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What Influence Does Lupus Have on Fertility?

Lupus, an autoimmune disease, can have various effects on fertility, impacting both men and women differently.

Impact on Women

For women with lupus, fertility is often not significantly impaired. However, active disease or flare-ups can lead to complications during pregnancy, which may affect preconception counseling. Some treatments for lupus, particularly certain immunosuppressive medications, may impact ovulation and menstrual cycles.

Impact on Men

In men, lupus can potentially reduce fertility due to several factors, including hormonal imbalances and the effects of medications. Some studies suggest lower testosterone levels in men with lupus, which can affect sperm production.

Pregnancy Considerations

Pregnancy could trigger a lupus flare-up, particularly if the disease is not well-controlled prior to conception. Women are often advised to achieve a stable period of remission before attempting to conceive. Regular monitoring by a healthcare provider is essential for managing lupus during pregnancy to minimize risks to both mother and baby.

Conclusion

While lupus can pose challenges to fertility and pregnancy, many women and men with lupus successfully conceive and have healthy pregnancies. It is crucial for individuals with lupus to work closely with their healthcare team to manage their condition effectively.

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