Reproductive health in adults with congenital heart disease: a review on fertility, sexual health, assisted reproductive technology and contraception.

IF 1.8 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Expert Review of Cardiovascular Therapy Pub Date : 2023-07-01 DOI:10.1080/14779072.2023.2223979

J A van der Zande, G Wander, K P Ramlakhan, J W Roos-Hesselink, M R Johnson

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引用次数: 0

Abstract

Introduction: Due to the improved survival in individuals with congenital heart disease (CHD), considering their reproductive health has become more important. Currently, this topic is still underexplored.

Areas covered: We discuss fertility, sexuality, assisted reproductive technology (ART), and contraception in adults with CHD.

Expert opinion: Timely counseling regarding fertility, sexuality, pregnancy, and contraception is necessary, preferably during teenage years. Due to a lack of data, whether or not to perform ART in adults with CHD is almost always based on expert opinion and follow-up in an expert center is recommended. Future research is necessary to fill the gaps in knowledge on the risks and frequency of complications of ART in adults with CHD, but also to be able to differentiate the relative risks in the different types of CHD. Only then will we be able to counsel adults with CHD correctly and not unjustly deprive someone of a chance of pregnancy.

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成人先天性心脏病患者的生殖健康:生育、性健康、辅助生殖技术和避孕的综述

导论:由于先天性心脏病(CHD)患者生存率的提高，考虑他们的生殖健康变得更加重要。目前，这个话题还没有得到充分的探讨。涉及领域:我们讨论成人冠心病患者的生育能力、性行为、辅助生殖技术(ART)和避孕。专家意见:关于生育、性行为、怀孕和避孕的及时咨询是必要的，最好是在青少年时期。由于缺乏数据，成人冠心病患者是否进行ART治疗几乎总是基于专家意见，建议在专家中心随访。未来的研究需要填补对成人冠心病患者ART并发症的风险和频率的认识空白，同时也需要能够区分不同类型冠心病的相对风险。只有这样，我们才能正确地为患有冠心病的成年人提供建议，而不是不公正地剥夺某人怀孕的机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Expert Review of Cardiovascular Therapy CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

3.70

自引率

0.00%

发文量

期刊介绍： Expert Review of Cardiovascular Therapy (ISSN 1477-9072) provides expert reviews on the clinical applications of new medicines, therapeutic agents and diagnostics in cardiovascular disease. Coverage includes drug therapy, heart disease, vascular disorders, hypertension, cholesterol in cardiovascular disease, heart disease, stroke, heart failure and cardiovascular surgery. The Expert Review format is unique. Each review provides a complete overview of current thinking in a key area of research or clinical practice.

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