Can I have children with IgA nephropathy?

Generally, whether a patient with IgA nephropathy can have children depends on the specific condition of the patient. If the patient's condition is stable and well-controlled, pregnancy can usually be considered under close monitoring and medical guidance. However, if the condition is severe or poorly controlled, pregnancy is not recommended. If any discomfort occurs, timely medical consultation is advised. Detailed analysis is as follows:

IgA nephropathy refers to a primary glomerular disease characterized by predominant IgA or IgA deposition in the glomerular mesangial area, with or without other immunoglobulins. If an IgA nephropathy patient has mild disease, normal blood pressure, normal kidney function, and minimal proteinuria, and the condition remains stable over time with standard treatment, pregnancy can generally be considered under close monitoring and medical guidance. During pregnancy, regular monitoring of kidney function and blood pressure is necessary to adjust the treatment plan promptly and ensure maternal and fetal safety.

However, if the patient's condition is severe—for example, with massive proteinuria, significantly elevated blood pressure, or明显 abnormal kidney function—pregnancy may increase the burden on the kidneys and worsen the condition, posing significant risks to both mother and fetus. Therefore, pregnancy is not recommended until the condition is effectively controlled.

Throughout the entire process, professional medical guidance and close monitoring are essential to ensure the safety of both mother and fetus.