Does female SLE affect fertility?

SLE in women does not usually affect fertility, but pregnancy in active patients carries a risk of miscarriage, preterm labor, stillbirth, and induced maternal exacerbation.
SLE is an autoimmune disease that involves multiple systems and organs and is most common in women of childbearing age. The disease does not usually affect fertility in women, but may adversely affect women during pregnancy, increasing the likelihood of abnormal pregnancies such as miscarriage, preterm labor, stillbirth, and intrauterine distress.
Pregnancy may also precipitate the onset or recurrence of lupus. In addition, because SLE requires oral dexamethasone, hydroxychloroquine, azathioprine and other immunosuppressants during treatment, which may have certain side effects on the fetus, attention should be paid to the adjustment of the medication regimen before preparation for pregnancy.
It is recommended that women with SLE have a planned pregnancy under the guidance of a doctor to avoid affecting their condition.