A forma como a gravidez pode afetar a sua Esclerose Múltipla (EM) vai depender da atividade da doença, mas, geralmente, o seu neurologista poderá recomendar-lhe que espere até que a sua doença esteja sob controlo com tratamento antes de tentar engravidar.8,9 A escolha do plano de tratamento adequado para si é muito importante.

 

Referências:

1 – Coyle PK, Oh J, Magyari M, et al. Management strategies for female patients of reproductive potential with multiple sclerosis: an evidence-based review. Mult Scler Relat Disord 2019;32:54–63

2 – Amato MP, Bertolotto A, Brunelli R, et al. Management of pregnancy-related issues in multiple sclerosis patients: the need for an interdisciplinary approach. Neurol Sci 2017;38:1849–58

3 – Coyle PK. Management of women with multiple sclerosis through pregnancy and after childbirth. Ther Adv Neurol Disord 2016;9:198–210

4 – MacDonald SC, McElrath TF, Hernandez-Diaz S. Pregnancy outcomes in women with multiple sclerosis. Am J Epidemiol 2019;188:57–66

5 – Houtchens MK, Edwards NC, Schneider G, et al. Pregnancy rates and outcomes in women with and without MS in the United States. Neurology 2018;91:e1559–69

6 – Hellwig K. Pregnancy in multiple sclerosis. Eur Neurol 2014;72(Suppl. 1):39–42

7 – Delaney KE, Donovan J. Multiple sclerosis and sexual dysfunction: a need for further education and interdisciplinary care. NeuroRehabilitation 2017;41:317–29

8 – van Noord-Zaadstra BM, Looman CW, Alsbach H, et al. Delaying childbearing: effect of age on fecundity and outcome of pregnancy. BMJ 1991;302:1361–5

9 – Hellwig K, Correale J. Artificial reproductive techniques in multiple sclerosis. Clin Immunol 2013;149:219–24

10 – Michel L, Foucher Y, Vukusic S, et al. Increased risk of multiple sclerosis relapse after in vitro fertilisation. J Neurol Neurosurg Psychiatry 2012;83:796–802

11 – Coyle PK. Switching therapies in multiple sclerosis. CNS Drugs 2013;27:239–47

12 – Bove R, Alwan S, Friedman JM, et al. Management of multiple sclerosis during pregnancy and the reproductive years: a systematic review. Obstet Gynecol 2014;124:1157–68

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