1. Whatever kinds of analogies may be used to argue for the similarity of pregnancy and diseases, there is a problem. There are other biological states that could be similarly equated - puberty, old age and sorrow, for example, all cause many different symptoms and suffering, which, albeit usually less sevear than those caused by pregnancy, do not differ from pregnancy symptoms in qualitative way. Therefore such analogy as a base for this argument can only be used if at the same time one accepts classifying old age as a disease as well. — Jussi Tennilä
I think this is the crux of the issue.
There's considerable ambiguity in the concept of functional impairment. 40 weeks of tiredness, nausea, coordination issues, disrupted appetite, interrupted sleep, rapid changes in temperature could count as one. I had those symptoms with COVID. If you end up defining a disease just by the presence of functional impairment relative to a person's baseline, you can probably conclude pregnancy is a disease on that basis.
It can join happiness, which perhaps should be a
psychiatric disorder.
You can construe the (sometimes reported) presence of functional impairment as necessary but not sufficient for being diagnosed as diseased. If you universalise that you end up not being able to diagnose many mental health conditions or migraines (and some people will bite that bullet).
If you insist that functional impairment is necessary but not sufficient for counting as a disease, there needs to be something which stops pregnancy from being diagnosable as a disease. Presumably that's where, at base, "it just does, it's life, nerd" comes in.
I could imagine a society where an unplanned pregnancy of an unwanted (future) child is treated as a disease, whereas a planned pregnancy of a wanted (future) child is not treated as a disease. The former suggestion seems to cut through the idea that someone's well reasoned desire to be in a state of functional impairment stops any warrant for calling it a disease.
Perhaps also functional impairment itself is full of expectations of normality - maybe something which is sufficiently expected and "seen as commonplace and necessary for the average person" cannot be seen as a functional impairment. In that case, only above average severity period symptoms, despite how debilitating even relatively below average ones can be, could count as functional impairment. Even if you're weak and in constant pain for a week.
I do think that's the juicy bit. The norms inherent in diagnosing a disease, the norms inherent in counting as a disease, and the
constitutive norms of functional impairment which facilitate both definition and diagnosis.