the specific conditions of the pregnant woman and fetus, the doctor will assess whether natural childbirth or a cesarean section is suitable. Postpartum, cortisol levels need to be continuously monitored, and the treatment plan adjusted as necessary.
Treatment of Cushing's syndrome during pregnancy requires multidisciplinary collaboration, involving endocrinologists, obstetricians, and psychologists to ensure maternal and infant safety. Strict adherence to regular monitoring during pregnancy is essential, with timely adjustments to the treatment plan to prevent complications. Postpartum, continued monitoring of cortisol levels is necessary, and long-term treatment may be required to maintain a healthy state.