Can patients with chronic nephritis undergo in vitro fertilization (IVF)?

Nov 05, 2024 Source: Cainiu Health
Dr. Yang Guang
Introduction
In general, whether patients with chronic nephritis can undergo in vitro fertilization (IVF) depends on their individual condition and overall health. If the patient's disease is well controlled and kidney function is stable, IVF may be attempted under close monitoring. However, if the condition is unstable, kidney function is severely impaired, or complications are present, this may affect the success rate of IVF and increase risks during pregnancy.

In general, whether patients with chronic nephritis can undergo in vitro fertilization (IVF) mainly depends on their individual condition and overall health status. If the patient's condition is well controlled and kidney function is stable, IVF may usually be attempted. However, if the condition is unstable or kidney function is severely impaired, this may affect the success rate of IVF and pose risks to both maternal and fetal health. A detailed analysis is as follows:

If the patient’s condition is well controlled, kidney function is stable, there are no significant symptoms such as hypertension or proteinuria, and no other severe complications, doctors may consider IVF feasible after evaluating kidney function and disease status, provided close monitoring is maintained throughout the process.

Pregnancy itself carries certain risks for patients with chronic nephritis. Particularly after six months of pregnancy, the increased burden on the kidneys may negatively impact the underlying condition. If the patient has an unstable disease course, severely impaired kidney function, or complications such as hypertension and heavy proteinuria, the success rate of IVF may be reduced, and the risks during pregnancy may increase, potentially affecting both maternal and fetal health. It is recommended that such patients first receive appropriate treatment for nephritis to improve kidney function and achieve disease stability before attempting IVF.

Prior to undergoing IVF, patients with chronic nephritis should have thorough discussions with specialized physicians, complete comprehensive physical examinations, and receive a full assessment of their medical condition to ensure the safety and success of IVF. Additionally, patients should actively adhere to treatment, maintain a positive mindset, and follow a healthy lifestyle.