Nasal Congestion at 25 Weeks Pregnant
Pregnancy rhinitis — nasal congestion caused by pregnancy hormones rather than a cold or allergy — affects up to 30% of pregnant women. It can start as early as the first trimester and persist until delivery.
👶 What's Happening at Week 25
Your baby is now the size of a cauliflower.
- Nostrils begin to open.
- The nervous system and lungs continue maturing.
- Baby begins to gain weight more rapidly.
🔬 Why You're Experiencing Nasal Congestion at Week 25
- Estrogen and progesterone cause mucous membrane swelling throughout the body, including nasal passages
- Increased blood volume causes swelling of nasal blood vessels
- Not caused by infection or allergens — purely hormonal
- Pre-existing allergies or colds may worsen alongside pregnancy rhinitis
💊 Relief Tips for Week 25
📋 Other Week 25 Symptoms
⚠️ Call Your Doctor If…
- Congestion accompanied by fever, sore throat, or colored discharge (possible infection)
- Congestion with severe facial pain or headache (possible sinusitis)
- Nosebleeds that are frequent or difficult to stop
- Congestion affecting sleep so severely it causes significant distress
Frequently Asked Questions
Is it safe to use a decongestant spray during pregnancy?
Oxymetazoline (Afrin) nasal spray is generally considered safe for short-term use (3 days or fewer). Oral decongestants containing pseudoephedrine or phenylephrine are not recommended, especially in the first trimester.
How long does pregnancy rhinitis last?
Pregnancy rhinitis typically lasts throughout pregnancy and resolves within 2 weeks of delivery.
Can nasal congestion during pregnancy cause nosebleeds?
Yes — increased blood volume and sensitive mucous membranes make nosebleeds more common in pregnancy. They are usually harmless.
Can I tell the difference between pregnancy rhinitis and a cold?
Pregnancy rhinitis causes nasal congestion without fever, sore throat, or body aches. A cold typically includes at least one of these additional symptoms.