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The American College of Rheumatology (ACR) will issue new clinical guidelines for managing reproductive health issues in patients with rheumatic and musculoskeletal diseases.
The draft guidelines were presented at the 2018 ACR/ARHP Annual Meeting in Chicago, Illinois, on October 23 by Lisa R. Sammaritano, MD. Dr Sammaritano is an attending rheumatologist at the Hospital for Special Surgery – Weill Cornell Medical Center and the principal investigator of the new guidelines. Three separate manuscripts are currently under internal review. The following recommendations were highlighted during the session.
Contraception, fertility, and menopause
The guidelines encourage physicians to discuss pregnancy intent and contraception often, especially when initiating treatment with potentially teratogenic medications. Patients should be counseled regarding appropriate contraceptive methods based on efficacy, safety, and individual values and preferences. For fertility, the major concern with the use of assisted reproductive technology (ART) is thrombosis and/or flare in systemic lupus erythematosus (SLE). If ART is being used, it is important to coordinate care with the reproductive endocrinologist.
Next: Contraception, fertility, and menopause recommendations
5T096 ACR: Reproductive Health in Rheumatology Patients: New ACR Clinical Guideline. Presented at: 2018 ACR/ARHP Annual Meeting; October 20-24; Chicago, Illinois.