Lupus During Pregnancy and how it affects…

GETTING PREGNANT WITH LUPUS

Once you’ve been diagnosed with lupus, it’s important to get the condition under control before you start trying for a baby. Clinicians recommend that you’ve been symptom-free for at least six months, because getting pregnant during a flare-up can increase the risk of complications and miscarriage.

Once your disease is in remission and you’d like to try to conceive, let your health care provider – likely a rheumatologist– know. She’ll check on the status of your disease, help you find the right doctor to treat you during your pregnancy, and review the drugs you’re taking to ease symptoms and make flare-ups less frequent. You might need to stop taking some that can be harmful to your pregnancy.

The good news: As long as your disease is in remission, your odds of getting pregnant aren’t any lower than if you didn’t have lupus. In fact, well-controlled lupus doesn’t affect fertility at all (although some lupus drugs may lower fertility, so make sure to check with your doctor if you’re thinking about trying to conceive).

HOW LUPUS AFFECTS PREGNANCY

Whether and how SLE affects pregnancy isn’t absolutely clear. It does seem that the women who do best are those who conceive during a quiet period in their disease. Those with the poorest pregnancy prognosis are women who conceive during an SLE flare-up and those with severe kidney impairment (ideally, kidney function should be stable for at least six months before conception).

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