Research ArticleAccepted Article
Pregnancy outcome in couples with males exposed to long term anti –TNF alpha blocker therapies – a prospective study
M. C. Micu, M. Ostensen, V. Bojincă, O. Șerban, M. Mihai, C. Suța, A. Ramazan, L. Enache, A. Bobircă, S. Pătcaș, R. Micu and R. Ionescu
The Journal of Rheumatology March 2019, jrheum.180588; DOI: https://doi.org/10.3899/jrheum.180588
M. C. Micu
From the Rheumatology Division, 2nd Rehabilitation Department, Rehabilitation Clinical Hospital Cluj- Napoca, Romania; Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, Department of Rheumatology, St. Olavs Hospital, Trondheim University Hospital, Norway; and Department of Rheumatology, Sørlandet Sykehus, 4615 Kristiansand, Norway; Department of Internal Medicine and Rheumatology, “Sfânta Maria” Hospital, Bucharest, Romania; 2nd Internal Medicine Department, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; ASTRA Outpatient Clinic , Sibiu, Romania; Rheumatology Department, 2nd Internal Medicine Department, “Sf. Apostol Andrei” Emergency County Hospital Constanța, Romania; Clinical Center of Rheumatic Diseases, Bucharest, Romania; Department of Internal Medicine and Rheumatology, Dr I. Cantacuzino Clinical Hospital, Bucharest “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; Mother and child Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Address correspondence to Micu Romeo,Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Email: romeomicu@hotmail.com.
M. Ostensen
From the Rheumatology Division, 2nd Rehabilitation Department, Rehabilitation Clinical Hospital Cluj- Napoca, Romania; Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, Department of Rheumatology, St. Olavs Hospital, Trondheim University Hospital, Norway; and Department of Rheumatology, Sørlandet Sykehus, 4615 Kristiansand, Norway; Department of Internal Medicine and Rheumatology, “Sfânta Maria” Hospital, Bucharest, Romania; 2nd Internal Medicine Department, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; ASTRA Outpatient Clinic , Sibiu, Romania; Rheumatology Department, 2nd Internal Medicine Department, “Sf. Apostol Andrei” Emergency County Hospital Constanța, Romania; Clinical Center of Rheumatic Diseases, Bucharest, Romania; Department of Internal Medicine and Rheumatology, Dr I. Cantacuzino Clinical Hospital, Bucharest “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; Mother and child Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Address correspondence to Micu Romeo,Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Email: romeomicu@hotmail.com.
V. Bojincă
From the Rheumatology Division, 2nd Rehabilitation Department, Rehabilitation Clinical Hospital Cluj- Napoca, Romania; Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, Department of Rheumatology, St. Olavs Hospital, Trondheim University Hospital, Norway; and Department of Rheumatology, Sørlandet Sykehus, 4615 Kristiansand, Norway; Department of Internal Medicine and Rheumatology, “Sfânta Maria” Hospital, Bucharest, Romania; 2nd Internal Medicine Department, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; ASTRA Outpatient Clinic , Sibiu, Romania; Rheumatology Department, 2nd Internal Medicine Department, “Sf. Apostol Andrei” Emergency County Hospital Constanța, Romania; Clinical Center of Rheumatic Diseases, Bucharest, Romania; Department of Internal Medicine and Rheumatology, Dr I. Cantacuzino Clinical Hospital, Bucharest “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; Mother and child Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Address correspondence to Micu Romeo,Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Email: romeomicu@hotmail.com.
O. Șerban
From the Rheumatology Division, 2nd Rehabilitation Department, Rehabilitation Clinical Hospital Cluj- Napoca, Romania; Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, Department of Rheumatology, St. Olavs Hospital, Trondheim University Hospital, Norway; and Department of Rheumatology, Sørlandet Sykehus, 4615 Kristiansand, Norway; Department of Internal Medicine and Rheumatology, “Sfânta Maria” Hospital, Bucharest, Romania; 2nd Internal Medicine Department, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; ASTRA Outpatient Clinic , Sibiu, Romania; Rheumatology Department, 2nd Internal Medicine Department, “Sf. Apostol Andrei” Emergency County Hospital Constanța, Romania; Clinical Center of Rheumatic Diseases, Bucharest, Romania; Department of Internal Medicine and Rheumatology, Dr I. Cantacuzino Clinical Hospital, Bucharest “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; Mother and child Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Address correspondence to Micu Romeo,Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Email: romeomicu@hotmail.com.
M. Mihai
From the Rheumatology Division, 2nd Rehabilitation Department, Rehabilitation Clinical Hospital Cluj- Napoca, Romania; Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, Department of Rheumatology, St. Olavs Hospital, Trondheim University Hospital, Norway; and Department of Rheumatology, Sørlandet Sykehus, 4615 Kristiansand, Norway; Department of Internal Medicine and Rheumatology, “Sfânta Maria” Hospital, Bucharest, Romania; 2nd Internal Medicine Department, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; ASTRA Outpatient Clinic , Sibiu, Romania; Rheumatology Department, 2nd Internal Medicine Department, “Sf. Apostol Andrei” Emergency County Hospital Constanța, Romania; Clinical Center of Rheumatic Diseases, Bucharest, Romania; Department of Internal Medicine and Rheumatology, Dr I. Cantacuzino Clinical Hospital, Bucharest “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; Mother and child Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Address correspondence to Micu Romeo,Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Email: romeomicu@hotmail.com.
C. Suța
From the Rheumatology Division, 2nd Rehabilitation Department, Rehabilitation Clinical Hospital Cluj- Napoca, Romania; Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, Department of Rheumatology, St. Olavs Hospital, Trondheim University Hospital, Norway; and Department of Rheumatology, Sørlandet Sykehus, 4615 Kristiansand, Norway; Department of Internal Medicine and Rheumatology, “Sfânta Maria” Hospital, Bucharest, Romania; 2nd Internal Medicine Department, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; ASTRA Outpatient Clinic , Sibiu, Romania; Rheumatology Department, 2nd Internal Medicine Department, “Sf. Apostol Andrei” Emergency County Hospital Constanța, Romania; Clinical Center of Rheumatic Diseases, Bucharest, Romania; Department of Internal Medicine and Rheumatology, Dr I. Cantacuzino Clinical Hospital, Bucharest “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; Mother and child Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Address correspondence to Micu Romeo,Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Email: romeomicu@hotmail.com.
A. Ramazan
From the Rheumatology Division, 2nd Rehabilitation Department, Rehabilitation Clinical Hospital Cluj- Napoca, Romania; Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, Department of Rheumatology, St. Olavs Hospital, Trondheim University Hospital, Norway; and Department of Rheumatology, Sørlandet Sykehus, 4615 Kristiansand, Norway; Department of Internal Medicine and Rheumatology, “Sfânta Maria” Hospital, Bucharest, Romania; 2nd Internal Medicine Department, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; ASTRA Outpatient Clinic , Sibiu, Romania; Rheumatology Department, 2nd Internal Medicine Department, “Sf. Apostol Andrei” Emergency County Hospital Constanța, Romania; Clinical Center of Rheumatic Diseases, Bucharest, Romania; Department of Internal Medicine and Rheumatology, Dr I. Cantacuzino Clinical Hospital, Bucharest “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; Mother and child Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Address correspondence to Micu Romeo,Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Email: romeomicu@hotmail.com.
L. Enache
From the Rheumatology Division, 2nd Rehabilitation Department, Rehabilitation Clinical Hospital Cluj- Napoca, Romania; Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, Department of Rheumatology, St. Olavs Hospital, Trondheim University Hospital, Norway; and Department of Rheumatology, Sørlandet Sykehus, 4615 Kristiansand, Norway; Department of Internal Medicine and Rheumatology, “Sfânta Maria” Hospital, Bucharest, Romania; 2nd Internal Medicine Department, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; ASTRA Outpatient Clinic , Sibiu, Romania; Rheumatology Department, 2nd Internal Medicine Department, “Sf. Apostol Andrei” Emergency County Hospital Constanța, Romania; Clinical Center of Rheumatic Diseases, Bucharest, Romania; Department of Internal Medicine and Rheumatology, Dr I. Cantacuzino Clinical Hospital, Bucharest “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; Mother and child Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Address correspondence to Micu Romeo,Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Email: romeomicu@hotmail.com.
A. Bobircă
From the Rheumatology Division, 2nd Rehabilitation Department, Rehabilitation Clinical Hospital Cluj- Napoca, Romania; Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, Department of Rheumatology, St. Olavs Hospital, Trondheim University Hospital, Norway; and Department of Rheumatology, Sørlandet Sykehus, 4615 Kristiansand, Norway; Department of Internal Medicine and Rheumatology, “Sfânta Maria” Hospital, Bucharest, Romania; 2nd Internal Medicine Department, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; ASTRA Outpatient Clinic , Sibiu, Romania; Rheumatology Department, 2nd Internal Medicine Department, “Sf. Apostol Andrei” Emergency County Hospital Constanța, Romania; Clinical Center of Rheumatic Diseases, Bucharest, Romania; Department of Internal Medicine and Rheumatology, Dr I. Cantacuzino Clinical Hospital, Bucharest “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; Mother and child Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Address correspondence to Micu Romeo,Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Email: romeomicu@hotmail.com.
S. Pătcaș
From the Rheumatology Division, 2nd Rehabilitation Department, Rehabilitation Clinical Hospital Cluj- Napoca, Romania; Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, Department of Rheumatology, St. Olavs Hospital, Trondheim University Hospital, Norway; and Department of Rheumatology, Sørlandet Sykehus, 4615 Kristiansand, Norway; Department of Internal Medicine and Rheumatology, “Sfânta Maria” Hospital, Bucharest, Romania; 2nd Internal Medicine Department, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; ASTRA Outpatient Clinic , Sibiu, Romania; Rheumatology Department, 2nd Internal Medicine Department, “Sf. Apostol Andrei” Emergency County Hospital Constanța, Romania; Clinical Center of Rheumatic Diseases, Bucharest, Romania; Department of Internal Medicine and Rheumatology, Dr I. Cantacuzino Clinical Hospital, Bucharest “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; Mother and child Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Address correspondence to Micu Romeo,Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Email: romeomicu@hotmail.com.
R. Micu
From the Rheumatology Division, 2nd Rehabilitation Department, Rehabilitation Clinical Hospital Cluj- Napoca, Romania; Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, Department of Rheumatology, St. Olavs Hospital, Trondheim University Hospital, Norway; and Department of Rheumatology, Sørlandet Sykehus, 4615 Kristiansand, Norway; Department of Internal Medicine and Rheumatology, “Sfânta Maria” Hospital, Bucharest, Romania; 2nd Internal Medicine Department, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; ASTRA Outpatient Clinic , Sibiu, Romania; Rheumatology Department, 2nd Internal Medicine Department, “Sf. Apostol Andrei” Emergency County Hospital Constanța, Romania; Clinical Center of Rheumatic Diseases, Bucharest, Romania; Department of Internal Medicine and Rheumatology, Dr I. Cantacuzino Clinical Hospital, Bucharest “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; Mother and child Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Address correspondence to Micu Romeo,Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Email: romeomicu@hotmail.com.
R. Ionescu
From the Rheumatology Division, 2nd Rehabilitation Department, Rehabilitation Clinical Hospital Cluj- Napoca, Romania; Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, Department of Rheumatology, St. Olavs Hospital, Trondheim University Hospital, Norway; and Department of Rheumatology, Sørlandet Sykehus, 4615 Kristiansand, Norway; Department of Internal Medicine and Rheumatology, “Sfânta Maria” Hospital, Bucharest, Romania; 2nd Internal Medicine Department, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; ASTRA Outpatient Clinic , Sibiu, Romania; Rheumatology Department, 2nd Internal Medicine Department, “Sf. Apostol Andrei” Emergency County Hospital Constanța, Romania; Clinical Center of Rheumatic Diseases, Bucharest, Romania; Department of Internal Medicine and Rheumatology, Dr I. Cantacuzino Clinical Hospital, Bucharest “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; Mother and child Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj- Napoca, Romania; Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Address correspondence to Micu Romeo,Assisted Reproduction Department, 1st Gynecology Clinic, Clinicilor Str. 3-5, Cluj- Napoca, 400006, Romania. Email: romeomicu@hotmail.com.
Abstract
Objective To examine the pregnancy achievement and outcomes in couples where men with spondyloarthritis (SpA) were exposed to tumor necrosis factor inhibitors (TNFi).
Methods Pregnancies of SpA fathers were prospectively collected by 6 Romanian rheumatology centers.
Results Twenty-seven patients achieved 33 pregnancies and fathered 30 healthy children. Three elective abortions (personal reasons) and no spontaneous abortions, preeclampsia/ eclampsia, stillbirths, congenital malformations or pathologies in the children were recorded. Five patients showed normospermia before and after long term TNFi treatment.
Conclusion Pregnancy and child outcome in male SpA patients exposed to long term TNFi therapy was reassuring.
In this issue
The Journal of Rheumatology
Vol. 51, Issue 4
1 Apr 2024
Accepted manuscript
Pregnancy outcome in couples with males exposed to long term anti –TNF alpha blocker therapies – a prospective study
M. C. Micu, M. Ostensen, V. Bojincă, O. Șerban, M. Mihai, C. Suța, A. Ramazan, L. Enache, A. Bobircă, S. Pătcaș, R. Micu, R. Ionescu
The Journal of Rheumatology Mar 2019, jrheum.180588; DOI: 10.3899/jrheum.180588
Accepted manuscript
Pregnancy outcome in couples with males exposed to long term anti –TNF alpha blocker therapies – a prospective study
M. C. Micu, M. Ostensen, V. Bojincă, O. Șerban, M. Mihai, C. Suța, A. Ramazan, L. Enache, A. Bobircă, S. Pătcaș, R. Micu, R. Ionescu
The Journal of Rheumatology Mar 2019, jrheum.180588; DOI: 10.3899/jrheum.180588