Pregnancy and menopause in patients with Systemic Lupus Erythematosus and/or Antiphospholipid Syndrome: practical guide from EULAR.

Pregnancy and menopause in patients with Systemic Lupus Erythematosus and/or Antiphospholipid Syndrome: practical guide from EULAR. Pol Arch Med Wewn. 2017 Jan 25;: Authors: Vagelli R, Tani C, Mosca M Abstract Over the last few decades, in reproductive medicine have allowed an improvement in the management and outcome of pregnancy in connective tissue diseases (CTD), such as Systemic progress Lupus Erythematosus and Antiphospholipid Syndrome; however, pregnancy and other related issues represent a crucial moment for patients and their family and some unmet needs are still present. In routine clinical practise, health professionals involved in the care of SLE and/or APS patients need to consider many aspects of the reproductive life of patients, involving not only pregnancy and family planning but also fertility, contraception, cancer surveillance and menopause. The development of new EULAR recommendations for women's health issue and family planning reflects the need for a novel approach in the patient-physician relationship, in which a more comprehensive communication begins from the firsts encounter.  Pre-conceptional counselling is essential for ensuring optimal pregnancy outcomes, through a careful risk stratification involving disease activity, organ involvement, autoantibody profile, use of drugs, previous pregnancy outcomes, and to engage the more appropriate preventive and therapeutic strategies to limit complications. In pa...
Source: Polskie Archiwum Medycyny Wewnetrznej - Category: Internal Medicine Tags: Pol Arch Med Wewn Source Type: research