Considerations in managing personality disorder in females of childbearing potential

Personality disorder can affect a female of childbearing potential’s sexual health and behaviour (including contraception use), relationships and pregnancies. Females who have severe personality disorder with a borderline pattern are at increased risk of early and unprotected sexual intercourse, and early and unplanned pregnancies.

Discuss contraception and preconception planning with patients—see here for advice. If preconception planning is possible, explicitly and supportively discuss the additional emotional and relationship challenges associated with pregnancy and parenting—highlight the importance of support throughout the perinatal period.