Primary Care

Reproductive Health

Questions discussed in this category

What are your practice recommendations regarding live vaccinations in infants/children of women who are currently on DMARDs and are breastfeeding?

Does the recommendation change based on the DMARD?

1 Answer available

What is your approach to transitioning an SLE patient from a pregnancy incompatible regimen to pregnancy compatible regimen?

For example, when switching from MMF to azathioprine, do you overlap the treatments as you lower the dose of one and add the other?

3 Answers available

Do you counsel your patients on the potential decreased effectiveness of oral contraceptives while on Sarilumab?

If so, do you routinely recommend use of an additional form of contraception?

1 Answer available

How do you manage patients with SLE undergoing assisted reproductive therapy with estrogenic effects?

2 Answers available

How do you approach the timing of Rituximab during pregnancy in a patient with life or organ threatening autoimmune disease?

3 Answers available

Do you stop TNF inhibitors during the third trimester of pregnancy?

2 Answers available

How do you approach pre-conception counseling in males who are on medications for which there is limited or no data such as Jak inhibitors, apremilast, or belimumab?

2 Answers available

How do you approach the use of bisphosphonates in reproductive-aged women?

1 Answer available

Do you switch to certolizumab in RA patients who are doing well on other TNFis and planning to become pregnant?

1 Answer available

What is your first choice contraceptive agent for women with SLE?

How do you counsel these patients about hormonal agents?

1 Answer available

Does serologic activity (e.g., high titer dsDNA, low complements) without clinical disease activity in a pregnant lupus patient affect maternal or fetal outcomes?

2 Answers available

Papers discussed in this category

Blood, 2011-02-03

Pregnancy outcomes after maternal exposure to rituximab.

Arthritis Care Res (Hoboken), 2020 Apr

2020 American College of Rheumatology Guideline for the Management of Reproductive Health in Rheumatic and Musculoskeletal Diseases.

International journal of clinical pharmacology and therapeutics, 2014 Jan

Assessment of disease-drug-drug interaction between single-dose tocilizumab and oral contraceptives in women with active rheumatoid arthritis.

Current opinion in rheumatology, 2014-03

Systemic lupus erythematosus and pregnancy outcomes: an update and review of the literature.

Rheumatology (Oxford, England), 2013 Feb 04

Low risk of renal flares and negative outcomes in women with lupus nephritis conceiving after switching from mycophenolate mofetil to azathioprine.

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