K.,
It sounds like you are not currently pregnant, so...
I have fibro and stayed on my meds throughout pregnancy. I am on a very low dose of nefadozone to regulate my sleep cycles. Unfortunately, I discovered during my 2nd trimester (with my first and only child) that I also have Multiple Sclerosis (found out because I had a flare). I really didn't notice any issues w/the fibro, but I was pretty distracted by the MS symptoms I was having. I went through labor w/out meds (not on purpose; long story) and was fine. People w/ fibro have brains that overeact to pain stimuli, but we also have unusually high tolerance for pain. Studies have shown both of these points to be true. My concern for you is the way you phrased your question, that your husband wants to expand your family. Do you? Fatigue is a real issue with young kids, not only because they can be exhausting, but also because they cannot understand why mommy sleeps so much, etc. I would never say to anyone with fibro not to have kids. At the same time, I am wondering how much your husband is willing to commit to taking on a large portion of caring for a new baby. Can you afford to leave your job, and do you even want to? My MS adds even more fatigue, but luckily my husband is a very involved dad. However, I have to warn you that it really hurt when my son always called for his dad when he had a scary dream, etc. My husband had always been the one to get up in the middle of the night and in the morning with him to allow me more sleep so that I could minimize the chances that I would flare. We sold our house when our son was two, and he took the realtor for a tour and pointed to the kitchen and said it was daddy's room and pointed to our bedroom and said it was mommy's room. That stank. I have since been put on stronger anti-fatigue meds, which have helped, and my son now comes to me as much as his dad. He has understood since he was about 4 that I have an illness that makes me unusually tired. Also, it's hard to have the patience a little one requires when you are so tired. If *you* want a baby, I'm sure you will find a way to overcome all of this, and, while going off your fibro meds could be an issue (if you have to go off of them), doing so will not cause you any long term disability, etc. I very much wanted to have a baby -- he was my first, and I managed to deal with these issues. However, if it's really more your husband who wants a new baby, I would definitely think twice. Originally my husband and I wanted to have two kids. However, we agreed that we should focus the little energy I have on the child we already have. Then again, everyone's situation is different, and with MS I really have to manage disability progression. I guess what I'm trying to say is not to have another child if you would be doing so primarily because your husband wants you to. If you want a new baby just as much, go for it, and see if you really have to go off your meds or if you could just reduce the dose. In addition to my OB, I saw a doc that does nothing but work with these kinds of meds. He knew them inside out and was able to tell me that the only reason that any docs had concerns about me was because there was a single case of a baby with failure to thrive, and that mom had been on a far higher dose than I (more than twice as much per dose and two times a day, whereas I took mine only at night) and that they had not proven that the drug caused this one case. My son is now a happy, healthy 5.5 year-old.