Does lupus flare more around pregnancy or hormonal changes?

Question

Hello doctor,

I am a 35-year-old woman recently diagnosed with lupus nephritis after months of fatigue, swelling, and abnormal kidney tests. My doctor mentioned starting strong medications, but I am worried about their side effects, especially since I want to have children in the future. Can lupus nephritis cause permanent kidney damage even if I take treatment? Are there specific lifestyle or dietary changes that help protect my kidneys?

How often will I need to be monitored, and what signs indicate that the condition is worsening? Also, does lupus flare more around pregnancy or hormonal changes? I want to understand how to control this illness while still planning for a normal family life.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

I see that you have lupus nephritis, but you have not mentioned what grade. What is the current status of the disease? The severity of lupus nephritis can vary, and the grades can vary based on the current state of damage that has occurred. We have to monitor the kidneys to save and prevent any permanent damage from occurring.

It will be good if you are able to monitor regularly, ideally once in three months or six months, based on the grade of lupus nephritis and how much of your kidney is affected. You also need to be and have regular check-ups to look at your kidney function. There is a possibility of worsening during pregnancy because of changes in the hormones as well as the body's metabolism.

Controlling the disease depends on regular check-ups and taking tablets as prescribed by the nephrologist. In the current situation and how progresses the chances of having a normal family life will depend on this. It is good to take the medicines as suggested by the nephrologist and have regular follow-up, which will help to manage your condition.

If you have bloating, increased collection of fluids, reduced urination, and pain in the kidneys, kindly show your nephrologist at the earliest.

I hope this information will help you.

Thanks.