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A comprehensive guide for managing the reproductive health of patients with vasculitis

Vasculitides and their therapies affect all areas of the reproductive life cycle. The ACR, EULAR and the Drugs and Lactation database offer guidance on the management of the reproductive health of patients with rheumatic diseases; however, these guidelines do not address patients with vasculitis spe...

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Detalles Bibliográficos
Autores principales: Sims, Catherine, Clowse, Megan E. B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9529165/
https://www.ncbi.nlm.nih.gov/pubmed/36192559
http://dx.doi.org/10.1038/s41584-022-00842-z
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author Sims, Catherine
Clowse, Megan E. B.
author_facet Sims, Catherine
Clowse, Megan E. B.
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description Vasculitides and their therapies affect all areas of the reproductive life cycle. The ACR, EULAR and the Drugs and Lactation database offer guidance on the management of the reproductive health of patients with rheumatic diseases; however, these guidelines do not address patients with vasculitis specifically. This Review discusses the guidance from multiple expert panels and how these recommendations might apply to men and women with vasculitis, including the safety of contraception, use of assisted reproductive technology, preservation of fertility during cyclophosphamide therapy, disease management in pregnancy and the use of medications compatible with pregnancy and lactation. These discussions are augmented by the existing literature on vasculitis in pregnancy to enable physicians to provide comprehensive, precise and high quality care to patients with vasculitis. The contents of this Review, in conjunction with educational tools, serve to empower patients and physicians to participate in shared decision-making regarding pregnancy prevention, planning and management.
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spelling pubmed-95291652022-10-04 A comprehensive guide for managing the reproductive health of patients with vasculitis Sims, Catherine Clowse, Megan E. B. Nat Rev Rheumatol Review Article Vasculitides and their therapies affect all areas of the reproductive life cycle. The ACR, EULAR and the Drugs and Lactation database offer guidance on the management of the reproductive health of patients with rheumatic diseases; however, these guidelines do not address patients with vasculitis specifically. This Review discusses the guidance from multiple expert panels and how these recommendations might apply to men and women with vasculitis, including the safety of contraception, use of assisted reproductive technology, preservation of fertility during cyclophosphamide therapy, disease management in pregnancy and the use of medications compatible with pregnancy and lactation. These discussions are augmented by the existing literature on vasculitis in pregnancy to enable physicians to provide comprehensive, precise and high quality care to patients with vasculitis. The contents of this Review, in conjunction with educational tools, serve to empower patients and physicians to participate in shared decision-making regarding pregnancy prevention, planning and management. Nature Publishing Group UK 2022-10-03 2022 /pmc/articles/PMC9529165/ /pubmed/36192559 http://dx.doi.org/10.1038/s41584-022-00842-z Text en © This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Review Article
Sims, Catherine
Clowse, Megan E. B.
A comprehensive guide for managing the reproductive health of patients with vasculitis
title A comprehensive guide for managing the reproductive health of patients with vasculitis
title_full A comprehensive guide for managing the reproductive health of patients with vasculitis
title_fullStr A comprehensive guide for managing the reproductive health of patients with vasculitis
title_full_unstemmed A comprehensive guide for managing the reproductive health of patients with vasculitis
title_short A comprehensive guide for managing the reproductive health of patients with vasculitis
title_sort comprehensive guide for managing the reproductive health of patients with vasculitis
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9529165/
https://www.ncbi.nlm.nih.gov/pubmed/36192559
http://dx.doi.org/10.1038/s41584-022-00842-z
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