Unmet needs during the reproductive journey for women with systemic lupus erythematosus.

In recent decades, pregnancy in patients with systemic lupus erythematosus (SLE) has ceased to be a contraindication and has become more common due to improved understanding of the disease and improved healthcare assistance. However, there are still many gaps in the reproductive health of women with lupus, ranging from limited guidance on contraception and the best time to conceive, to conflicting information about medication use during pregnancy and concerns regarding short- and long-term complications for both the woman and the child. Finally, access to care for women with lupus remains fragmented, and clinical studies in pregnant women remain limited, which restricts evidence-based medicine in this context. This article reviews the unmet needs during the reproductive journey of women with SLE, discussing ways in which healthcare professionals and administrators can improve care for this group of patients.