It is recommended to continue taking Paxil if it is helping to stabilize your condition, especially if you have not experienced any negative effects while taking it. Studies show that the risk of birth defects is low, and it is more harmful to not treat anxiety. However, it is advised to consult with your doctor before making any changes to your medication regimen, especially if you are planning to become pregnant. Your doctor can monitor your progress and adjust the dosage as needed to ensure your well-being and the health of your baby. You may also seek guidance from your family pharmacist during this process.