IVF on Steroids: The Dangerous Off-Label Use of 'Dex' During Pregnancy
By Alice Dreger,
The Atlantic
| 01. 16. 2013
When Susan Manning, a 39-year-old woman just a few weeks into her first pregnancy, wrote to tell me she had been put on the steroid dexamethasone to prevent a miscarriage--and to ask whether she should be worried about taking this drug--at first I could not even process what she was saying. Dexamethasone is known to cross the placental barrier and impact fetal development, so the very idea of first trimester exposure sets off warning bells. Besides, dexamethasone is not known to help in preventing miscarriage. Susan's story sounded too crazy to be true.
It also sounded too close to the history of DES (diethylstilbestrol). From the 1940s through the 1970s, some doctors gave pregnant women DES, a synthetic estrogen, to try to prevent miscarriage. In spite of clinical evidence that it didn't work as intended, millions of fetuses were exposed in utero before doctors discovered that prenatal DES exposure could lead to infertility and deadly cancers. Just last week, Eli Lilly & Co.
settled a suit brought by four sisters who believe their breast cancers were caused by prenatal DES...
Related Articles
By Fyodor D. Urnov and Sadik H. Kassim, Nature | 04.21.2026
In February, the US Food and Drug Administration (FDA) proposed a radical rethink of how scientists, physicians and manufacturers develop personalized genetic therapies. The regulator’s suggested introduction of a ‘plausible mechanism pathway’ should increase incentives for drug companies to develop...
By Miguel Muñoz, Cadena SER | 08.04.2026
"Para ellos, una familia numerosa no solo es una preferencia personal, sino que es una obligación. Creen que tener tantos hijos como sea posible es necesario para evitar un futuro apocalíptico", aseguraba Xavier Orri, periodista y cofundador de Página Internacional...
By Mary Hartnett, WFYI | 03.30.2026
"1907 Indiana Eugenics Law" via Wikimedia Commons | CC by-SA 4.0
Indiana was the first government in the world to pass a eugenic sterilization law. The state sterilized 2,500 people from 1907-to-1974. Indiana apologized for implementing the program...
By Sarah Elizabeth Richards, Scientific American | 04.02.2026
For the past two decades, fertility specialists have wrestled with a troubling question: Why do Black people have lower live birth rates after in vitro fertilization (IVF) treatment than white people?
Researchers have proposed several explanations, such as the fact...