Reproductive health in adults with congenital heart disease: a review on fertility, sexual health, assisted reproductive technology and contraception
Author(s)
van der Zande, JA
Wander, G
Ramlakhan, KP
Roos-Hesselink, JW
Johnson, MR
Type
Journal Article
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.
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.
Date Issued
2023-07-03
Date Acceptance
2023-06-06
Citation
Expert Review of Cardiovascular Therapy, 2023, 21 (7), pp.519-529
ISSN
1477-9072
Publisher
Taylor and Francis Group
Start Page
519
End Page
529
Journal / Book Title
Expert Review of Cardiovascular Therapy
Volume
21
Issue
7
Copyright Statement
© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/),which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.
Identifier
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:001011777200001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=a2bf6146997ec60c407a63945d4e92bb
Subjects
Assisted reproductive technology
Cardiac & Cardiovascular Systems
Cardiovascular System & Cardiology
congenital heart disease
contraception
EPIDEMIOLOGY
fertility
GENERAL-POPULATION
IN-VITRO FERTILIZATION
Life Sciences & Biomedicine
MANAGEMENT
OOCYTE DONATION
OUTCOMES
ovarian hyperstimulation syndrome
pregnancy
PREGNANCY COMPLICATIONS
reproductive health
Science & Technology
SINGLETON PREGNANCIES
THROMBOEMBOLISM
WOMEN
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2023-06-21