Will sacroiliitis affect pregnancy and family life?

Question

Hi doctor,

A friend of mine, who is a 28-year-old female, had been diagnosed with sacroiliitis for five years. She had been on painkillers (Indocap) for three years, which she was taking on a daily basis. Then for a year, her doctor advised her to have maintenance doses of Remicade infusions and she took six to seven infusions over a period of one year. After her last infusion, which she had six months, she has been doing physical exercises and maintaining a strict diet and has not taken painkillers or infusions. Kindly suggest her life after marriage, pregnancy, and others as she is planning to tie the knot soon.

Answer 1

Hi,

Welcome to icliniq.com.

This problem is called spondyloarthritis, and it is associated with a gene called HLA-B27. It is a chronic disease where there may be periods of relapses and remission. There may be a flare-up of disease during pregnancy or post-pregnancy. Otherwise, it generally does not cause any serious issues with the fetus. So, it is a lifelong problem; however, it may be controlled with exercise and medication.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I think you need to be clear in your head because the problem can flare at any time and you should be prepared for that since this is a life-long commitment. Otherwise, this problem is controllable with medication.

Thank you.