Reproductive Years and Adulthood

Key Topics

• Fertility preservation
• Sexual and reproductive health
• Chronic pain
• Cardiovascular risk
• Kidney disease
• Pulmonary hypertension
• Bone health
• Anticoagulation
• Endothelial dysfunction
• Cancer screening
• Mental health/burnout
• Sexual wellness/intimacy

Clinical Considerations

• Preconception counseling
• Genetic counseling: Inheritance counseling, Partner screening, Reproductive options
• Pregnancy Risk Counseling: Maternal risks, thrombosis, hypertensive disorders, stroke, VOC frequency, anemia, acute chest syndrome, maternal mortality
• Fetal risks: fetal growth restriction, preterm birth, stillborn, NICU admission
• Fertility and Ovarian Health: impact of hydroxyurea, ovarian reserve, fertility preservation

Suggested Resources:

• Preconception checklist
• Multidisciplinary care pathway
• Medication safety tables
• Anticoagulation guidance