Table 1. Family planning, contraceptive methods, fertility assessment.
DMT: disease-modifying treatment, MS: multiple sclerosis, IVF: In vitro fertilization
| Statements | Answer (n, % agreement) | Consensus reached at round | |
| Statement 1 | Do you consider that it is essential to discuss family planning issues with your patients of childbearing age at MS diagnosis? | Yes (42, 97,6%) | 1º |
| Statement 2 | Do you consider that it is essential to discuss family planning with your patients of childbearing age before choosing the first DMT? | Yes (42, 97,6%) | 1º |
| Statement 3 | Regarding the use of DMT, do you consider that it should be initiated immediately after MS diagnosis, and it should not be delayed due to a pregnancy desire? | Yes (32, 74,4%) | 1º |
| Statement 4 | When considering a DMT election for a female patient, do you think that the childbirth potential should be considered? | Yes (35, 81,4%) | 1º |
| Statement 5 | When considering a DMT election for a male patient, do you think that the childbirth potential should be considered? | Not reached | |
| Statement 6 | Do you consider it helpful to recommend a fertility assessment when a woman with MS plans to become pregnant, when this choice may have therapeutic consequences? | Not reached | |
| Statement 7 | In which of the following clinical circumstances might you recommend postponing pregnancy? | ||
| a.- clinical activity in the previous year. | Yes 41 (95,3%) | 1º | |
| b.- radiological activity in the previous year. | Yes 33 (76,7%) | 1º | |
| c.- in patients with high disability scores. | Not reached | ||
| d.- in patients with comorbidities | Not reached | ||
| Statement 8 | Do you think that in vitro fertilization increases the risk of MS relapse? | Yes (36, 83,7%) | 1º |
| Statement 9 | Would you contraindicate IVF in a patient with MS? | No (38, 90,4%) | 2º |
| Statement 10 | Regarding the risk of inheriting MS, which of the following option do you consider more appropriate? | ||
| a.-the risk of developing MS increases slightly when only a parent has MS | Not reached | ||
| b.-the risk of inheriting MS is low (2-3%) | Not reached | ||
| Statement 11 | Would you advise against pregnancy in a patient with MS who has a significant chronic disability? | Not reached | |