Can rheumatoid arthritis cause infertility in a 39‑year‑old?

Question

Hi doctor,

I am a 39-year-old female, and I have recently been diagnosed with rheumatoid arthritis. I am concerned about the inflammation and its impact on my joints. Can you explain how inflammation occurs in rheumatoid arthritis and what treatment options are available to manage it? I have heard that rheumatoid arthritis can sometimes impact fertility. Can you explain the connection between rheumatoid arthritis and childlessness? What options are available for individuals with rheumatoid arthritis who want to start a family?

Answer 1

Hello,

Welcome to icliniq.com.

I have read the query, and I can understand your concern.

The impact on joints solely depends on the disease activity. You have multiple medications that are used to control inflammation in rheumatoid arthritis, including NSAIDs (non-steroidal anti-inflammatory drugs), steroids, and other immunomodulatory medications. Their use depends on the disease activity.

Before planning a pregnancy, you should meet with your doctor and see if there are any teratogenic medications for rheumatoid arthritis that you require. The success rates of pregnancy are comparable to those of the normal population seen in many studies. Moreover, in pregnancy, the disease activity usually stays low. You should meet a rheumatologist along with a gynecologist before planning pregnancy.

I hope that answers your query.

Thank you.