Infertility – Prevention and Management

Sep 28, 2017 by in RHEUMATOLOGY Comments Off on Infertility – Prevention and Management

Infertility and subfertility, menstrual irregularities, and decreased parity may occur in women with autoimmune diseases due to multiple factors, including underlying inflammatory disease, gonadotoxic medications, and psychosocial issues related to…

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Menopause and Rheumatic Disease

Sep 28, 2017 by in RHEUMATOLOGY Comments Off on Menopause and Rheumatic Disease

Menopause occurs naturally in women at about 50 years of age. There is a wealth of data concerning the relationship of menopause to systemic lupus erythematosus, rheumatoid arthritis, and osteoarthritis;…

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Lactation and Management of Postpartum Disease

Sep 28, 2017 by in RHEUMATOLOGY Comments Off on Lactation and Management of Postpartum Disease

While much of the existing literature in the field of reproductive rheumatology focuses on fertility, preconception counseling, and pregnancy, there is limited information regarding the postpartum period and lactation. Evidence…

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Vasculitis and Pregnancy

Sep 28, 2017 by in RHEUMATOLOGY Comments Off on Vasculitis and Pregnancy

Vasculitis is more often a disease of women beyond their reproductive years, leaving the challenges of pregnancy management difficult to study. Pregnancy complications, including pregnancy loss and preterm birth, are…

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Systemic Lupus Erythematosus and Pregnancy

Sep 28, 2017 by in RHEUMATOLOGY Comments Off on Systemic Lupus Erythematosus and Pregnancy

Systemic lupus erythematosus (SLE) is an autoimmune disease with a strong female predilection. Pregnancy remains a commonly encountered but high-risk situation in this setting. Both maternal and fetal mortality and…

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Preconception Counseling

Sep 28, 2017 by in RHEUMATOLOGY Comments Off on Preconception Counseling

Chronic rheumatic disease may interfere with procreation in women of childbearing age. Female patients should have counseling in regard to family planning and parenting. Preconception counseling requires risk assessment of…

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Contraception in Patients with Rheumatic Disease

Sep 28, 2017 by in RHEUMATOLOGY Comments Off on Contraception in Patients with Rheumatic Disease

Contraception represents an important area of reproductive health for patients with rheumatic diseases given the potential pregnancy risks associated with active disease, teratogenic medications, and severe disease-related damage. A high…

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