Fertility and sexuality of women with inflammatory arthritis

Bourg, Mona; Ruyssen‐Witrand, Adeline; Bettiol, Célia; Parinaud, Jean

doi:10.1016/j.ejogrb.2020.05.068

Cited by 15 publications

(3 citation statements)

References 33 publications

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“…A global assessment on fertility and sexuality in women affected by RA, SpA, psoriatic arthritis (PsA), and juvenile chronic arthritis diagnosed before 40 years old and between 18–50 years old was conducted in a retrospective questionnaire-based study carried out in France in 202 subjects ( 43 ). The rate of spontaneous pregnancies and TTP were the relevant outcomes evaluated.…”

Section: Risk Factors Of Subfertility In Spa Women Of Childbearing Agementioning

confidence: 99%

Fertility issues in women of childbearing age with spondyloarthritis

Bindoli,

Cozzi,

Lorenzin

et al. 2024

Front. Immunol.

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The topic of fertility in women with spondyloarthritis (SpA) has been scarcely investigated to date. Recent systematic reviews and registry studies have brought renewed attention to the plight of women of childbearing age with rheumatic diseases, in particular SpA. Fertility may be impacted by physical impairment, hormonal imbalances and psychological distress. Several studies observed a reduction in anti-Müllerian hormone in women with SpA, reflecting a reduced ovarian reserve (OR). Furthermore, disease activity and the use of certain therapies can alter fertility, and this is reflected in a prolonged time-to-pregnancy (TTP), a validated outcome measure that can evaluate the status of subfertility. The employment of glucocorticoids or non-steroidal anti-inflammatory drugs has also been linked to reduced fertility, whereas the use of biologics, especially tumour necrosis factor inhibitors (TNFi), is not associated with a prolonged TTP. In all women of childbearing age with rheumatic diseases, preconception counselling is paramount, and a referral to a reproductive specialist should be considered in the presence of multiple factors that may influence fertility. A comprehensive evaluation involving a multidisciplinary team of rheumatologists, gynaecologists, and often psychologists is warranted. In this narrative review, we collected the currently available literature focusing on fertility issues in women affected by SpA, providing data on fertility outcomes, hormonal imbalance, and therapeutic concerns.

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Section: Risk Factors Of Subfertility In Spa Women Of Childbearing Agementioning

confidence: 99%

Fertility issues in women of childbearing age with spondyloarthritis

Bindoli,

Cozzi,

Lorenzin

et al. 2024

Front. Immunol.

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“…In women with rheumatoid arthritis (RA) a decreased fertility rate has been described long ago [38]; such decreased fertility may be ascribed, among other factors, to a prolonged TTP [39,40]. For women with IA other than RA, conflicting results have been reported [41,42]. In clinical practice, the decreased fertility observed in women with RA is a concern.…”

Section: Female Fertilitymentioning

confidence: 99%

Immunology of pregnancy and reproductive health in autoimmune rheumatic diseases. Update from the 11th International Conference on Reproduction, Pregnancy and Rheumatic Diseases

Andréoli

Chighizola

Iaccarino

et al. 2023

Autoimmunity Reviews

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“…Earlier data [4,5,8] revealed that 36-70% of men living with inflammatory arthritis sustain impaired sexual health attributed to their disease. Furthermore, a tendency to decreased ability to conceive was present in patients living with ARD, which was attributed to sexual problems [9]. Therefore, it is expected that most of these aspects, if not all, are picked up and dealt with by the treating rheumatologist.…”

Section: Introductionmentioning

confidence: 99%

Rheumatology-led pregnancy clinic: men perspective

Miedany

Palmer

2021

Clin Rheumatol

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The birth of reproductive rheumatology as a subject of interest in rheumatology has led to improvement of clinical care for patients living with autoimmune rheumatic diseases and paved the way towards setting a specialized pregnancy service within the standard rheumatology practice. In contrast to women, where there has been wealth of literature regarding pregnancy, lactation, and birth outcomes, there is not as much focusing on male sexual health and outcomes among inflammatory arthritis patients. Challenges such as decrease ability to conceive, impaired fertility, erectile dysfunction, and other sexual problems have been raised by male patients living with autoimmune rheumatic diseases. This broad scope gives the reproductive health concept in men another expansion with views to include sexual health problems screening among men attending the standard outpatient rheumatology clinics. This article adds to the paucity of real-life experience and aims at discussing the sexual health from the men perspective and provides a practical approach towards screening, and assessment of men living with autoimmune diseases in standard day to day practice.

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Fertility and sexuality of women with inflammatory arthritis

Cited by 15 publications

References 33 publications

Fertility issues in women of childbearing age with spondyloarthritis

Fertility issues in women of childbearing age with spondyloarthritis

Immunology of pregnancy and reproductive health in autoimmune rheumatic diseases. Update from the 11th International Conference on Reproduction, Pregnancy and Rheumatic Diseases

Rheumatology-led pregnancy clinic: men perspective

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