How can someone who has autoimmune disease safely try for a baby?

Sorry to hear about your diagnosis of pemphigus vulgaris. Pemphigus vulgaris is an autoimmune condition where the body produces an antibody against desmoglein, which is the a protein that cements the skin cells together. This results in skin fragility and blisters and erosions on the skin or oral mucosa. The mainstay of treatment for pemphigus vulgaris involves the use of oral steroids and immunosuppressive agents. Oral steroids have long-term side effects and usually fairly high doses of steroids are required to control this .

I’m sorry to hear about your bad skin condition. In life, its always a battle. We always have to weigh our odds in everything we do (or NOT do). Same goes for medication, our first pharmacology lecturer to “choose our poisons wisely”, and very apt indeed. If your flares are causing you a lot of problems, sometimes the benefits of using them might outweigh the “perceived” risks. Certainly, there are potential risks of using oral and cream steroids, but they are meant for short term use.