The management of neuroimmunological disorders in women of childbearing age presents complex challenges across the reproductive spectrum. The goal of this Focused Workshop was to gather European and international experts in the field to explore the latest evidence and clinical strategies for managing family planning, pregnancy, and breastfeeding in patients with Multiple Sclerosis (MS), Neuromyelitis Optica Spectrum Disorder (NMOSD), and Myelin Oligodendrocyte Glycoprotein Antibody-associated Disease (MOGAD).
During the event, participants exchanged perspectives on practical guidance for family planning in general, including medication safety, relapse risk mitigation, hormonal influences, and shared decision-making with patients. Future directions of research were discussed discussed and recommended.
After expert-led sessions and interactive case presentations, the workshop featured discussions that will support a structured Delphi consensus voting process involving all participants, aimed at developing expert-agreed recommendations for reproductive counseling and treatment strategies in these patient populations. This ECTRIMS Focused Workshop was an essential step in laying the groundwork for a clinical guideline that reflects both current evidence and multidisciplinary clinical experience.
Through this collaborative effort and the resulting guideline, the 2026 Focused Workshop will empower and guide clinicians to provide individualised, evidence-based care for women navigating these pivotal life stages while living with these neuroimmunological diseases.