“Women with IBD can get pregnant and there is no risk of infertility”, Dr. Oscar Lugo

The specialist clarifies doubts about the widespread perception of the many risks that may arise during pregnancy for patients with (IBD).

Dr. Oscar Lugo, resident in the Department of Obstetrics and Gynecology on the Medical Sciences Campus. Photo: provided by Dr. Lugo for the Journal of Medicine and Public Health.

Previously, inflammatory bowel disease (IBD) was associated with a risk to women’s health when they became pregnant, which in turn was associated with discontinuation of drugs used to treat inflammatory bowel disease in women, but it is now known that they You should not stop after you become pregnant unless you are taking methotrexate and some antibiotics that are contraindicated.

In general, women with IBD do not suffer from infertility, “but when these patients have frequent surgeries, or when there is a lot of inflammation or a lot of abscesses, the fallopian tubes can be affected and blocked, which can affect fertility.” Dr. Oscar Lugo, Resident in the obstetrics department d Gynecology on campus in medical sciences.

The specialist emphasizes that these women should receive their gynecological care like any other patient, with routine visits to the gynecologist, so that once they want to get pregnant, they should be prepared and the condition managed.

“It used to be thought that having a disease like Crohn’s disease or ulcerative colitis was a contraindication to getting pregnant, but that’s not true; “People with these diseases can get pregnant,” says Dr. Lugo.

Gynecological complications are caused by inflammation that occurs in the gut, an area very close to the uterus and ovaries, and many women experience fertility problems when they want to get pregnant, hence the role of gynecologists who will prepare the patient for the right conditions. of pregnancy.

It is important for a woman to have the disease under control before trying to conceive, therefore, if she has an active disease; This would put him at risk, as it will be much more difficult to control during pregnancy, fetal development problems or premature births.

In case of need for surgery, operations in the second trimester are recommended and avoid some imaging to avoid radiation. A multidisciplinary team consisting of a gastroenterologist, a surgeon and an obstetrician is needed. It is advisable to plan your pregnancy to reduce the risks.