I'm 29 and was diagnosed 8 years ago with portal hypertension due to a chronic schistosoma infection (therefore had an enlarged spleen, ascites and jaundice at the time). Since then I've been taking a low (I believe) dosage of spironolactone, propranolol and furosemide to control my blood pressure and water retention.
Me & my man really want to have a baby within the next few years, and we're concerned about the possible complications/risks arising from this:
1. My menstrual cycle is very irregular (I often go several months without a period. Never been on the pill/injection etc. Never been pregnant)
2. Was rushed to hospital 5 months ago to have a bleeding oesophageal varix ligated. This was the first time I had a rupture but it could happen again.
3. My liver function is impaired (though to what extent I couldn't say). I bruise easily and there's some platelet issue - a bleeding cut takes a while to clot. My ankles occasionally puff up a bit after a long day.
4. I'm on a rather spare medical aid plan right now, so frequent visits to any kind of specialist are limited. I was advised to come in for a gastroscopy every 6 months. With pregnancy, would this be more often? Is it advisable for my gastroenterologist and (future) OB/GYN to communicate directly?
Before this year my 'condition' was sort of at the back of my mind, to be honest, so I haven't been particularly diligent, other than taking the medication. However I have had no major mishaps or setbacks until 5 months ago. I'm otherwise in ok shape, feel fine, take care of my body as best I can - eat fairly healthily, swim regularly, and don't drink at all anymore (I used to have a glass or 2 of wine fairly often).
I just wanted to know what to expect should I become pregnant. I'm in a longterm relationship and we have discussed all of this. I'm just worried with the recent bleed that maybe things are worsening and the chances of a traumatic pregnancy will escalate as time goes by. We really want to have a baby.
I was just hoping for an overall idea of what I'm facing, but mainly just to know how worried should I be.