Pregnancy and contraception in pulmonary hypertension

Pregnancy is associated with high mortality rates in patients with all types of pulmonary hypertension. Discuss an effective means of contraception with all patients of childbearing potential who have pulmonary hypertension. At the time of writing, no consensus exists on the most appropriate form of contraception; use of 2 different methods of contraception is often recommended to improve reliability and effectiveness. Drug interactions between contraception and pulmonary arterial hypertension therapy can occur (most frequently with bosentan)Galie, 2016.

Patients with pulmonary hypertension who are considering pregnancy must discuss this with their pulmonary hypertension specialist before stopping either contraception or treatmentGalie, 2016.