Women with inflammatory bowel disease can get pregnant

Experts clarify doubts about widespread belief about the many risks that pregnancy poses to (IBD) patients.

Dr. Oscar Lugo, resident of the Department of Obstetrics and Gynecology, Medical Sciences Complex. Photo: Dr. Provided by Lugo to the Journal of Medicine and Public Health.

Previously, inflammatory bowel disease (IBD) was associated with a risk to women’s health while pregnant, in turn it was linked to suspension of drugs used to treat inflammatory bowel diseases in women, but this is not currently known. that they should not be stopped once you become pregnant, unless they contain methotrexate and some antibiotics that are contraindicated.

In general, women with IBD do not suffer from infertility, “but when these patients have had general surgery, or when there is a lot of inflammation or multiple abscesses, the fallopian tubes can become affected and blocked, which can affect fertility. can affect.” They say Doctor. Oscar Lugo, resident of obstetrics You Gynecology of Medical Sciences Complex,

Experts stress that these women should receive their gynecological care like any other patient, with regular visits to the gynecologist, so that once they want to become pregnant, preparations are made. , and the situation is controlled.

“Previously, it was believed that having a disease such as Crohn’s or ulcerative colitis was a contraindication to becoming pregnant, but this is not true; people with these diseases can become pregnant,” Dr. Lugo says.

Gynecological complications arise due to inflammation in the intestines, the area too close to the uterus and ovaries, and many women experience fertility problems while pregnant, which is where the role of gynecologists comes in. Who will prepare the right position in the patient for the pregnancy stage.

It is important that a woman has the disease under control before trying to become pregnant, therefore, if she has an active disease; This would put it at risk, as it would be more difficult to control during pregnancy with problems with fetal development or presenting premature birth.

In case of need for surgical intervention, surgery is recommended in the second trimester and avoid certain imaging studies to avoid radiation. A multidisciplinary team composed of a gastroenterologist, a surgeon and an obstetrician is required. It is advisable to plan a pregnancy to reduce the risk.

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