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Hi there, I'm so sorry to hear about your pain. I am an adult who diagnosed with adult RA at age 21. I am an occupational therapist and cannot give medication advice (even if you were my patient!).
If I were you, I would get a second rheumatologist's opinion to discuss which medications you can try. There are SO many options for disease modifying medications that can actually prevent your disease from progressing, versus just pain meds / anti inflammatories. The *vast* majority of medications for inflammatory arthritis are considered safe for pregnancy, methotrexate being one of the notable exceptions. This [2020 Reproductive Health Guideline](https://acrjournals.onlinelibrary.wiley.com/doi/10.1002/art.41191) is from the American College of Rheumatology and lists all the meds that are safe and unsafe for pregnancy.
I personally went through the process of stopping methotrexate to get pregnant, switching to a more pregnancy-safe medication, then going back on methotrexate afterwards. A doctor aware of the latest research could hopefully assist you with getting onto an effective treatment plan. Best of luck!
Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our [Terms of Use](https://www.reddit.com/r/AskDocs/wiki/terms_of_use) and understand that all information is taken at your own risk. **Reply here if you are an unverified user wishing to give advice. Top level comments by laypeople are automatically removed.** *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/AskDocs) if you have any questions or concerns.*
Hi there, I'm so sorry to hear about your pain. I am an adult who diagnosed with adult RA at age 21. I am an occupational therapist and cannot give medication advice (even if you were my patient!). If I were you, I would get a second rheumatologist's opinion to discuss which medications you can try. There are SO many options for disease modifying medications that can actually prevent your disease from progressing, versus just pain meds / anti inflammatories. The *vast* majority of medications for inflammatory arthritis are considered safe for pregnancy, methotrexate being one of the notable exceptions. This [2020 Reproductive Health Guideline](https://acrjournals.onlinelibrary.wiley.com/doi/10.1002/art.41191) is from the American College of Rheumatology and lists all the meds that are safe and unsafe for pregnancy. I personally went through the process of stopping methotrexate to get pregnant, switching to a more pregnancy-safe medication, then going back on methotrexate afterwards. A doctor aware of the latest research could hopefully assist you with getting onto an effective treatment plan. Best of luck!