Cushing disease (CD) during pregnancy is a rare but serious condition that can negatively affect both the mother and the developing baby.
Understanding Cushing Disease in Pregnancy
Cushing disease (CD) occurs when the body produces too much cortisol, a stress hormone. While rare in general, it is even less common during pregnancy. This hormonal imbalance can lead to various health issues for both the pregnant person and the fetus.
Why is CD Concerning During Pregnancy?
- Maternal Risks: Increased risk of hypertension (high blood pressure), gestational diabetes, preeclampsia, and infections.
- Fetal Risks: Higher chances of premature birth, low birth weight, and fetal distress.
How CD Impacts Pregnancy
The hormonal changes associated with CD can interfere with normal pregnancy physiology, leading to:
- Difficulty managing blood sugar levels
- Increased blood pressure
- Problems with the immune system
Management and Treatment
If diagnosed with CD during pregnancy, medical professionals will work to:
- Monitor the health of both mother and baby closely.
- Control cortisol levels using medication, if appropriate.
- Consider surgery or radiation therapy after delivery, if necessary.
Symptoms
The symptoms of CD are diverse and can vary between individuals, some common ones are:
- Weight gain, particularly in the face and upper back
- High blood pressure
- Skin changes (thinning skin, purple stretch marks)
- Fatigue and muscle weakness
It is important to note that some of these symptoms might be confused with normal pregnancy changes, which makes diagnosis of CD during pregnancy challenging.
Diagnosis
Diagnosis involves careful examination, hormone level tests, and imaging studies. If CD is suspected, consultation with an endocrinologist specialized in pregnancy care is essential.
