Can people with bipolar disorder have children?

Jul 25, 2025 Source: Cainiu Health
Dr. Yang Ziqi
Introduction
The patient's condition has remained stable for a prolonged period, and the medication regimen has been adjusted to a safe range. After a joint evaluation by psychiatrists and obstetricians, her physical condition is confirmed suitable for pregnancy, and conception can be considered at this time. Close monitoring of emotional changes and medication effects during pregnancy is necessary to ensure maternal and fetal safety. If the patient experiences frequent disease episodes or is currently taking medications that may affect the fetus, attempting pregnancy without caution would increase the risks.

Under normal circumstances, patients with bipolar disorder can consider having children after their condition has stabilized and been evaluated by a physician. However, caution is required if the condition is uncontrolled or during medication treatment. If in doubt, seeking medical advice in advance is recommended. Detailed explanation is as follows:

When the condition has remained stable for a prolonged period and the medication regimen has been adjusted to a safe range, pregnancy can be considered after a joint assessment by psychiatrists and obstetricians to confirm physical readiness for pregnancy. Close monitoring of emotional changes and medication effects during pregnancy is essential to ensure the safety of both mother and child.

If the condition frequently recurs or the patient is currently taking medications that may affect the fetus, unplanned pregnancy increases the risks, potentially worsening the condition or adversely affecting fetal development. In such cases, optimizing the treatment plan is necessary, and a decision should be made only after conditions are suitable, avoiding hasty actions.

Prior to planning pregnancy, comprehensive medical examinations are essential. Fully communicate your treatment history and medication use with your physician, strictly follow professional guidance, and ensure a safe and controlled pregnancy process.