Fertilita a revmatická onemocnění
| Title in English | Fertility and rheumatic diseases |
|---|---|
| Authors | |
| Year of publication | 2018 |
| Type | Article in Periodical |
| Magazine / Source | Česlá revmatologie |
| MU Faculty or unit | |
| Citation | |
| Web | https://www.prolekare.cz/casopisy/ceska-revmatologie/2018-2-17/fertilita-a-revmaticka-onemocneni-105802 |
| Keywords | fertility reproduction rheumatic diseases infertility protection of gonadal functions |
| Description | A significant proportion of patients with inflammatory rheumatic diseases is of childbearing age. The question of an impact of the disease on fertility from the perspective of both a patient and his physician is an important point in the management of rheumatic diseases. Impaired fertility in these patients is not uncommon; female rheumatic patients have fewer children compared to the general population. The cause of the reduction of reproductive functions and infertility is multifactorial: it may involve disease activity, the effect of therapy, abortion, but also the psychological consequences of the disease iimiting sexual function, or it is a persona) decision of the patient. The discussion with the patient should include parenting planning, attempting to suppress the disease activity as effectively as possible, taking into account the possible adverse events of therapy, choosing a safer alternative or adequate protection of the gonadal functions when treating with alkylating agents and, if necessary, early therapy of infertility. |