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Planning a pregnancy with rheumatoid arthritis: questions before you start

Pregnancy is possible for many people with rheumatoid arthritis, but it needs planning with your doctor because some medicines aren't suitable in pregnancy.

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Planning a pregnancy with rheumatoid arthritis: questions before you start

Key takeaways

  • Pregnancy is possible for many people with RA, with planning ahead.
  • Some medicines aren't suitable in pregnancy and need changing with your doctor.
  • Never stop a medicine on your own.
  • Plan follow-up after the birth, as symptoms can return.

Plan first

If you're thinking about pregnancy, talk to your rheumatologist months before trying. This applies to women and also to men, as some medicines may need reviewing before conceiving.

Why medicines matter

Some RA medicines aren't suitable in pregnancy and need stopping a set time before trying, which your doctor decides; others are considered safer. Never stop a medicine on your own, as stopping suddenly can cause a flare.

Calm disease before pregnancy

It's better for the condition to be settled before pregnancy, as this is linked with an easier pregnancy. Your doctor can help you choose the right time.

During pregnancy and after

Many people notice their symptoms ease during pregnancy, but symptoms can return after the birth. Plan follow-up after the birth with your doctor, and ask which medicines suit breastfeeding.

Questions to ask your doctor

  • Which of my medicines suit pregnancy, and which need changing, and when?
  • Which tests do I need before pregnancy?
  • How will I be followed during pregnancy and after the birth?

References

  1. NHS: Rheumatoid arthritis - Living with
  2. Versus Arthritis: Pregnancy and arthritis
  3. American College of Rheumatology: Rheumatoid arthritis

Content is educational and does not replace medical advice. In an emergency, contact emergency services immediately.

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