The objective was to determine if there is an increased risk to develop exacerbations in patients with multiple sclerosis (MS) after assisted reproduction technique (ART). An increase in annual relapse rate (ARR) was described after ART in a small cohort of patients. We investigated the associations between ART and relapse rate (RR) in 23 MS patients who underwent 78 hormonal stimulations in total. There was a statistically significant increase in the RR following ART independent of the hormonal approach or the time interval between the stimulations. These results suggest that female MS patients who wish to have children should be informed that the RR may be increasing if ART is necessary.

1.
Ferrero S, Pretta S, Ragni N: Multiple sclerosis: management issues during pregnancy. Eur J Obstet Gynecol Reprod Biol 2004;115:3–9.
2.
Laplaud DA, Leray E, Barriere P, Wiertlewski S, Moreau T: Increase in multiple sclerosis relapse rate following in vitro fertilization. Neurology 2006;66:1280–1281.
3.
Hellwig K, Beste C, Brune N, Haghikia A, Müller T, Schimrigk S, Gold R: Increased MS relapse rate during assisted reproduction technique. J Neurol 2008;255:592–593.
4.
Dwosh E, Guimond C, Duquette P, Sadovnick AD: The interaction of MS and pregnancy: a critical review. Int MS J 2003;10:38–42.
5.
Voskuhl RR: Hormone-based therapies in MS. Int MS J 2003;10:60–66.
6.
Vukusic S, Hutchinson M, Hours M, Moreau T, Cortinovis-Tourniaire P, Adeleine P Confavreux C, The Pregnancy In Multiple Sclerosis Group: Pregnancy and multiple sclerosis (the PRIMS study): clinical predictors of post-partum relapse. Brain 2004;127:1353–1360.
7.
Devonshire V, Duquette P, Dwosh E, Guimond C, Sadovnick AD: The immune system and hormones: review and relevance to pregnancy and contraception in women with MS. Int MS J 2003;10:45–50.
8.
Buljevac D, Hop WC, Reedeker W, Janssens AC, van der Meche FG, van Doorn PA, Hintzen RQ: Self reported stressful life events and exacerbations in multiple sclerosis: prospective study. BMJ 2003;327:646.
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