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

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

doi:10.1080/14779072.2023.2223979

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

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

^*Corresponding author for this work

Cardiology

Research output: Contribution to journal › Review article › Academic › peer-review

1 Citation (Scopus)

35 Downloads (Pure)

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.

Original language	English
Pages (from-to)	519-529
Number of pages	11
Journal	Expert Review of Cardiovascular Therapy
Volume	21
Issue number	7
Early online date	21 Jun 2023
DOIs	https://doi.org/10.1080/14779072.2023.2223979
Publication status	Published - 2023

Bibliographical note

Funding Information:
This paper was not funded.

Publisher Copyright:
© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Access to Document

10.1080/14779072.2023.2223979Licence: CC BY-NC-ND

Reproductive health in adults with congenital heart diseaseFinal published version, 2.98 MBLicence: CC BY-NC-ND

Cite this

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

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.",

author = "{van der Zande}, {J. A.} and G. Wander and Ramlakhan, {K. P.} and Roos-Hesselink, {J. W.} and Johnson, {M. R.}",

note = "Funding Information: This paper was not funded. Publisher Copyright: {\textcopyright} 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.",

year = "2023",

doi = "10.1080/14779072.2023.2223979",

language = "English",

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pages = "519--529",

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Reproductive health in adults with congenital heart disease: a review on fertility, sexual health, assisted reproductive technology and contraception. / van der Zande, J. A.; Wander, G.; Ramlakhan, K. P. et al.
In: Expert Review of Cardiovascular Therapy, Vol. 21, No. 7, 2023, p. 519-529.

Research output: Contribution to journal › Review article › Academic › peer-review

TY - JOUR

T1 - Reproductive health in adults with congenital heart disease

T2 - a review on fertility, sexual health, assisted reproductive technology and contraception

AU - van der Zande, J. A.

AU - Wander, G.

AU - Ramlakhan, K. P.

AU - Roos-Hesselink, J. W.

AU - Johnson, M. R.

PY - 2023

Y1 - 2023

N2 - 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.

AB - 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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SN - 1477-9072

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

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