How can women with allergic rhinitis during pregnancy be treated if they suffer from it? Allergic rhinitis, also known as allergic rhinitis, is what many people are still used to calling allergic rhinitis. The main symptoms of allergic rhinitis are nasal itching, nasal discharge, nasal congestion, sneezing and reduced sense of smell, etc. There are four main aspects of treatment: allergen avoidance, medication, immunotherapy and surgery. All people are suitable for the principle of “avoiding allergens”, but there is a big difference in “medication and immunotherapy” for different people, and surgical treatment can be considered for cases where medication is not satisfactory. Today we will briefly study the treatment of allergic rhinitis during pregnancy. According to epidemiological data, about half of the patients with allergic rhinitis before pregnancy have no significant change in their nasal symptoms, while more than 30% have improved symptoms and less than 20% have worsened symptoms. What is the treatment for allergic rhinitis in pregnant women, as a special group? Treatment of allergic rhinitis during pregnancy The treatment of allergic rhinitis should follow a stepwise approach, that is, according to the classification (intermittent/continuous) and degree (mild/moderate/severe) of allergic rhinitis, treatment should be carried out with antihistamines, glucocorticoids, etc. in a progressive manner, from mild to severe. Women with allergic rhinitis during pregnancy should also follow the above principles. First of all, they should avoid allergens, use saline nasal rinses, etc. The use of medication and immunotherapy should be weighed against the effects on the pregnant woman and the fetus with due consideration of the pros and cons. To date, no medication is absolutely safe for use in patients with allergic rhinitis during pregnancy, but there are medications that can be used by weighing the pros and cons. The main pharmacological treatments for allergic rhinitis are antihistamines and intranasal hormones. Drugs commonly used for allergic rhinitis in pregnancy: chlorpheniramine (class B), loratadine (class B), and cetirizine (class B), all of which are class B, are clinically available. Second-generation antihistamines (loratadine, cetirizine, etc.) are preferred because they have no drowsy side effects and are safer. The shortest course of oral antihistamines should be half a month. Nasal hormones such as budesonide (budesonide nasal spray) belong to Class B and fluticasone (fluticasone hydrochloride nasal spray) belongs to Class C. Both instructions do not specify that they are contraindicated in pregnant patients, but the instructions for fluticasone propionate nasal spray state that pregnant and lactating women should consult their physician or pharmacist when applying this product. On balance, both are available, and the most clinically used should be budesonide. Avoid oral hormones unless they are life-saving. The adverse effects of oral hormones are large, and relatively speaking, nasal hormones are safer. The course of nasal hormone therapy should be at least one month. The specific course of treatment needs to be chosen at discretion. As for immunotherapy, the guidelines clearly state that it is contraindicated in women during pregnancy. In addition to medication, nasal saline rinses can improve symptoms, cleanse the nasal cavity, and restore the function of the nasal mucosa. Saline or 1-2% hypertonic saline is recommended and is safe for use in pregnant patients. In conclusion, allergic rhinitis during pregnancy does not mean that medication cannot be used, but it should be used selectively.