My OB and my derm okayed Finacea and Metrogel.

OP, you might find that your skin improves after the hormones calm down in the 2nd trimester. I don't think there's much your derm is going to be able to do for you while you are PG.

OP here- I have had three IPL laser treatments before pregnancy on my face and it did help the rosocea quite a bit. But I would be reluctant to try any laser therapy now while pregnant. PP is right, the hormones right now might make my skin react very poorly to light therapy. I have heard of Finacea, will ask my derm about it. Thanks!

My dr. told me he would never, ever do light therapy during pregnancy. I have uneven pigmentation and very oily skin, and he basically told me I just need to suck it up until after pregnancy. Our hormones are a mess right now and our skin can act badly to light therapy, microderm etc.

My derm does have me on finacea gel, which he says is safe during pregnancy. I think people also use this for rosacea - something you may want to check into. It's helped keep my skin under control.

The perfect solution for you is red light therapy. Not only is it helpful for rosacea, it's the only treatment that is safe during pregnancy (from what I know, but of couese check with your doctor first!)..This is an article about it, hope it helps:
[url]
http://www.light-therapy-reviews.net/red-light-therapy/[/url]

thanks PP....I am heading to cvs now to buy the neutragena wash!

I'm guessing the extra estrogen in your body is what is triggering the more severe case of rosacea. I use just the tiniest bit of Nutrogena anti-red face wash. It does have a small amount of anti-acne med in it that is debatable for pregnancy but I use just a very, very small dab and I dilute it on a wash cloth with a lot of water. It works for me. I would try to get into see a derm earlier. Explain to the front desk it's a bit of an emergency , you're pregnant, etc. I bet they'll squeeze you in.

Up until pregnancy I have had a mild case of Rosacea that comes and goes and generally responded to prescription metrogel when needed. Well not the pregnancy hormones have kicked in (9 weeks) and my face is a mess. I wake up with my cheeks fully inflamed and little postules all over my cheeks. everything is irritating to my skin. I already have given up caffiene, alcohol, spicy foods (all common triggers). I don't want to use metrogel as from everyting I have read its not necessarily proven to be safe during pregnancy esepcially for extended use. I can't get in to see my dermatologist for another 6 weeks. I can only imagine what my face will look like by then!
Anyone have any other suggested meds or home remedies that have helped them? I can't even use soap on my face right now its so irritated.