SAGE Journals Online
Advertisement
Sign In to gain access to subscriptions and/or personal tools.

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Advertisement

Sign In to gain access to subscriptions and/or personal tools.
Multiple Sclerosis
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Coyle, P K
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Coyle, P K
Social Bookmarking
 Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Multiple sclerosis gender issues: clinical practices of women neurologists

P K Coyle

MS Comprehensive Care Center, SUNY at Stony Brook, New York, NY, USA, pcoyle{at}notes.cc.sunysb.edu

S Christie

MS Clinic, Ottawa General Hospital, Ottawa, Ontario, Canada

P Fodor

Colorado Springs Neurological Associates and MS Center of Southern Colorado, Colorado Springs, CO, USA

K Fuchs

James Q. Miller MS Clinic, University of Virginia, Charlottesville, VA, USA

B Giesser

Reed Neurological Research Center, UCLA School of Medicine, Los Angeles, CA, USA

A Gutierrez

Louisiana State University Health Science, New Orleans, LA, USA

J Lynn

Department of Neurology, Ohio State University, Columbus, OH, USA

B Weinstock-Guttman

Department of Neurology, Buffalo General Hospital, Buffalo, NY, USA

L Pardo

University of Kansas Medical Center and Teva Neuroscience, Kansas City, MO, USA

Women Neurologists MS Initiative (WNMSI)

Substantially more women than men develop multiple sclerosis (MS), but information about the effects of MS and gender-specific issues such as pregnancy, breastfeeding, menstruation and hormone use is lacking. A survey study of neurologists’ practice patterns was undertaken to elicit information about gender-specific topics and the use of disease-modifying MS therapies (DMT) including the interferons and glatiramer acetate (GA). A total of 147 surveys were returned. Half of respondents require patients to discontinue DMT during pregnancy, while 35% encourage discontinuation. Among those who allow patients to continue therapy, half consider GA to be safer during pregnancy than the interferons. Nearly 86% of respondents do not use DMT in patients who are breastfeeding. Among the 11% who actually prescribe during breastfeeding, most recommend GA. Neurologists generally leave the decision to breastfeed up to patients, and most refer patients to obstetrician/gynaecologists for counselling about contraception or hormone replacement therapy. The survey results described here provide insight into how neurologists manage reproductive health issues among women with MS.

Key Words: contraception • glatiramer acetate • interferons • lactation • multiple sclerosis • pregnancy • women's health

Multiple Sclerosis, Vol. 10, No. 5, 582-588 (2004)
DOI: 10.1191/1352458504ms1083oa


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
Mult SclerHome page
C Weber-Schoendorfer and C Schaefer
Multiple sclerosis, immunomodulators, and pregnancy outcome: a prospective observational study
Multiple Sclerosis, September 1, 2009; 15(9): 1037 - 1042.
[Abstract] [PDF]


Home page
Therapeutic Advances in Neurological DisordersHome page
K. Hellwig, C. Beste, S. Schimrigk, and A. Chan
Immunomodulation and postpartum relapses in patients with multiple sclerosis
Therapeutic Advances in Neurological Disorders, January 1, 2009; 2(1): 7 - 11.
[Abstract] [PDF]



Advertisement