The thing about chronic eczema is that it needs to be treated continuously. If you're lucky, you'll find something that works for a good amount of time. Nothing will work forever, since the body changes and adapts. For me, herbal pills seem to help.
Steroid packs help, of course, but they're not great. Once the pack is finished, the body rebounds pretty hard at times and the eczema comes right back, maybe even worse. Wouldn't it be wonderful if steroid packs had zero negative side effects and could be taken forever? The reality is that they're pretty unhealthy and I try to avoid them as much as possible. What about steroid creams? I gave those up years ago after I lathered myself with them for years. I am quite certain that I permanently damaged my skin around my eyes and mouth (two main eczema-prone spots for me) and will likely look like a 120-year-old by the time I'm 60. Thus, I am super hesitant about using steroid creams.
Insert my pregnancy into the mix. Now I'm unable to take my herbal pills and my eczema has crept into unbearable levels. My dermatologist confirmed the mess on my face is indeed eczema and nothing else. She gave me steroid creams and told me to hold off on the steroid pack, since "it could be worse." (It could be worse! Oh, eczema.) Both steroid creams and steroid packs are category C treatments. In the pregnancy world, category C is a label used for products that have been known to hurt animal fetuses, but enough studies haven't been done to confirm the same for humans. A pregnant woman is advised to only use category C products if the benefits outweigh the risks. Well, damn. Put that way, I'm going to avoid all category C products unless absolutely necessary. I'd rather not sleep well and tear my skin out rather than hurt the growing baby inside me. My dermatologist confirmed the munchkin isn't getting hurt by my flare-up. It's all superficial and only felt by me. Except the not sleeping well, of course.
So I will continue to hold off. If, later on, I'm so unhealthy that it's affecting my pregnancy, I'll reconsider the steroid creams and packs. Even though my OBGYN is okay with my taking the medications, I'd rather stay on the safe side. Scratch, scratch, scratch ...