Can patients with rheumatic diseases have children?
Nov 28, 2024
Source: Cainiu Health
Dr. Yang Tiesheng
Introduction
Under normal circumstances, patients with rheumatic diseases can have children. Most patients with rheumatic diseases remain eligible for childbirth after receiving standard treatment, as the vast majority of rheumatic diseases do not affect the function of the reproductive system. Therefore, these patients maintain normal fertility. However, it is very important for patients with rheumatic diseases to choose the appropriate time for pregnancy, which must be done under the guidance of a rheumatologist.
In general, patients with rheumatic diseases can have children. If experiencing any discomfort, it is recommended to seek medical attention promptly. Detailed analysis is as follows:
Most rheumatic disease patients, after receiving standard treatment, still meet the conditions for pregnancy, as the majority of rheumatic diseases do not affect the function of the reproductive system. Therefore, patients maintain normal fertility. However, it is very important for patients to choose an appropriate time to conceive, and this should be done under the guidance of a rheumatologist. Patients must ensure their condition has been stable for at least six months, and there should be no severe dysfunction of the lungs, kidneys, or heart, such as reduced kidney function, pulmonary hypertension, or heart failure. In addition, patients must reduce their hormone dosage to within a safe range and discontinue certain medications potentially harmful to the fetus—such as compound cyclophosphamide tablets, methotrexate tablets, and azathioprine tablets—for at least six months before beginning to prepare for pregnancy.
Prior to planning a pregnancy, patients with rheumatic diseases must consult a specialist physician and undergo a comprehensive physical evaluation. At the same time, they should maintain healthy eating habits, engage in moderate exercise, and focus on regular作息 (sleep patterns) and psychological adjustment.
