Multiple sclerosis (MS) medications can slow disease progression and reduce relapses, but choosing a treatment can be more challenging for women. Some MS medications are risky during pregnancy and might weaken bones or reduce libido. While managing MS symptoms, it's important to avoid causing new problems. Neurologists, gynecologists, and other specialists can help find solutions to MS medication issues while ensuring good disease control. MS shouldn't stop you from having a healthy pregnancy and delivery, but you need to balance the risks to the baby of continuing MS medications against the risks to yourself if you stop treatment. Most birth control methods are safe for women with MS, but some MS medications may reduce the effectiveness of certain contraceptives. When using hormonal birth control, you may need a backup method like condoms. Women with MS have a higher risk of osteoporosis, and long-term use of steroids and antidepressants can increase bone loss. Your doctor might recommend a bone density scan and possibly switching medications to protect your bones. Focusing on a healthy lifestyle, such as consuming more calcium and vitamin D, regular exercise, and avoiding smoking and excessive alcohol, can further protect bone health.