Comprehensive reproductive healthcare for women with immune-mediated inflammatory diseases: Addressing rheumatoid arthritis, spondyloarthritis and inflammatory bowel disease through life's stages.

Contraception Fertility Immune-mediated inflammatory diseases (IMIDs) Inflammatory bowel disease (IBD) Menopause Rheumatoid arthritis (RA) Sexual health Spondyloarthritis (SpA)

Journal

Autoimmunity reviews
ISSN: 1873-0183
Titre abrégé: Autoimmun Rev
Pays: Netherlands
ID NLM: 101128967

Informations de publication

Date de publication:
22 Dec 2023
Historique:
received: 30 11 2023
accepted: 19 12 2023
medline: 25 12 2023
pubmed: 25 12 2023
entrez: 24 12 2023
Statut: aheadofprint

Résumé

Immuno-mediated inflammatory diseases (IMIDs) such as rheumatoid arthritis, spondyloarthritis, and inflammatory bowel disease are characterised by pathophysiological mechanisms wherein the immune system erroneously targets the body's own tissues. This review explores the heightened vulnerability of women with IMIDs, influenced by hormonal modulators like estrogen and progesterone. The challenges this poses are multifaceted, encompassing the impact of active disease and medical treatments throughout life stages, including family planning, fertility, and menopause. From the perspectives of rheumatologists and gastroenterologists, we review current management strategies and underscore the need for a multidisciplinary and life-cycle approach to healthcare for women with IMIDs.

Identifiants

pubmed: 38142899
pii: S1568-9972(23)00241-0
doi: 10.1016/j.autrev.2023.103507
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

103507

Informations de copyright

Copyright © 2023. Published by Elsevier B.V.

Déclaration de conflit d'intérêts

Declaration of Competing Interest L.A. and M.P. received an honorarium from Pfizer in connection with the development of this manuscript. G.P. and I.G. are Pfizer employees.

Auteurs

Laura Andreoli (L)

Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili; Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy. Electronic address: laura.andreoli@unibs.it.

Ilaria Guadagni (I)

Medical Department, Pfizer Italy, Rome, Italy.

Giovanna Picarelli (G)

Medical Department, Pfizer Italy, Rome, Italy.

Mariabeatrice Principi (M)

Emergency and Organ Transplantation Department, Section of Gastroenterology, AOU Policlinico, Bari, Italy.

Classifications MeSH