Cystic Fibrosis and Reproductive Outcomes: The Latest Insights into Fertility and Pregnancy
Introduction and purpose: Due to improvement in treatment of people with cystic fibrosis (CF), the number of adult patients increases. CF patients are living longer, with better quality of life and a growing number of them are considering parenthood. Most people with CF are suffering because of red...
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| Format: | Article |
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Nicolaus Copernicus University in Toruń
2025-01-01
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| Series: | Quality in Sport |
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| Online Access: | https://apcz.umk.pl/QS/article/view/57445 |
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| author | Weronika Małagocka Karol Zagórski Mateusz Kozik Nina Skalska-Dziobek Karolina Chybowska Maria Naruszewicz Przemysław Cetnarowski |
| author_facet | Weronika Małagocka Karol Zagórski Mateusz Kozik Nina Skalska-Dziobek Karolina Chybowska Maria Naruszewicz Przemysław Cetnarowski |
| author_sort | Weronika Małagocka |
| collection | DOAJ |
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Introduction and purpose: Due to improvement in treatment of people with cystic fibrosis (CF), the number of adult patients increases. CF patients are living longer, with better quality of life and a growing number of them are considering parenthood. Most people with CF are suffering because of reduced fertility, however the number of pregnant CF patients rises. The aim of this paper was to summarize the date available in the literature and recent reports about the fertility, pregnancy and treatment of pregnant CF patients.
Material and methods: The literature was reviewed in PubMed database, GoogleScholar and in European Cystic Fibrosis Society database with the use of keywords.
State of knowledge:78% of women with CF declare that they want to have a child in the future. Reduced fertility may be overcome with assisted reproduction technologies, which also gives an opportunity to do preimplantation genetic tests. CFTR modulators therapy during the pregnancy was described in a small number of studies, but the current experts statement declares that those drugs are probably safe for the infant, and discontinuing this therapy is connected with an increased risk of pulmonary exacerbation in mothers.
Summary: Women with CF nowadays have an opportunity to become parents. Despite fertility lower than in the general population, they are able to become pregnant. The decision about the conception should be planned before and consulted with the CF team. Planning the pregnancy gives time to prepare the mother, optimize her nutrition status and make sure medications she takes are safe for the fetus. Data about the use of CFTR modulators during pregnancy and breastfeeding are limited. In the future the MAYFLOWER study may determine the impact of CFTR modulators on pregnancy and breastfeeding.
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| format | Article |
| id | doaj-art-9efe4b16655d4b3dbf3ad496d189fc1f |
| institution | Kabale University |
| issn | 2450-3118 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Nicolaus Copernicus University in Toruń |
| record_format | Article |
| series | Quality in Sport |
| spelling | doaj-art-9efe4b16655d4b3dbf3ad496d189fc1f2025-01-21T08:23:00ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-01-013710.12775/QS.2025.37.57445Cystic Fibrosis and Reproductive Outcomes: The Latest Insights into Fertility and PregnancyWeronika Małagocka0https://orcid.org/0009-0008-3714-9278Karol Zagórski1https://orcid.org/0009-0000-6407-8075Mateusz Kozik2https://orcid.org/0009-0002-6078-2836Nina Skalska-Dziobek3https://orcid.org/0009-0005-3755-0350Karolina Chybowska4https://orcid.org/0009-0006-0660-2645Maria Naruszewicz5https://orcid.org/0009-0005-2417-6937Przemysław Cetnarowski6https://orcid.org/0009-0007-1940-0003Stefan Żeromski Specialist Hospital in Cracow, PolandEdward Szczeklik Specialist Hospital in Tarnów, PolandStefan Żeromski Specialist Hospital in Cracow, PolandEdward Szczeklik Specialist Hospital in Tarnów, PolandUniversity Clinical Hospital in Bialystok, PolandUniversity Hospital in Cracow, PolandGabriel Narutowicz Specialist Municipal Hospital in Cracow, Poland Introduction and purpose: Due to improvement in treatment of people with cystic fibrosis (CF), the number of adult patients increases. CF patients are living longer, with better quality of life and a growing number of them are considering parenthood. Most people with CF are suffering because of reduced fertility, however the number of pregnant CF patients rises. The aim of this paper was to summarize the date available in the literature and recent reports about the fertility, pregnancy and treatment of pregnant CF patients. Material and methods: The literature was reviewed in PubMed database, GoogleScholar and in European Cystic Fibrosis Society database with the use of keywords. State of knowledge:78% of women with CF declare that they want to have a child in the future. Reduced fertility may be overcome with assisted reproduction technologies, which also gives an opportunity to do preimplantation genetic tests. CFTR modulators therapy during the pregnancy was described in a small number of studies, but the current experts statement declares that those drugs are probably safe for the infant, and discontinuing this therapy is connected with an increased risk of pulmonary exacerbation in mothers. Summary: Women with CF nowadays have an opportunity to become parents. Despite fertility lower than in the general population, they are able to become pregnant. The decision about the conception should be planned before and consulted with the CF team. Planning the pregnancy gives time to prepare the mother, optimize her nutrition status and make sure medications she takes are safe for the fetus. Data about the use of CFTR modulators during pregnancy and breastfeeding are limited. In the future the MAYFLOWER study may determine the impact of CFTR modulators on pregnancy and breastfeeding. https://apcz.umk.pl/QS/article/view/57445Cystic fibrosisCFTRFertilityPregnancy |
| spellingShingle | Weronika Małagocka Karol Zagórski Mateusz Kozik Nina Skalska-Dziobek Karolina Chybowska Maria Naruszewicz Przemysław Cetnarowski Cystic Fibrosis and Reproductive Outcomes: The Latest Insights into Fertility and Pregnancy Quality in Sport Cystic fibrosis CFTR Fertility Pregnancy |
| title | Cystic Fibrosis and Reproductive Outcomes: The Latest Insights into Fertility and Pregnancy |
| title_full | Cystic Fibrosis and Reproductive Outcomes: The Latest Insights into Fertility and Pregnancy |
| title_fullStr | Cystic Fibrosis and Reproductive Outcomes: The Latest Insights into Fertility and Pregnancy |
| title_full_unstemmed | Cystic Fibrosis and Reproductive Outcomes: The Latest Insights into Fertility and Pregnancy |
| title_short | Cystic Fibrosis and Reproductive Outcomes: The Latest Insights into Fertility and Pregnancy |
| title_sort | cystic fibrosis and reproductive outcomes the latest insights into fertility and pregnancy |
| topic | Cystic fibrosis CFTR Fertility Pregnancy |
| url | https://apcz.umk.pl/QS/article/view/57445 |
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