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What is the most important thing to do if you have ulcerative colitis and want to get pregnant?

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The most important thing you can do is get your UC under control and into remission before you try to get pregnant. If you get pregnant while the disease is still active, there's a good chance your symptoms will continue or get worse during pregnancy.

Active UC flare-ups can leave you underweight and without nutrients that are important for pregnancy. If you don't weigh as much as you should, you're much more likely to have a miscarriage in the first trimester. When you're underweight, you might have a premature and underweight baby.

From: Pregnancy With Ulcerative Colitis WebMD Medical Reference

SOURCES: 

Dubinsky, M.  , December 2008. Inflammatory Bowel Diseases

Maconochie, N.  , February 2007. BJOG

Fukushima, T.  , 2005. Toxicological Sciences

Cornish, J.  , June 2007. Gut

Crohn's & Colitis Foundation of America: "IBD and Pregnancy: What You Need to Know," "Crohn's & Colitis Foundation of America's Clinical Alliance Presents Findings Related to Pregnancy Outcomes in Patients Being Treated for Inflammatory Bowel Disease."

Alan C. Moss, MD, assistant professor of medicine, Harvard Medical School; director of translational research, Center for Inflammatory Bowel Disease, Beth Israel Deaconess Medical Center, Boston.

American Pregnancy Association: "Eating for Two When Over/ or Under Weight."

Uma Mahadevan, MD, associate professor of medicine and director of clinical research, Center for Colitis and Crohn's Disease, University of California, San Francisco.

Reviewed by Traci C. Johnson on November 14, 2017

SOURCES: 

Dubinsky, M.  , December 2008. Inflammatory Bowel Diseases

Maconochie, N.  , February 2007. BJOG

Fukushima, T.  , 2005. Toxicological Sciences

Cornish, J.  , June 2007. Gut

Crohn's & Colitis Foundation of America: "IBD and Pregnancy: What You Need to Know," "Crohn's & Colitis Foundation of America's Clinical Alliance Presents Findings Related to Pregnancy Outcomes in Patients Being Treated for Inflammatory Bowel Disease."

Alan C. Moss, MD, assistant professor of medicine, Harvard Medical School; director of translational research, Center for Inflammatory Bowel Disease, Beth Israel Deaconess Medical Center, Boston.

American Pregnancy Association: "Eating for Two When Over/ or Under Weight."

Uma Mahadevan, MD, associate professor of medicine and director of clinical research, Center for Colitis and Crohn's Disease, University of California, San Francisco.

Reviewed by Traci C. Johnson on November 14, 2017

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How soon should you make an appointment with a doctor if you want to get pregnant and have ulcerative colitis?

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