Systemic sclerosis & Raynaud's

Reproductive health in female patients with systemic sclerosis: a cross-sectional study

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

The impairment of reproductive health is common and in many quarters in patients with SSc.

Study context

Population
Female patients with systemic sclerosis (SSc) from the Chinese Organization for Scleroderma
Participants
342 patients
Exposure
Female patients with SSc vs national data and matched healthy controls
  • SScn = 342
Outcome
Status of reproductive health (fertility condition and menstrual status)
Methodological detailsquestionnaire-based, pregnancies matched with healthy controls
  • Questionnaire-based
  • Pregnancies matched with healthy controls

Main finding

As reported in the abstract

Problems with reproductive health

SSc

31.8%

108

Observational data: associations, not effects.

Further findings

OutcomeSScHealthy controlNational dataP value
Menopausal age, patients with disease onset before menopauseSSc vs National data · earlier menopause in SSc45.2 ± 6.1— not stated in the abstract48.2 ± 4.4P < 0.001
Spontaneous abortionsSSc vs National data · 9/74 in SSc12.2%— not stated in the abstract4.3%P < 0.001
Premature infantsSSc vs Healthy control21.8%6.4%— not stated in the abstractP = 0.003
Low birth weight infantsSSc vs Healthy control27.3%5.5%— not stated in the abstractP < 0.001
Cesarean sectionSSc vs Healthy control49.1%19.1%— not stated in the abstractP < 0.001

— not stated in the abstract

  • Premature infants: 12/55 vs 7/110
  • Low birth weight infants: 15/55 vs 6/110
  • Cesarean section: 27/55 vs 21/110

Factors associated with menopausal age

Age of disease onset
P = 0.018
Digital ulcer
P = 0.020

Infertility rate

Not increased vs national data

Original publication

Reproductive health in female patients with systemic sclerosis: a cross-sectional study. Rheumatology (Oxford). Published 20 September 2023. doi:10.1093/rheumatology/kead497

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