Can I get pregnant?
Hello Doctor: My wife was diagnosed with tuberculosis in March of this year, and by the end of September, the doctor said she has been treated successfully and needs to be monitored for another year.
She will need to have an X-ray every three months.
Can my wife get pregnant? Will the frequent X-rays have any impact on the child? How long should we wait before trying to conceive? Thank you for your response.
Dàtóu, 20~29 year old female. Ask Date: 2005/10/19
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If your pulmonologist has stated that you are cured, there is no reason to insist on a specific waiting period before trying to conceive.
During pregnancy, if your pulmonologist believes that a chest X-ray follow-up is necessary, it should be performed.
Please ensure that the technician uses a lead shield to protect the abdomen during the procedure, as the radiation exposure is generally minimal.
Hsinchu City Hospital Department of Obstetrics and Gynecology.
Reply Date: 2005/10/19
More Info
It's great to hear that your wife has successfully completed her tuberculosis (TB) treatment. Generally, once a person has completed their treatment for active TB and has been declared cured by their healthcare provider, they can consider trying to conceive. However, there are several factors to consider regarding the timing of pregnancy and the implications of X-rays during this period.
First and foremost, the treatment for TB typically involves a regimen of antibiotics that can last for several months. The most common first-line drugs used to treat TB are isoniazid, rifampin, ethambutol, and pyrazinamide. These medications are generally considered safe for use during pregnancy, but it is crucial to consult with a healthcare provider to ensure that any potential risks are managed appropriately.
Regarding the timing of pregnancy, it is often recommended to wait until the treatment is fully completed and the patient has been monitored for a period of time to ensure that there are no lingering effects of the disease. In your wife's case, since she has completed her treatment in September and will be monitored for a year, it might be advisable to wait until after the follow-up period. This allows her body to fully recover and ensures that any potential complications related to TB are resolved before conception.
As for the X-rays, it is understandable to be concerned about the impact of radiation exposure on a developing fetus. While X-rays are generally avoided during pregnancy unless absolutely necessary, the amount of radiation exposure from a chest X-ray is relatively low. The risk to a fetus from a single chest X-ray is considered minimal, especially when weighed against the benefits of monitoring for any potential recurrence of TB. However, it is essential to discuss this with your healthcare provider, who can provide specific guidance based on your wife's health status and the necessity of the X-rays.
If your wife is required to have X-rays during the follow-up period, it is crucial to inform the radiology department of her potential pregnancy so that appropriate precautions can be taken. Protective measures, such as lead aprons, can be used to shield the abdomen during the procedure.
In summary, your wife can consider getting pregnant after her TB treatment, but it may be wise to wait until after the follow-up period to ensure her health is fully restored. Discussing the timing and any concerns about X-ray exposure with her healthcare provider will help you make an informed decision. It's essential to prioritize both her health and the health of a future pregnancy. If you have any further questions or concerns, don't hesitate to reach out to her doctor for personalized advice.
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