Hi all. After a bit of advice. I’ve seen my consultant rheumatologist but got opposing advice from NRAS site online. Myself and my husband want to try for a second baby this year. I was diagnosed with RA 3 months after giving birth to my daughter. She will be 2 in August 2018. I had no RA symptoms prior to this but then it came on so suddenly about 4-5 weeks after giving birth and to say I was in agony from head to toe is an understatement. The RA is still not under control. I have a severe flare up about once a month. I’ve been on methotrexate since Feb last year. Have discussed with consultant that I will come off this in March 3 months before we intend to start trying for a baby. I have gone cold turkey on meds b4 last year just to see if my arthritis had settled on it’s own as there is a school of thought that if it was triggeRed by pregnancy it can sort itself out eventually (mine didn’t and came back with a vengeance). My rheumy has suggested certolizumab. I asked if this is safe to use in pregnancy and she said ‘it’s licensed for use during pregnancy’. On the NRAS site it describes this drug as safe to use whilst trying but women then tend to come off meds. I suggested this to my rheumy and she said if my arthritis flares during pregnancy it can result in problems for the baby such as lower birth weight. I’m feeling very confused as to what to do. I really wanted to come off all meds altogether as I had read that symptoms can subside during pregnancy but it took us over a year to get pregnant the first time so I don’t know how I would manage my RA if it takes a long time to get pregnant again. My rheumy also said that being off meds altogether whilst trying could actually make it harder to get pregnant too as my immune system will be hyper active. Does anyone have experience of has anyone been offered any other advice? I’m really worried about this.