Most women with FD/MAS who want to have children are able to do so, and most pregnancies progress normally to normal deliveries. There is no evidence that pregnancy will make FD/MAS worse or increase bone pain. Women who have FD/MAS involving the spine, ribs, or pelvis should consider seeing a high-risk obstetrician (maternal-fetal-medicine) during pregnancy.
Women who have a history of precocious puberty continue to have ovarian cysts in adulthood. This may lead to irregular and heavy bleeding. It may take these women longer to become pregnant. Consider seeing a fertility specialist if pregnancy is not achieved after 6-12 months of unprotected sex. For more information, please reference this research article on FD/MAS and fertility.