Does Local Steroid Injection Affect Fertility Plans? - Dermatology

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Will local steroid injections affect fertility?


Hello doctor, I have a raised scar on my calf that is slightly larger than a five-dollar coin.
This summer, due to the hot weather, the raised area has been itchy and painful.
After consulting, I received local steroid injections at the clinic in mid-July and early August.
Will the medication be absorbed by my body? How long should I wait before trying to conceive, as I am concerned about the effects of the medication?

Yuan Yuan, 30~39 year old female. Ask Date: 2016/08/09

Dr. Wu Yuxin reply Dermatology


No, but you should still inform your physician so they can evaluate your condition.

Reply Date: 2016/08/09

More Info


Local steroid injections are often used to treat various skin conditions, including hypertrophic scars or keloids, which may be the case with your raised scar. While these injections can be effective in reducing inflammation and improving the appearance of scars, concerns about their impact on fertility are valid, especially for individuals planning to conceive.

Firstly, it's important to understand how local steroid injections work. Corticosteroids are anti-inflammatory medications that can be injected directly into the affected area. When injected locally, the systemic absorption of the medication is generally minimal compared to oral or systemic steroid treatments. This means that while some steroid may enter the bloodstream, the amount is usually not significant enough to have a systemic effect on fertility or pregnancy.

Regarding your specific situation, the timing of your steroid injections in relation to your fertility plans is crucial. The general recommendation is that if you are planning to conceive, it is advisable to wait a short period after receiving local steroid injections before trying to get pregnant. This is primarily to ensure that any potential effects of the medication on your body have diminished. However, the exact duration can vary based on individual circumstances and the specific steroid used. In most cases, waiting a month or two after the last injection is considered sufficient, but it is always best to consult with your healthcare provider for personalized advice.

As for the concern about the medication affecting your fertility, current medical literature suggests that local steroid injections do not have a significant impact on fertility. The primary concern with systemic steroids is their potential to disrupt hormonal balance, which could affect ovulation and fertility. However, local injections are unlikely to cause such systemic effects.

It is also worth noting that if you have any underlying conditions that require steroid treatment, it is essential to manage those conditions effectively while planning for pregnancy. Discussing your fertility plans with your healthcare provider can help ensure that you receive the appropriate care and guidance tailored to your needs.

In summary, while local steroid injections are generally safe and have minimal systemic absorption, it is prudent to wait a short period after the injections before attempting to conceive. Always consult with your healthcare provider for the best course of action based on your specific health situation and fertility goals. They can provide you with the most accurate information and help you navigate your treatment and fertility plans effectively.

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