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Lupus (systemic lupus erythematosus, or
SLE) doesn't typically affect a woman's ability to conceive. But if you
are having a lupus flare or are taking
corticosteroid medicines, you may have irregular
menstrual cycles, making it difficult to plan a pregnancy.
plan to have a baby or are already pregnant, it is very important that you and
your doctor discuss how lupus may affect your pregnancy.
If you have miscarried before, expect that your pregnancy
will be closely monitored. Talk to your doctor about whether you have tested
positive for antiphospholipid antibodies. If so,
anticoagulant treatment may improve your chances of
having a healthy pregnancy.
Men with lupus should talk with their doctors. Some medicines should be stopped for at least 3 months before a man tries to conceive a baby.
You may not
be able to stop taking lupus medicines after becoming pregnant, or you may
need to start taking medicine for a symptom flare. Some lupus medicines,
like acetaminophen and prednisone, are considered safe during pregnancy. Others
may not be.
Ruiz-Irastorza G, et al. (2010). Clinical efficacy and side effects of antimalarials in systemic lupus erythematosus: A systematic review. Annals of the Rheumatic Diseases, 69(1): 20–28.
May 7, 2012
Anne C. Poinier, MD - Internal Medicine & Anne C. Poinier, MD - Internal Medicine & Stanford M. Shoor, MD - Rheumatology & Nancy Ann Shadick, MD, MPH - Internal Medicine, Rheumatology
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