ReviewEULAR rheumatology open2025
Reproductive Health in Rheumatology: Making 'Early and Regular' Work in Practice.
Review in EULAR rheumatology open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Reproductive health is increasingly recognised as a core aspect of rheumatology care, particularly for patients of reproductive age living with chronic inflammatory conditions. Both the newly updated EULAR recommendations and the 2020 American College of Rheumatology guideline call for reproductive health to be addressed 'early and regular' or 'early and often' in clinical encounters. However, the practical implementation of this guidance remains a challenge. In daily practice, discussions about fertility, contraception, and family planning are often delayed, inconsistent, or omitted entirely, especially for male, trans, and nonbinary patients. This viewpoint outlines a practical approach to integrating reproductive health into routine rheumatology care using 2 complementary strategies: the Permission, Limited Information, Specific Suggestions, Intensive Therapy (PLISSIT) model and a communication approach referred to as 'Inform and Acknowledge'. The PLISSIT model provides a scalable framework for initiating and tailoring reproductive health conversations, while 'Inform and Acknowledge' offers a rhythm for maintaining those discussions over time, even when they are not immediately relevant. These strategies are designed to be flexible, time-sensitive, and inclusive of diverse reproductive identities and needs. The article also highlights structural barriers, including limited consultation time and lack of training, and calls for more implementation research to support integration of reproductive care into real-world rheumatology practice. By shifting from reactive, risk-focused conversations to proactive, informed planning, clinicians can support patients in making timely and empowered reproductive health decisions. Making reproductive health routine is not just an ethical imperative-it is part of providing complete, patient-centered rheumatologic care.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.