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Hi I am 27 years old and had a kidney transplant on Dec 2006. The transplant was successful and I have not had any post transplant complications and my labs have been good. Since my transplant I've been trying to get pregnant with no luck. I am currently taking Prograf and Myfortic. What can I do to increase my chances to get pregnant? Is there a specialist I need to consult with? I live in Jacksonville, NC where my husband is currently stationed.

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replied April 29th, 2010
Getting Pregnant Answer A11623
Hi, welcome to the ehealth forum and I am glad to help you.
You seem concerned with infertility after kidney transplant. Fertility is usually restored in women with renal transplants. Women who have had a kidney transplant can get pregnant and carry the fetus to delivery. There are, however, important maternal and fetal complications that need to be considered to provide optimal care to the mother and her infant. Although due to kidney disease, patient commonly experience sexual dysfunction and infertility as a result of endocrine aberrations, vasomotor dysfunction, prescribed medications, and psychological factors. Female infertility results from altered hypothalamic function and is associated with high follicle-stimulating hormone (FSH), luteinizing hormone (LH), and prolactin levels. The hormone aberrations are usually reversed after transplantation, resulting in normal ovulatory cycles and regular menstruation. Sexual function improves after transplantation although some patients remain sexually dysfunctional 3 yr after transplantation. Since you had kidney transplant about 3.5 years back, so you can plan your pregnancy under proper guidance. So to avoid the maternal and fetal complications you must consult infertility specialist. You may need to be thoroughly investigated to find if the endocrine aberrations have been restored or not.
Hope this helps. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.

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