Can I get pregnant with lupus nephritis?

Jul 18, 2024 Source: Cainiu Health
Disease description:

I have lupus nephritis and now I am planning to have a child. I wonder if it might affect my fertility. May I ask, is it possible for someone with lupus nephritis to become pregnant?

Doctor's answer (1)
Dr. Yang Guang

Whether patients with lupus nephritis can become pregnant depends on the specific condition and the advice of their physician. Generally, pregnancy is not recommended for patients with lupus nephritis whose disease is not controlled and who are in an active phase, as this may worsen the condition and increase the risks of miscarriage, preterm birth, fetal growth restriction, and higher fetal mortality rates.

If a patient's condition is stably controlled and certain criteria are met (such as proteinuria levels maintained within a specific range, normal cardiac and renal function, and good nutritional status), some patients may successfully achieve pregnancy after evaluation by a physician. However, the entire pregnancy process must be conducted under the guidance of a physician. Therefore, lupus nephritis patients considering pregnancy should first consult with a specialist physician and make decisions according to medical advice.