Radiation Exposure and Pregnancy: What You Need to Know - Radiology

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Radiation and Pregnancy: Related Issues


Hello, Director.
I have been experiencing shoulder pain, so I visited an orthopedic doctor today.
The doctor had me undergo four X-rays of my shoulder and a magnetic resonance imaging (MRI) scan that lasted about 20 minutes.
I would like to know if it is safe for me to conceive at the end of this month.
I'm really worried and can't sleep at night...

KiKi, 30~39 year old female. Ask Date: 2017/01/11

Dr. Wang Yifen reply Radiology


There are multiple factors to consider regarding pregnancy status.
It is recommended to visit an obstetrics and gynecology clinic for evaluation.
After a consultation with a specialist, further management should be based on the obstetrician's recommendations.

Reply Date: 2017/01/11

More Info


When considering the implications of radiation exposure during pregnancy, it’s essential to understand the types of radiation, the levels of exposure, and the potential effects on both the mother and the developing fetus. Your concern about the X-rays and MRI you underwent is valid, especially as you are planning to conceive soon.

Firstly, let’s clarify the types of imaging you received. X-rays use ionizing radiation, which can potentially pose risks to a developing fetus, particularly in the early stages of pregnancy. However, the amount of radiation exposure from a typical shoulder X-ray is relatively low. For instance, a single shoulder X-ray typically delivers a dose of about 0.01 to 0.02 mSv (millisieverts). In comparison, the natural background radiation that everyone is exposed to in a year is about 3 mSv. Therefore, the cumulative dose from four shoulder X-rays would still be quite low and generally considered safe.

On the other hand, Magnetic Resonance Imaging (MRI) does not use ionizing radiation; instead, it employs magnetic fields and radio waves to create images of the body. Current research indicates that MRI is safe during pregnancy, particularly after the first trimester, and poses no known risks to the fetus. However, it is always advisable to inform the radiologist or technician about your pregnancy status before undergoing an MRI.

Regarding your specific situation, if you had four shoulder X-rays and one MRI, the radiation exposure from the X-rays is minimal and unlikely to have any significant impact on your fertility or the health of a future pregnancy. The effective dose from the X-rays is well below the threshold that is considered harmful to a developing fetus. The International Commission on Radiological Protection (ICRP) suggests that doses below 100 mGy (milligrays) are not associated with significant risks of developmental issues or congenital malformations.

If you are planning to conceive at the end of this month, there is no evidence to suggest that the imaging you underwent would hinder your ability to conceive or negatively affect the embryo if conception occurs shortly after the imaging. It’s important to note that many women undergo necessary medical imaging before realizing they are pregnant, and the vast majority of these pregnancies result in healthy outcomes.

In summary, based on the information provided, you can feel reassured that the radiation exposure from the X-rays is minimal and that the MRI poses no risk. If you have any lingering concerns, it would be beneficial to discuss them with your healthcare provider, who can provide personalized advice based on your medical history and current health status. It’s crucial to maintain open communication with your healthcare team as you plan for pregnancy, ensuring that both your health and the health of your future child are prioritized.
In conclusion, while it’s natural to worry about potential risks, the levels of radiation exposure from your recent imaging studies are low and should not deter you from trying to conceive. Focus on maintaining a healthy lifestyle and consult with your healthcare provider for any further questions or concerns you may have as you embark on this exciting journey toward parenthood.

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