- EULAR's updated pregnancy guidance emphasizes reproductive planning and shared decision-making.
- Pregnancy-compatible csDMARDs include hydroxychloroquine, azathioprine, and sulfasalazine, among others.
- TNFi bDMARDs can be used throughout pregnancy, while some non-TNFi bDMARDs may also be considered.
- Majority of csDMARDs and bDMARDs are compatible with breastfeeding.
- Male patients on antirheumatic medications should consider sperm preservation and shared decision-making for conception planning.
Source: Annals of Rheumatic Diseases
