Evaluation of the Reproductive Care Provided to Adolescent Patients in Nephrology Clinics: A Pediatric Nephrology Research Consortium Study

摘要

A pproximately 20 million of the 333 million per- sons living in the United States are adolescent females. 1 However, studies examining the reproductive care provided to adolescent females with kidney dis- ease are scarce. Adolescents with chronic kidney dis- ease (CKD) are at a critical transition phase, and many issues arising during adolescence can directly or indi- rectly affect renal and reproductive outcomes, 2,3 including the effect of hormonal contraception on kidney physiology, a higher frequency of menstrual irregularities in patients with CKD, the potential for teratogenicity from kidney disease medications, and the need for preconception counseling about the risks of pregnancy.