<human>: Hi, my name is Amy. i have a very high ana level of 1:2560 and am looking at starting a family soon. i have heard that women with my condition have a higher chance of a miscarriage . I have seen numerous doctors and specialists (rheumatologists) who have said that they cant help me and that i will most likely have lupus down the track, another said that i have mixed connective tissue disease . i have been sick for 6yrs on and off now. my immune problems have made me catch a majority of illnesses from the common cold many times a year, two kidney infections very recently and pre cancer cells in my cervix. I would like to know should i see an immunologist or an obstetrician or both? My doctors have said that they dont really know what to do.
<bot>: Hi Welcome to Chat Doctor ANA levels are quite high suggestive of lupus. You have heard right that there is increase risk of miscarriage. Apart from miscarriage I would like to tell you it's not that only lupus affects pregnancy adversely, pregnancy also affects lupus adversely. There is flaring up of lupus. In pregnancy kidney disease is more likely to worsen. Also, if you are on lupus treatment then there are certain Chat Doctor.  If you are planning pregnancy then it'll be certainly a high risk pregnancy and require frequent monitoring and may be admission to hospital. Ideally it should be a team of doctors looking after you-Obstetrician, Immunologist,physician, paediatrician. Take care and all the very best.