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(systemic lupus erythematosus, or SLE) doesn't typically affect a woman's ability to conceive. But if you are having a lupus flare or are taking corticosteroid medicines, you may have irregular menstrual cycles, making it difficult to plan a pregnancy.
If you plan to have a baby or are already pregnant, it is very important that you and your doctor discuss how lupus may affect your pregnancy.
If you have miscarried before, expect that your pregnancy will be closely monitored. Talk to your doctor about whether you have tested positive for antiphospholipid antibodies. If so, anticoagulant treatment may improve your chances of having a healthy pregnancy.
Men with lupus should talk with their doctors. Some medicines should be stopped for at least 3 months before a man tries to conceive a baby.
You may not be able to stop taking lupus medicines after becoming pregnant, or you may need to start taking medicine for a symptom flare. Some lupus medicines, like acetaminophen and prednisone, are considered safe during pregnancy. Others may not be.
Ruiz-Irastorza G, et al. (2010). Clinical efficacy and side effects of antimalarials in systemic lupus erythematosus: A systematic review. Annals of the Rheumatic Diseases, 69(1): 20-28.
ByHealthwise StaffPrimary Medical ReviewerAnne C. Poinier, MD - Internal MedicineMartin J. Gabica, MD - Family MedicineKathleen Romito, MD - Family MedicineSpecialist Medical ReviewerStanford M. Shoor, MD - RheumatologyNancy Ann Shadick, MD, MPH - Rheumatology
Current as ofOctober 10, 2017
Current as of:
October 10, 2017
Anne C. Poinier, MD - Internal Medicine
& Martin J. Gabica, MD - Family Medicine & Kathleen Romito, MD - Family Medicine & Stanford M. Shoor, MD - Rheumatology & Nancy Ann Shadick, MD, MPH - Rheumatology
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