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
If you're pregnant or planning to get pregnant, there are many things you can do to give your baby a healthy start: Regular prenatal visits along with laboratory testing, ultrasounds, prenatal vitamins and immunizations (like the flu shot and whopping cough booster). Now's the time to eat healthy, stay hydrated, and ...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
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
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 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
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/no: Imuran 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
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
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
How common is it to get a false positive for lupus while pregnant. I also have hashimotos got a + double stranded DNA very high ?
Lupus erythematosus is a name given to a collection of autoimmune diseases, in which the human immune system becomes hyperactive and attacks normal, healthy tissues.Symptoms of these diseases can affect many different body systems, including joints, skin, kidneys, blood ...Read more
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