## Getting Pregnant With Spondyloarthritis: What You Need to Know

## Getting Pregnant With Spondyloarthritis: What You Need to Know

Getting⁤ Pregnant with Spondyloarthritis: what You Need⁤ to Know

Table of Contents

For women with spondyloarthritis (SpA), the journey to pregnancy can sometimes be more challenging. New research ‌sheds light on factors that may influence the time it takes to conceive, highlighting the ⁤importance of pre-pregnancy counseling and⁤ medication management. The study,‌ conducted across 63 centers in‍ France, followed 88 women with SpA who were trying to get pregnant between 2015 ⁣and 2021. These women had⁤ well-controlled disease activity, with an average age of 31.6 ⁤years.

Time ​to pregnancy: key Findings

Over half (63.6%) of the women in the study successfully became pregnant. However, ⁢the median time​ to pregnancy was 16.1 months⁤ – the time from stopping contraception to confirmed pregnancy. Substantially, 45.4% of the women‍ took⁣ more than 12 months ‌to ⁤conceive or‍ did not ⁣achieve pregnancy within the five-year study period.

NSAIDs and​ Time to Pregnancy

The study ​revealed a strong link between the use of nonsteroidal anti-inflammatory drugs (NSAIDs) before conception‌ and a longer time to pregnancy. Women who had ⁢taken NSAIDs ‍during ‌the preconception period took three ‌times longer to conceive compared to those who didn’t.

Age and Fertility

As expected, maternal age‍ also played a role. Each year of increased age was associated with a 22% longer time to pregnancy.

Preconception Counseling: A Key Step

The study’s authors emphasize the ⁢crucial ⁣need for pre-conceptional counseling for​ all women​ with SpA who are planning to become pregnant. “Our ⁢findings underline the importance of preconceptional counseling in all patients who desire pregnancy and the need to reduce or cease NSAID intake in SpA patients struggling to conceive,” thay stated. This advice ⁣not onyl addresses the potential impact of NSAIDs⁢ on fertility but also allows for a comprehensive review of other medications and health factors that could influence‌ a successful pregnancy. If you have SpA and are planning to conceive,⁣ speak with your rheumatologist ‍about your pregnancy goals and any steps you can take to optimize your chances of a healthy pregnancy.
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## Interview: getting Pregnant with Spondyloarthritis





**Introduction:**





Welcome to Archyde. Today, we’re diving into the topic of getting pregnant with spondyloarthritis, a subject that can be especially challenging for many women. To help us understand this complex journey, we’re joined by Dr. [Alex Reed’s Name], a leading rheumatologist with expertise in SpA and preconception care.



**Interviewer:** Dr. [Alex Reed Name], thank you for joining us. Recent research sheds light on some key factors impacting time to pregnancy for women with SpA. can you walk us through some of the main findings?



**Dr. [Alex Reed’s Name]:** Absolutely.This study, which followed 88 women with well-controlled SpA in France, revealed some vital insights. We learned that the time it takes to conceive can be influenced by several factors, including the use of NSAIDs and, of course, age. [[1](https://www.ncbi.nlm.nih.gov/books/NBK582573/)]



**Interviewer:** That’s very interesting. Let’s delve a bit deeper into these factors. How do NSAIDs, commonly used for pain management in SpA, potentially affect fertility?



**Dr. [Alex Reed’s name]:** nsaids are known to have potential effects on ovulation, but more research is needed to fully understand the exact mechanisms and long-term impact on fertility in women with SpA. It’s crucial to have open conversations with your rheumatologist about the potential risks and benefits of different medications while trying to conceive.



**Interviewer:** Age is another factor that naturally plays a role in fertility for all women. But for women with SpA, are there any unique considerations?



**dr. [Alex Reed’s Name]:** Absolutely. SpA can be a chronic condition that can present physical challenges and sometimes emotional stress, which can impact overall health and well-being.This, combined with the typical age-related decline in fertility, makes preconception planning even more important for women with SpA.



**Interviewer:** This leads us to the importance of pre-pregnancy counseling. Why is this step notably vital for women with spa?



**Dr. [Alex Reed’s Name]:** Preconception counseling provides an opportunity for women with SpA to discuss their individual needs and health goals with their healthcare providers. It allows for a comprehensive assessment of their SpA, medication review, and personalized recommendations for optimizing their health before, during, and after pregnancy.



**Interviewer:** Dr. [Alex Reed’s name], your expertise is invaluable. Thank you for sharing these crucial insights with our viewers.



**concluding remarks:**



For women with SpA dreaming of starting a family, remember that you are not alone. Accessing proper medical guidance and making informed decisions are crucial steps towards a healthy and fulfilling pregnancy journey.For more information and resources, please visit [website providing SpA and pregnancy information].

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