How could cystic kidney disease affect my pregnancy?

Question

Hello Doctor,

I am 37 years old and was recently diagnosed with cystic kidney disease during an ultrasound done for fertility concerns. My mother also had kidney problems, and I am worried that I might pass this condition to my child. I have some mild pain on the sides of my lower back, and also some issues with high blood pressure.

I would like to know how cystic kidney disease could affect pregnancy. Are there any special precautions I should take while trying to get pregnant?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Being diagnosed with cystic kidney disease, especially with a family history and while trying to get pregnant, can naturally raise many concerns. Cystic kidney disease, especially the type called autosomal dominant polycystic kidney disease, can be passed from parent to child. If you have the gene, there is a 50 percent chance that your child may also inherit the condition. It is a good idea to meet with a genetic counselor before trying to conceive. They can explain the risks and discuss options like preimplantation genetic diagnosis if you are considering in vitro fertilization.

This condition can affect pregnancy, especially if you already have high blood pressure or reduced kidney function. Pregnancy puts extra pressure on the kidneys and may make it harder to control your blood pressure. This can increase the chances of problems such as preeclampsia, early delivery, or the baby not growing well in the womb.

Since you have mild pain in your lower back and high blood pressure, it is important to take the following steps:

Get your kidney function tested, including creatinine levels, estimated glomerular filtration rate, and check for protein in your urine.
Make sure your blood pressure is well-controlled before pregnancy, using medicines that are safe during pregnancy if needed.
See both a kidney specialist (nephrologist) and a pregnancy doctor who handles high-risk cases.

With the right care, many women with cystic kidney disease can have a healthy pregnancy. Planning and having regular checkups with your doctors will help keep both you and your baby safe.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.