title: Reproductive Health Screening in Women with Autoimmune Diseases.
abstract: Although the female predominance of autoimmune diseases is not completely understood, sex hormones are thought to play a role. Attention to lifelong reproductive health is especially important for women with autoimmune disorders. Many of these women require long-term immunosuppressive therapy that may affect their ability to clear infections, including viruses, and may alter natural tumor surveillance mechanisms. As a result, women with autoimmune diseases may have different risks for common reproductive-related malignancies that may in turn affect screening guidelines and other preventive measures, including vaccination. Women with autoimmune diseases need to adhere diligently to screening recommendations.
authors.affiliation: Division of Rheumatology, Oklahoma University Health Sciences Center, 1100 N. Lindsay Avenue, Oklahoma City, OK 73104, USA.
authors.forename: Latisha
authors.initials: L
authors.lastname: Heinlen
authors.affiliation: Division of Arthritis and Clinical Immunology; Oklahoma Medical Research Foundation, 825 Northeast 13th Street, Oklahoma City, OK 73104, USA. Electronic address: chakravartye@omrf.org.
authors.forename: Eliza F
authors.initials: EF
authors.lastname: Chakravarty
mesh_terms: D001172:Arthritis, Rheumatoid / Q000453:epidemiology; D001327:Autoimmune Diseases / Q000188:drug therapy / Q000453:epidemiology*; D001943:Breast Neoplasms / Q000139:chemically induced / Q000175:diagnosis* / Q000453:epidemiology; D055088:Early Detection of Cancer / Q000379:methods; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects; D008180:Lupus Erythematosus, Systemic / Q000453:epidemiology; D030361:Papillomavirus Infections / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control; D053918:Papillomavirus Vaccines / Q000627:therapeutic use; D010349:Patient Compliance; D017410:Practice Guidelines as Topic; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis* / Q000453:epidemiology; D002583:Uterine Cervical Neoplasms / Q000139:chemically induced / Q000175:diagnosis* / Q000453:epidemiology
chemical_list: D007166:Immunosuppressive Agents; D053918:Papillomavirus Vaccines
keywords: Autoimmune diseases; Breast cancer; Cervical cancer; Human papilloma virus; Preventive health; Rheumatoid arthritis; Screening; Systemic lupus erythematosus