Sexualität bei Jugendlichen mit rheumatischen Erkrankungen
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Sexualität bei Jugendlichen mit rheumatischen Erkrankungen : Verhütung, HPV-Impfung und Schwangerschaft. / Fischer-Betz, Rebecca; Haase, Isabell; Oommen, Prasad Thomas.
In: Z RHEUMATOL, Vol. 77, No. 8, 10.2018, p. 667-676.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Sexualität bei Jugendlichen mit rheumatischen Erkrankungen
T2 - Verhütung, HPV-Impfung und Schwangerschaft
AU - Fischer-Betz, Rebecca
AU - Haase, Isabell
AU - Oommen, Prasad Thomas
PY - 2018/10
Y1 - 2018/10
N2 - Young patients and adolescents with chronic rheumatic diseases have the same desires, fears and needs in terms of sexuality and pregnancy as their healthy peers. In most cases adolescents are already sexually active before transition from pediatric to adult rheumatological care takes place. Pregnancies in women with rheumatic diseases are associated with increased maternal and fetal risks, especially when they occur unplanned in the course of active disease or under teratogenic drugs. Safe contraception is therefore crucial in preventing unwanted pregnancies. The choice of contraception should anticipate the safety of the method of contraception as well as age-dependent practicability. A strategy of "double protection" through the use of condoms for contraception and prevention of sexually transmitted diseases combined with another safe contraception method should be recommended. Women with rheumatic diseases are more susceptible to acquire persisting human papilloma virus (HPV) infections and the subsequent progression to cervical cancer. In women with rheumatic diseases HPV vaccination induces high seroconversion rates, is safe and does not seem to induce disease activity. The care of adolescent women with rheumatic diseases before, during and after medical transition needs to encompass an open, early and continuous counselling regarding these topics in order to retain the individual health-related quality of life and to adapt this care to age-specific needs.
AB - Young patients and adolescents with chronic rheumatic diseases have the same desires, fears and needs in terms of sexuality and pregnancy as their healthy peers. In most cases adolescents are already sexually active before transition from pediatric to adult rheumatological care takes place. Pregnancies in women with rheumatic diseases are associated with increased maternal and fetal risks, especially when they occur unplanned in the course of active disease or under teratogenic drugs. Safe contraception is therefore crucial in preventing unwanted pregnancies. The choice of contraception should anticipate the safety of the method of contraception as well as age-dependent practicability. A strategy of "double protection" through the use of condoms for contraception and prevention of sexually transmitted diseases combined with another safe contraception method should be recommended. Women with rheumatic diseases are more susceptible to acquire persisting human papilloma virus (HPV) infections and the subsequent progression to cervical cancer. In women with rheumatic diseases HPV vaccination induces high seroconversion rates, is safe and does not seem to induce disease activity. The care of adolescent women with rheumatic diseases before, during and after medical transition needs to encompass an open, early and continuous counselling regarding these topics in order to retain the individual health-related quality of life and to adapt this care to age-specific needs.
KW - Adolescent
KW - Contraception
KW - Female
KW - Humans
KW - Papillomavirus Infections/prevention & control
KW - Pregnancy
KW - Quality of Life
KW - Rheumatic Diseases/complications
KW - Sexuality
KW - Vaccination
U2 - 10.1007/s00393-018-0522-6
DO - 10.1007/s00393-018-0522-6
M3 - SCORING: Review
C2 - 30135988
VL - 77
SP - 667
EP - 676
JO - Z RHEUMATOL
JF - Z RHEUMATOL
SN - 0340-1855
IS - 8
ER -
