Reproductive and contraceptive characteristics of premenopausal kidney transplant recipients.
Details
Serval ID
serval:BIB_29A2143F33F6
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Reproductive and contraceptive characteristics of premenopausal kidney transplant recipients.
Journal
Progress In Transplantation
ISSN
1526-9248[print], 1526-9248[linking]
Publication state
Published
Issued date
2003
Volume
13
Number
3
Pages
193-196
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Abstract
OBJECTIVE: To obtain information on menstrual patterns before and after transplantation, desire for future pregnancy, and use of contraception among premenopausal kidney transplant recipients.
STUDY DESIGN: This observational study collected information using self-administered anonymous questionnaires during a routine outpatient clinic visit.
RESULTS: Of the 107 women who completed the questionnaire, 41 identified themselves as being premenopausal. Among the 41 premenopausal women, approximately half of the women reported their current menstrual patterns as normal and 26% were not using any form of contraception. Overall, 10 women (24%) reported a desire to become pregnant and 4 women (10%) had a successful pregnancy after transplantation. Most of the women who desired a future pregnancy (8/10) were receiving an immunosuppressive regimen that included mycophenolate mofetil.
CONCLUSION: Kidney transplantation in the current era is associated with a return of normal menstrual function in the majority of female transplant recipients. A substantial fraction of women desire pregnancy after transplantation and many are using an immunosuppressive drug with limited safety data on use during pregnancy. More caution should be used with the use of newer immunosuppressive agents in sexually active premenopausal transplant recipients until more safety data are available.
STUDY DESIGN: This observational study collected information using self-administered anonymous questionnaires during a routine outpatient clinic visit.
RESULTS: Of the 107 women who completed the questionnaire, 41 identified themselves as being premenopausal. Among the 41 premenopausal women, approximately half of the women reported their current menstrual patterns as normal and 26% were not using any form of contraception. Overall, 10 women (24%) reported a desire to become pregnant and 4 women (10%) had a successful pregnancy after transplantation. Most of the women who desired a future pregnancy (8/10) were receiving an immunosuppressive regimen that included mycophenolate mofetil.
CONCLUSION: Kidney transplantation in the current era is associated with a return of normal menstrual function in the majority of female transplant recipients. A substantial fraction of women desire pregnancy after transplantation and many are using an immunosuppressive drug with limited safety data on use during pregnancy. More caution should be used with the use of newer immunosuppressive agents in sexually active premenopausal transplant recipients until more safety data are available.
Keywords
Adult, Contraception Behavior/psychology, Contraception Behavior/statistics &, numerical data, Family Planning Services, Female, Humans, Immunosuppressive Agents/adverse effects, Kidney Transplantation/adverse effects, Kidney Transplantation/immunology, Menstruation/physiology, Menstruation/psychology, Pregnancy/physiology, Pregnancy/psychology, Premenopause/physiology, Premenopause/psychology, Questionnaires, Reproductive Behavior/physiology, Reproductive Behavior/psychology, Safety
Pubmed
Create date
29/01/2008 13:52
Last modification date
20/08/2019 13:09