Doctor insights on:
Will Lupus Impact My Ability To Get Pregnant
Yes: Lupus may impact fertility depending on the severity of your disease. More commonly, lupus may increase risks associated with pregnancy both for the mother and the patient. I would encourage you to see your ob/gyn for a preconception appointment to review the current state of your lupus and optimize the outcome of any planned pregnancy. ...Read moreSee 1 more doctor answer
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
See experts early: Ideally a woman with sle would see her rheumatologist and a maternal-fetal medicine subspecialist before trying to conceive (ttc). Then lab tests could be ordered, records reviewed and risks discussed. Those include preeclampsia and poor fetal growth. She should ask her OB to refer her to the mfm doctor early in the pregnancy and on ongoing basis to help evaluate mom + baby and plan for delivery. ...Read moreSee 2 more doctor answers
Possibly: There is a chance that your lupus will flare during pregnancy or after delievery of your child. The best chance of not having your lupus flare during pregnancy is to into your pregnancy is to have your lupus stable. It is also important, that your kidney are stable and not active. The lack of kidney activity at pregnancy is a very good indicator for a more stable pregnancy. ...Read more
Yes: Yes, but you need to confer with doctors first. Discoid on occasion can transition to systemic lupus so you would want to get checked. Also you would need to have medications reviewed with your doctor. Plaquenil (hydroxychloroquine) is safe in pregnancy, but if you are on medications such as methotrexate, these would have to be stopped long before any attempts at conception are made. See your doctor to talk more. ...Read more
See below: Besides whether or not you have sjogren or antiphospholipid antibodies to be positive, you need to know or whether your lupus is active. The best pregnancy outcomes occur when your lupus has been clinically inactive for at least six months. You should also discuss preconception planning with your rheum and ob/gyn long before you get pregnant. ...Read moreSee 2 more doctor answers
No: There is no problem with fertility in women with lupus. They can conceive as easily as any woman except in about 5%, which is the infertility rate of the general population. Any problems with fertility should be investigated in both partners by an obstetrician-gynecologist who specializes in infertility. You do need to discuss the effects of your medicines on the pregnancy. ...Read more
No big deal usually.: Depending on whether you have a diagnosis of lupus or prior clotting problems, this may or may not be significant for your pregnancy. Studies show that most women with lac have normal pregnancies. Lupus anticoagulant (lac) is a laboratory finding and in and of itself not significant for predicting clinical outcomes. If you have systemic lupus erythematosus the plot thickens and you need to see mfm. ...Read more
Lupus and pregnancy: Lupus can be associated with an increased risk of miscarriage. It can effect placental perfusion resulting in intrauterine growth restriction and premature labor. Also associated with an increase in pre-eclampsia. In some patients there lupus condition can deteriorate in pregnancy. ...Read more
Yes/no: Imuran (azathioprine) can be harmful to the fetus...So it has to be stopped during early pregnancy. ...Usually the first 2-3 months(first trimester), which is the time of most risk to the baby). So it requires careful planning and timing so that you can be off this medication for a short period and then may be able to resume during the 2nd and 3rd trimester with reasonable safety. ...Read more
I tested positive for lupus anticoagulant when I was pregnant but do not now. My brother has as and my son is + for hlab27. Should I get tested again?
Different things: The + hal b-27 not related to lupus anticoagulant(la). The la needs to confirmed, especially if you have a history of clinical problems related to the la like blood clots in the legs, emboli to the lung, strokes, misscarriages, etc. Depending on the clinical picture you may need therapy - many only Aspirin for its anticlotting ability or stronger blood thinners. ...Read more
Is it safe to get pregnant with a hemoglobin level of 10.6? I have thalassemia and lupus and want to get pregnant.
It's a good start: For lupus, it's ideal to go without a flare for at least six months before conceiving. Before you start trying, it's worth seeing a maternal fetal medicine doctor who can look over your records and make sure you are on medicines that are ok in early pregnancy. It would also be good to test your partner to see if he's a thalassemia carrier. ...Read moreSee 1 more doctor answer
How common is it to get a false positive for lupus while pregnant. I also have hashimotos got a + double stranded DNA very high ?
If i decide to get pregnant again(i lost my baby at 24 weeks)will my pots & lupus relapse? I miss my baby and want to try again- had a placental abrup
Lupus and pregnancy: Pregnancy in lupus patients has risks and should be planned carefully. Lupus flares in pregnancy is common . Lupus should be controlled for 6 months prior to planning pregnancy. Pregnancy should be in a high risk perinatal unit. Lupus patients should be fu for apl due to prior fetal loss with anti coagulants if needed. Certain meds should be avoided. Baby should be fu for neonatal lupus. ...Read more
I had 2 blood test that came back with lupus anticoagulant in feb 2012. I got told this won't affect me unless I get pregnant again is this true.
I know every woman and pregnancy is different, but ideally when is alright for a woman to get pregnant when the mother had lupus nephritis?
See below: Patients with a history of renal disease have a higher risk of complications. Also if the lupus is active at the time of conception, there will be more complications. It best to engage in preconception planning with your rheumatologist as your OB as one would want to be in the best health before conception and ideally the lupus should be clinically quiet for about a 1yr before conception is done. ...Read more
Is it ok to get pregnant with sjögren's and pots and a lesion on my brain and raynauds and possibly lupus? My docs ok it but i'm afraid to try.
Trust your doctors: Without knowing more specifics of history and lab results, it is impossible to even guess. I will say that you should trust the advice of the doctors who know you best. ...Read more
My girlfriend has lupus and takes a birth control shot. Can that shot or her medication reduce her ability to climax? Anyway to regain the ability?
Depends: Your girlfriend's sexual drive maybe depressed as result of medications used to treat her lupus. However, it can occur as result of birth control too. Have her talk to her doctors to see what options that can come up with for her as it depends on which medications she is taking. Hope that helps. ...Read more
A variety of ways: The type and organ involvement of the lupus can be important. Year ago people with lupus were advised not to get pregnant. Now we know people with lupus can have great pregnancy outcomes. There is a risk of miscarriage, preterm delivery, lupus flares, hypertension especially with kidney invovlement and smoking. You will need to be evaluated for your lupus risks before pregnancy. ...Read moreSee 1 more doctor answer
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