Botox and trying to conceive a girl?

[jess19xo]

Hello everyone! I'm new to posting, but have been lurking for months. I have 3 boys and this is our first month trying to conceive our 4th (we are swaying pink). I am on the first day of my cycle and usually ovulate around CD14-16. I've been reading for months and feel very prepared for my girl sway, but am asking my first question for something totally unrelated.

I've had botox for years and received my injections today in my forehead and around my eyes. For some reason, I never thought about it being a risk PRIOR to ttc, so didn't give it second thought before going in to my appointment. I met a friend afterwards that was shocked I would do it prior to trying this month as it would be in my system. I figured since botox is localized to the forehead area, it wouldn't pose any risk to a fetus. My derm didn't ask me if we weren't trying, either. Have I done something to put any future baby in danger? If so, we will delay trying. I want to take no risks, but also can't wait too long (I'm 37). Can someone please provide any educated input? I tried looking online, but the feedback is mixed.

[XXforhubby]

Botulism toxin A injections are a pregnancy category C. Studies done in rats and mice suggest intramuscular injections may cause fetal harm. I would consider taking a pass this cycle, if you are close to ovulation.

🤞🏻and good luck to you!!


[emoji170]8/2010 [emoji170]6/2013 [emoji170]11/2015 [emoji170]
[emoji178]Baby Girl [emoji254]EDD 9/30/2017 [emoji178]

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[maximbella]

Following this...I've also done botox! Yikes!

[maximbella]

Aughhh xx, the more I think about this, the more it freaks me out! I too get Botox, and I too didn't think much of it (literally kicking myself right now!!!). Please do not tell me I need to also skip a cycle... As you know, I'm starting clomid in a few days and worried that I will get pregnant and the Botox will somehow affect a fetus. Atomic, please help!!!


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[XXforhubby]

As long as you don't get an injection around ovulation time, you should be fine, according to my pharmacist (I'm still friends with my former pharmacy manager). I would stop getting injections while you are TTCing though, from now on.


[emoji170]8/2010 [emoji170]6/2013 [emoji170]11/2015 [emoji170]
[emoji178]Baby Girl [emoji254]EDD 9/30/2017 [emoji178]

https://lmtm.lilypie.com/kIlmm5.png (https://lilypie.com)

[maximbella]

I love that you're friends with your pharmacist...mine has come to know me very well as well! :) Thanks xx, good to hear! Really appreciate it!

[XXforhubby]

Yeah, I used to work for him a few years ago before I moved back to my home town. We still keep in touch, mostly to gossip about the pharmacy we used to work for, haha!


[emoji170]8/2010 [emoji170]6/2013 [emoji170]11/2015 [emoji170]
[emoji178]Baby Girl [emoji254]EDD 9/30/2017 [emoji178]

https://lmtm.lilypie.com/kIlmm5.png (https://lilypie.com)

[jess19xo]

XXforhubby thank you for that information. Do you know what specifically he meant by "around ovulation"? If I'm about 2 weeks from ovulation, is that too close?

Atomic do you have any further considerations on this?

[XXforhubby]

I believe you can still try for this cycle, since ovulation is about 2 weeks away. I would avoid getting any injections after ovulation has occurred. Make sure to take a pregnancy test to be sure before getting any future injections. If it were me, I would avoid getting anymore injections while TTCing since it is a category C.

HTH!!


[emoji170]8/2010 [emoji170]6/2013 [emoji170]11/2015 [emoji170]
[emoji178]Baby Girl [emoji254]EDD 9/30/2017 [emoji178]

https://lmtm.lilypie.com/kIlmm5.png (https://lilypie.com)

[maximbella]

I hope this is the case for me also. I get injections for migraines and have been for the past 2.5 years. I always believed it to be localized to the area and not systemic, but now I'm wondering if it's released into your blood when it's breaking down and could potentially cross the placenta. Atomic, would you suggest moving forward or skipping in my case also? I swear, the worrying never ends! [emoji19]


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[atomic sagebrush]

I think it is fine, but would not have any more injections for a while. Even the absolutely most proven to be bad things (like Retin A) only caused issues a tiny fraction of the time and this is not even proven to cause harm.

IF something was going wrong, at this stage (prior to conception) all that would happen is that pregnancy would not occur anyway. As it was explained to me, exposures to harmful substances early on in pregnancy (which you are not even there yet) are simply pass/fail - the pregnancy just doesn't happen, the cells don't divide right. The real period of risk is when the pregnancy has been established and baby already mostly formed. Then it is possible for something to go wrong, cause a birth defect, and then still the baby will carry on developing, just not normally. (Not that that is much consolation, but I do think most people would rather just have a chemical, if you understand what I"m saying - not trying to be in any way insensitive at all!!)

[maximbella]

Huge thank you for this one. I was starting to overthink and over stress this... I don't take any medications, didn't have an epidural with either birth, really like things organic/natural, etc. It took horrific migraines for me to agree to Botox and I started freaking out that this one time I do something, it would affect the health of a child, something I'm obviously not willing to risk. Thank you for your feedback...


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[jess19xo]

I think it is fine, but would not have any more injections for a while. Even the absolutely most proven to be bad things (like Retin A) only caused issues a tiny fraction of the time and this is not even proven to cause harm.

IF something was going wrong, at this stage (prior to conception) all that would happen is that pregnancy would not occur anyway. As it was explained to me, exposures to harmful substances early on in pregnancy (which you are not even there yet) are simply pass/fail - the pregnancy just doesn't happen, the cells don't divide right. The real period of risk is when the pregnancy has been established and baby already mostly formed. Then it is possible for something to go wrong, cause a birth defect, and then still the baby will carry on developing, just not normally. (Not that that is much consolation, but I do think most people would rather just have a chemical, if you understand what I"m saying - not trying to be in any way insensitive at all!!)

I agree and NO more botox for a long time.

[Georgia_Peach]

I was told to wait at least 3 months after. I waited 6 months. I did not want to risk It!

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[maximbella]

Hi Robin! Did your OB or dermatologist recommend that? It's so interesting to see the spread in recommendations - my OB and dermatologist both said that it didn't matter if prior to conception (just advised not to get during pregnancy). My sister (who is a dr) recommended to wait at least 6 months also (which of course I wish I could do, but can't wait that long).

[Georgia_Peach]

Hi Robin! Did your OB or dermatologist recommend that? It's so interesting to see the spread in recommendations - my OB and dermatologist both said that it didn't matter if prior to conception (just advised not to get during pregnancy). My sister (who is a dr) recommended to wait at least 6 months also (which of course I wish I could do, but can't wait that long).
Yes my dermatologist said that. The one who did the botox and my family dr. However I've read of many people getting pregnant way before that timeframe and the babies are perfectly healthy! Just think of all the celebrities that obviously don't give up botox for 6 months +.


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[maximbella]

Robin, that's a great point!! I'm sure they probably still do Botox and other things during their pregnancy!


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[Pinkmama]

The toxin is in the body for a month. I wouldn't TTC that month


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[jess19xo]

The toxin is in the body for a month. I wouldn't TTC that month


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OK this is no good - I am about to ovulate in a few DAYS. So do I need to skip this cycle or am I OK? Atomic can you provide clarification if I should continue with my attempts or skip this cycle? Botox was 10 days ago.

[atomic sagebrush]

I would have you attempt if you would like to, for the reasons I already mentioned. People can come along and say anything in threads but I stand by my original answer. And for some reason some doctors LOVE making people jump through a million hoops based on zero information but 6 months is just absolute overkill.

Even the absolutely most proven to be harmful things only cause issues a small fraction of the time and Botox is a Class C - not enough info to know (DURING pregnancy, let alone before) A couple studies found no correlation between birth defects and Botox use during pregnancy.

IF something did happen the pregnancy at this stage would simply not work out. Again, the risky time for birth defects is when your pregnancy is established and baby is well on the way of being formed.