For women with chronic diseases such a conversation should be almost mandatory.
Chronic diseases are exhausting for the body. Some consequences - especially significant weight loss - can affect ovulation. Serious thyroid problems, such as Graves' disease or Hashimoto's thyroiditis, often inhibit ovulation. As a rule, however, hormonal disorders, such as Thyroid disorders, no problem if they are treated sufficiently drug - on the contrary: A well-adjusted thyroid helps with pregnancy! In most cases, these drugs can then be taken on, occasionally the dosage must be adjusted.
Chronic liver disease and kidney disease can also cause infertility, because these diseases affect the function of the pituitary gland.
Even medications that are prescribed for the treatment of these diseases can affect fertility. If you need to take any medications, talk to your doctor before getting pregnant to make sure the medications do not harm your child.
Steroids, which are sometimes prescribed to treat asthma, can usually continue to be used if you want to get pregnant. But if you have hypertension (high blood pressure), you probably need to switch from drugs that are commonly prescribed (such as ACE inhibitors) to those that will not harm your baby's development. Women with high blood pressure are also predestined for gestosis and, when they become pregnant, are immediately considered as high-risk pregnant women who have to be cared for very intensively in the team of gynecologist and internist.
If you have recently been diagnosed with cancer, be sure to talk to your gynecologist right away so as not to diminish your chances of having a baby later.