It is widespread opinion in the medical field that pregnancy is not indicated for sick IP women. The lives of mother and unborn child are at high risk in these situations. Any woman, if she has a serious illness, must ask herself several questions before deciding whether to have children, and often should also consider the risk of death during pregnancy and childbirth. The pregnancy leaves its marks in the body of the woman. Childbirth For example increases the heartbeat while the immune system becomes less efficient. For a woman who lives with a serious illness, pregnancy can have catastrophic consequences. Unfortunately, the IP also affects young women and of childbearing age. The risk of death related to pregnancy in women with IP is quite high (indicated between 30 and 50%). Therefore, even only for this reason, pregnancy does not offer good prospects to women with IP. In addition, some medications commonly used for the treatment of IP (e.g. warfarin) may be harmful to an unborn baby. This double risk, for the patient and for the fetus, requires some form of birth control in order to avoid pregnancy in women with IP.
Because I must use the contraceptive:
- If you are sick of IP specialists strongly discourage pregnancy, as it can only make your illness worse. It's very sad to say it, but you have to know that waiting for a son would run a high risk of death.
- If your IP is secondary to some other clinical problem, such as systemic lupus, it is likely that this other problem would reduce your chances of having a healthy baby.
- Even some medications you take may have negative effects on the unborn baby.
- If you get pregnant, it is extremely important that you visit the medical team that specializes in IP as soon as possible; They can evaluate the care that suits you best.
- Many doctors recommend the adoption of a permanent contraceptive, precisely because of the risks that women run during pregnancy.
What contraceptive to use:
No guidelines for birth control in women with IP have yet been published, and there is no consensus about the best contraceptive method. Birth control is a topic that you have to face with your medical specialist in IP: Do not feel embarrassed, try to address the issue, which is of vital importance. The following pages have a brief statement of some important factors that should be taken into account when dealing with this problem.
Can I get an oral contraceptive?
- The combined pill (which you normally take for 3 weeks out of 4) should be avoided as it contains estrogen that could even make the IP worse.
- The pill that contains only progesterone (called a mini pill) is also inadvisable, as it increases the risk of developing blood clots. The Mini-pill is also a method that has the average risks of failure.
Can I use an intrauterine system (the spiral)?
- It is often difficult to insert a spiral if a person has never been pregnant and sometimes it is necessary to administer an anesthetic. During the insertion period it is necessary to take antibiotics to reduce the risk of infection. Many women with the spiral (which contains copper) have more abundant menstruation after insertion. If you're taking the anticoagulant this may have already happened to you. The spiral also slightly increases the risk of developing infection with the pelvis; All in all this method is not really ideal.
- There is a spiral covered with progesterone, called the Aima. Many women who use it claim that their menstrual cycle with this method lasts only 1-2 days. Mirea is a very reliable contraceptive method and can last up to 5 years.
What do you say about the permanent methods?
- With permanent methods it becomes very difficult to reverse the sterility condition. It is best to inquire well and ask for all the necessary advice before you take this road.
- The method of male or vasectomic sterilization is not permitted in Italy. Female sterilization requires surgery with general anesthesia. Considering the clinical picture This involves risks, especially in cases where the subject takes medications to make the blood more fluid. Some pliers block the tubes that go from the uterus to the ovaries. In the long run with this method there should be no side effects, however there is a small likelihood of failure.
Are there any other alternatives?
- The methods that create barriers, such as condoms, capsules or diaphragms, are less reliable. They should always be used with a special gel to reduce the risk of failure.