Autoimmunity, infertility and assisted reproductive technologies.

Abstract:

:Despite strongly held opinions, a trustworthy scientific basis for most statements about autoimmunity, autoimmune diseases and assisted reproductive technologies (ART) does not exist. It is not likely that autoimmunity causes infertility, nor that patients with autoimmune diseases are unusually infertile. When carefully monitored in selected patients, ART does not appear to harm patients who have pre-existing autoimmune diseases, but the ovarian hyperstimulation syndrome and multiple gestation pregnancies impart independent risks. Stable autoimmune diseases without major organ damage probably do not affect the outcomes of ART pregnancies. Children born of ART pregnancies are apparently normal at birth, whether or not the genetic or birth mother has autoimmune disease, but long-term follow-up is not available. Male fertility is probably not altered by autoimmune disease. Fiscal, ethical and moral issues related to ART in patients with autoimmune diseases are beyond the scope of this discussion but remain important.

journal_name

Lupus

journal_title

Lupus

authors

Lockshin MD

doi

10.1191/0961203304lu2000oa

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

669-72

issue

9

eissn

0961-2033

issn

1477-0962

journal_volume

13

pub_type

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