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Reproductive health in women following abdominal organ transplant
Author(s) -
Sarkar Monika,
Bramham Kate,
Moritz Michael J.,
Coscia Lisa
Publication year - 2018
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1111/ajt.14697
Subject(s) - medicine , organ transplantation , reproductive health , gynecology , obstetrics , general surgery , surgery , transplantation , environmental health , population
Fertility is commonly impaired in women with end‐stage kidney and liver disease, although most women will have restoration of fertility within 1 year of transplant. Family planning is therefore critical to discuss with reproductive‐aged transplant recipients in the early posttransplant period, in order to ensure timely initiation of contraception, and optimal timing for conception. For women seeking pregnancy, the risks to the mother, graft, and baby should be discussed, including evaluation of immunosuppression safety and potential for adjusting medications prior to conception. With an increasing number of transplant patients now breastfeeding, immunosuppression safety in lactation continues to carry great importance.