6 doctors weighed in:
If you have lupus and rheumatoid arthritis can you still get pregnant and have a baby?
6 doctors weighed in

Dr. Thomas Namey
Internal Medicine - Rheumatology
4 doctors agree
In brief: Yes.
I have had many patients with both diseases who have dleivered a healthy child.
If your lupus, ra, or both are active, it is less likely, because significant inflammation or physical stress is not the optimal time to conceive. Also, if sle is present, it should be in remission. If not, the higher estrogen levels seen in pregnancy can cause a flare. Interestly, RA improves during pregnacy.

In brief: Yes.
I have had many patients with both diseases who have dleivered a healthy child.
If your lupus, ra, or both are active, it is less likely, because significant inflammation or physical stress is not the optimal time to conceive. Also, if sle is present, it should be in remission. If not, the higher estrogen levels seen in pregnancy can cause a flare. Interestly, RA improves during pregnacy.
Dr. Thomas Namey
Dr. Thomas Namey
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2 comments
Dr. LUIS IRIZARRY
need to be very careful. Your Og/Gyn needs to be vigilant and alert. SLE depending on your clinical picture can increase your risk for blood clots (DVT or PE). anything is possible. It starts with a superb positive mental attitute. Best of luck to you
Dr. John Goldman
The more active the RA and SLE - this lessens the chance to get pregnant. With lupus we offer caution with renal disease or poorly controlled hypertension and recommend waiting until the lupus is in better control. There was a time when people with SLE were advised not to get pregnant but now many can get pregnant.
Dr. John Goldman
Internal Medicine - Rheumatology
In brief: Yes
There are settings where pregnancy is not advised in sle - unccontrolled kidney disease and uncontrolled hypertension.
People with sle and RA can get pregnant. You would work with your OB and high risk pregnancy team. In the past there was an increased risk of death in a lupus pregnancy and thus pregnancy was not recommended but that is no longer the case. Actually RA may improve during pre.

In brief: Yes
There are settings where pregnancy is not advised in sle - unccontrolled kidney disease and uncontrolled hypertension.
People with sle and RA can get pregnant. You would work with your OB and high risk pregnancy team. In the past there was an increased risk of death in a lupus pregnancy and thus pregnancy was not recommended but that is no longer the case. Actually RA may improve during pre.
Dr. John Goldman
Dr. John Goldman
Thank
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