Can patients with nephrotic syndrome have children?

Patient's question:

We have been in a relationship for two years, and we are preparing to get married. However, when the autumn arrived, his legs swelled, and when he pressed them, a hole appeared. It seemed that this was happening in other parts of his body as well. After going to the hospital for a check-up, blood tests revealed that he had hypoproteinemia and hyperlipidemia. They also said that he had nephrotic syndrome.

Doctor's answer:

Swelling in both legs, forming a hole when pressed with the hand, low proteinemia and hyperlipidemia, diagnosed with nephrotic syndrome. In your condition, it is not recommended to have children. It is best to consider having children after the condition stabilizes.
Advice: Hello, pregnancy has a significant impact on kidney disease patients, but patients with nephrotic syndrome are not completely infertile. It is possible under certain conditions. If the nephrotic syndrome has been stable for over two years, with no hematuria or proteinuria (daily proteinuria below 0.5g), all test results are normal; renal function is normal, with no recurrence; there is no hypertension, and no other complications such as urinary tract infections. A kidney biopsy confirms that the pathological type of the nephritis is relatively mild. If you plan to have children, it is essential to follow the doctor's advice at the hospital to avoid worsening the condition and endangering your health.

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