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Mam/Sir Is marriage and pregnancy recommended in primary pulmonary hypertension?

By Anonymous July 10, 2009 - 5:17am
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Mam/Sir i m suffering from primary pulmonary hypertension and i am on treatment from KMC hospital Manipal i m on Sildenefil Citrate 25mg 1/2bd tab and Warf 5mg tab alternate days where i have to check my prthrombin time.My age is 25yrs i m confused whether to get married or not i want to marry and have children but yet scared.Please give me a right suggetion?

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HERWriter Guide

Hi Anonymous

Thanks for your question and welcome to EmpowHer!

I'm sorry to read you're dealing with these health problems at such a young age. For the benefit of some of our readers who may be unfamiliar with your diagnosis, "Primary pulmonary hypertension (PPH) is a rare disease that causes high blood pressure in the blood vessels of the lungs. A person with PPH has extra muscle in the walls of these blood vessels. That extra muscle makes it more difficult for blood to flow through them. So, the right side of the heart, which pumps blood to the lungs, has to work harder. This additional strain can eventually lead to heart failure.

Initial symptoms of PPH may be minor, and will get progressively worse. If you experience any of these symptoms do not assume it is due to PPH. These symptoms may be caused by other, less serious health conditions. If you experience any one of them, see your physician.

◦Shortness of breath, especially when you’re active or at rest
◦Hyperventilation – abnormally rapid, deep breathing
◦Fatigue – tiredness
◦Progressive weakness
◦Fainting spells
◦Coughing up blood
◦Cyanosis—a bluish tint to the lips and skin
◦Swelling of the legs and hands
◦Chest pain
◦Lack of appetite
◦Cold hands and feet
◦Low blood pressure

There is no cure for PPH. Treatment is used to help alleviate and control the symptoms. Talk with your doctor about the best treatment plan for you. Treatment options include the following:

◦Calcium channel-blocking drugs—to relax the muscles in the blood vessels in the lungs
◦Protacylin drugs (epoprostenol, treprostinil, lioprost)—to relax the muscles in the blood vessels in the lungs
◦Digoxin—to improve the ability of the heart to pump blood
◦Anticoagulants—to decrease the chance of blood clots in the lungs
◦Diuretics—to reduce the amount of fluid in the body and in turn reduce strain on the heart
◦Vasodilators—to help reduce blood pressure in the blood vessels in the lungs
Supplemental Oxygen
Delivered through a mask or tubes inserted into the nostrils, if breathing becomes difficult.

Lung Transplant or Heart-Lung Transplant
Defective lungs and/or heart are replaced with donor organs. This option is used only in severe cases of PPH.

There are no guidelines for preventing PPH because the cause is not known.

Anon - no-one can tell you whether to get married or have children. Certainly marriage is something that you can always consider! Why not? People with all sorts of challenges in life get married! As long as you are open with your partner and he is supportive, then it's a wonderful idea!

Having kids may be a different story because of your own health. The medications you are on may be vital to your health but may be dangerous to a baby in your uterus. You can talk to your doctor about your options. Again, lots of people have babies under all sorts of circumstances - even if you couldn't have one biologically, adoption may be an option. Only you can weigh the circumstances and make these decisions. You will just need to make sure that you are up to the demands of parenting - that it won't hurt your health or be too difficult for a child. Raising children may be too much of a strain or it could be absolutely possible! These are decisions you and your husband need to make, using your health and abilities as a guideline.

Are you generally pretty healthy and able to live a pretty "normal" life and lifestyle? Do your medications work well for you?

July 10, 2009 - 12:39pm
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