In Vitro Fertilization and Pregnancy Outcomes Among Patients After Kidney Transplantation: Case Series and Single-Center Experience

Warzecha, Damian; Szymusik, Iwona; Grzechocińska, Barbara; Cyganek, Anna; Kociszewska-Najman, Bozena; Mazanowska, Natalia; Madej, Anna; Pazik, J.; Wielgoś, Mirosław; Pietrzak, Bronisława

doi:10.1016/j.transproceed.2018.02.144

Cited by 15 publications

(8 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…ART has been seen as an option for kidney transplant patients with associated infertility. Successful IVF in female kidney transplant patients ( Yaprak et al ., 2019 ; Warzecha et al ., 2018 ) has been described, but the particularity of the case described in this report is that the patient also had several autoimmune comorbidities, which made the decision to submit the patient to ovarian stimulation for a future pregnancy a dilemma for the medical team. We could not find a similar clinical case in the available literature.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Successful pregnancy and follow-up after in vitro fertilization of a kidney transplant patient with systemic lupus erythematosus, primary biliary cholangitis, and hypothyroidism

Gastañaga-Holguera¹,

Calvo²,

Gómez-Irwin³

et al. 2021

JBRA Assisted Reproduction

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

“…Vaginal delivery is preferred; cesarean sections should be performed if there are obstetrical indications. Some series reported higher cesarean section rates, possibly due to prematurity or obstetric complications ( Warzecha et al ., 2018 ) .…”

Section: Discussionmentioning

confidence: 99%

Successful pregnancy and follow-up after in vitro fertilization of a kidney transplant patient with systemic lupus erythematosus, primary biliary cholangitis, and hypothyroidism

Gastañaga-Holguera¹,

Calvo²,

Gómez-Irwin³

et al. 2021

JBRA Assisted Reproduction

View full text Add to dashboard Cite

“…For females, options include cryopreservation and banking of oocyte, embryo, and ovarian tissue; preservation of fertility in the context of kidney disease has been reviewed in detail elsewhere. 9,82 Assisted reproductive technologies, such as in vitro fertilization, seem to be safe in kidney transplant recipients, [137][138][139] although we are unaware of related studies in the non-transplant CKD population.…”

Section: Q3mentioning

confidence: 99%

Female Reproductive and Gynecologic Considerations in Chronic Kidney Disease: Adolescence and Young Adulthood

Chang

Dumanski

Ahmed

2022

Kidney International Reports

View full text Add to dashboard Cite

Chronic kidney disease (CKD) increasingly affects younger people, including adolescents and young adults. CKD among females is accompanied by unique reproductive and gynecologic health concerns; though to date, this area has not been well studied. Hormonal disruptions attributed to CKD may underlie the high prevalence of abnormal uterine bleeding and influence the age of menarche in adolescents. Period poverty as a socioeconomic barrier further exacerbates the female-specific burdens of CKD. Reduced fertility in CKD is likely multifactorial and may be related to a reduction in ovarian reserve, reproductive hormone disturbances, and gonadotoxic medication use in addition to low sexual function and activity. Fertility, sexual function and activity, and risk of sexually transmitted infections increase with transplantation. Pregnancy is possible at any stage of CKD, although often accompanied by high risks of maternal and fetal complications. Contraception is thus an important consideration in CKD, but use is low and the risks and benefits of different forms in the setting of CKD are not well characterized. Though patients with CKD report reproductive health as an important element of care, many nephrologists report lack of confidence and training in this area, highlighting the need for targeted research and education. The unique reproductive health care needs of the growing transgender youth population warrant attention in nephrology training with multidisciplinary input. This review will discuss female reproductive health and gynecologic considerations in adolescents and young adults with CKD while proposing clinical and research strategies to improve this understudied yet important aspect of kidney care.

show abstract

“…Important questions remain unanswered, including the ideal timing and optimal immunosuppressive regimen as well as how to identify which women are at greatest risk of complications. While fertility has been shown to be negatively affected by CKD, the safety and efficacy of reproductive technology use in women with CKD remains unclear (Cabiddu et al, 2018;Davidson et al, 2015;Davison & Lindheimer, 2011;Norman et al, 2015;Warzecha et al, 2018). Likewise, the safety and efficacy of various forms of contraception is not well-studied in women with CKD (Attini et al, 2020;Davison, 2007), with the optimal method still undefined.…”

Section: Ckd and Reproductive Counsellingmentioning

confidence: 99%

Ignorance is Not Bliss: The Case for Comprehensive Reproductive Counseling for Women with Chronic Kidney Disease

2021

View full text Add to dashboard Cite

The bioethics literature has paid little attention to matters of informed reproductive decision-making among women of childbearing age who have chronic kidney disease (CKD), including women who are on dialysis or women who have had a kidney transplant. Women with CKD receive inconsistent and, sometimes, inadequate reproductive counseling, particularly with respect to information about pursuing pregnancy. We identify four factors that might contribute to inadequate and inconsistent reproductive counseling. We argue that women with CKD should receive comprehensive reproductive counseling, including information about the possibility of pursuing pregnancy, and that more rigorous research on pregnancy in women with CKD, including women on dialysis or who have received a kidney transplant, is warranted to improve informed reproductive decision making in this population. KeywordsChronic kidney disease • Dialysis • End stage renal disease • Kidney transplantation • Pregnancy • Reproduction • Reproductive counseling • Shared decision making Women of childbearing age who have chronic kidney disease (CKD), including women who are on dialysis or women who have had a kidney transplant, receive inconsistent and, sometimes, inadequate reproductive counseling, particularly with

show abstract

In Vitro Fertilization and Pregnancy Outcomes Among Patients After Kidney Transplantation: Case Series and Single-Center Experience

Cited by 15 publications

References 21 publications

Successful pregnancy and follow-up after in vitro fertilization of a kidney transplant patient with systemic lupus erythematosus, primary biliary cholangitis, and hypothyroidism

Successful pregnancy and follow-up after in vitro fertilization of a kidney transplant patient with systemic lupus erythematosus, primary biliary cholangitis, and hypothyroidism

Female Reproductive and Gynecologic Considerations in Chronic Kidney Disease: Adolescence and Young Adulthood

Ignorance is Not Bliss: The Case for Comprehensive Reproductive Counseling for Women with Chronic Kidney Disease

Contact Info

Product

Resources

About