Many women use Botox as part of their beauty routine but are willing to sacrifice it when they become pregnant. But for those who use botulinum toxin in the fight against migraines, things are not that straightforward.
If I get Botox for my headaches, can I keep using it during pregnancy?
It may surprise you to know that three out of four women who usually get migraines see a reduction in frequency or severity during pregnancy [1]. So you can try to do without Botox for your headaches while you are expecting.
However, if your migraines return during the second half of pregnancy, you can discuss the matter with your gynecologist and neurologist. You must always weigh the risks and benefits of a medical treatment. For example, we know that botulinum toxin injections help with regular and chronic migraines but are not effective for episodic migraines [2] and may create risks during pregnancy.
How is Botox dangerous for pregnant women?
How botox impacts pregnant women and their babies is not studied. Botulinum toxin is not a vital drug, so it’s not high on the priority list of researchers, and giving Botox to a pregnant woman for the sake of research is not considered ethical. However, scientists have analyzed a few cases where Botox was necessary for pain management, and in most the drug did not affect either the woman or the baby [3].
I am pregnant and want to get a Botox injection. Should I tell my doctor?
You have to disclose your pregnancy to any medical professional who is not aware of it, and they will almost certainly refuse to give you a Botox injection when you do. Doctors have to advise women that Botox may cause complications in pregnancy. The warning is part of the consent form for the procedure. Thus, the responsibility for the consequences lies entirely on the expectant mother [4].
What if I got Botox before I knew I was pregnant? Can it harm my baby?
Most likely, your baby will not be affected by Botox. Animal testing has shown that botulinum toxin does not cross the placental barrier or reach the baby [4]. Make sure to consult your OBGYN about any and all procedures (cosmetic or otherwise) you are considering during pregnancy and lactation.
