naa a22 4500 510740871 CHVBK 20180411083027.0 cr unu---uuuuu 180411e20130901xx s 000 0 eng 10.1007/s11845-012-0889-3 doi (NATIONALLICENCE)springer-10.1007/s11845-012-0889-3 Contraception for renal transplant recipients in the Republic of Ireland [Elektronische Daten] a review [T. Ramhendar, P. Byrne] Renal transplantation has extended the duration and quality of life for a growing number of women in the Republic of Ireland. Pregnancy has now become a reasonable and viable option for women who were previously too ill to conceive, leading the Royal college of Obstetricians and Gynaecologists to issue opinions on the management of women with renal disease in pregnancy. In the 10-year period, from 2000 to 2009, 1,412 renal transplants were undertaken at Beaumont Hospital, Dublin. Of these, 541 were female patients and 333 of these women were in the reproductive age group (18-49years) and thus would have potentially required some method of contraception. Improvements in overall health can lead to an early return to fertility and menstruation following renal transplant. It is recommended that the optimal management after renal transplantation is to ensure graft stability and optimal function before pregnancy is considered. It is also advisable to titrate immunosuppressive medication to the lowest maintenance dose possible to minimise potential fetal effects. Thus, a duration of 1year post-living donor renal transplant and 2years post-cadaveric donor transplant is usually quoted before embarking on a pregnancy, although this may vary from case to case. Women of reproductive age undergoing renal transplantation have a need for highly effective contraception. This review provides an overview of methods available in the Republic of Ireland and the evidence for their use in renal transplant recipients. Royal Academy of Medicine in Ireland, 2013 Renal Transplant recipients nationallicence Organ transplant nationallicence Contraception nationallicence LNG-IUS nationallicence Mirena nationallicence Combined oral contraceptive pill nationallicence Ramhendar T. Department of Gynaecology, Beaumont Hospital, Dublin 9, Ireland aut Byrne P. Department of Gynaecology, Beaumont Hospital, Dublin 9, Ireland aut Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 315-317 0021-1265 182:3<315 2013 182 11845 https://doi.org/10.1007/s11845-012-0889-3 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11845-012-0889-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ramhendar T. Department of Gynaecology, Beaumont Hospital, Dublin 9, Ireland aut NATIONALLICENCE 700 1- Byrne P. Department of Gynaecology, Beaumont Hospital, Dublin 9, Ireland aut NATIONALLICENCE 773 0- Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 315-317 0021-1265 182:3<315 2013 182 11845 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer