so i have to undergo dialysis. I was kinda curious about whether I can still get pregnant if I'm on dialysis,and my menstrual cycle is still normal? and if i can't why not?

　　Most women on dialysis are unable to get pregnant. This is usually due to their older age as well as the effects of kidney disease on the their sexual desire and hormonal systems. However, some women retain their ability to ovulate and menstruate and thus pregnancy while on dialysis is possible and does occur.
　　The pregnancy of a dialysis patient is rarely discovered in the first trimester - the average gestational age is 16 weeks. Irregular menstruation, frequent gastrointestinal and fatigue complaints, and a perception that pregnancy rarely occurs in dialysis patients can all mask pregnancy. Thus, diagnosing pregnancy early in dialysis patients requires a high index of suspicion.
　　Unlike women with chronic kidney disease, there isn’t any concern that a pregnancy will lead to kidney disease progression. As a result, most of the risks and concerns deal with the baby and not the mother. Spontaneous miscarriage late in the pregnancy is very common. It has been estimated that over 20% of the pregnancies that make it past the first trimester will end spontaneously. If the pregnancy continues into the third trimester, premature birth is the rule not the exception – 80% of births are premature.

　　One of the biggest concerns with the pregnancy of a dialysis patient is that a premature birth leads to permanent organ damage or death. The average gestation age at the time of delivery is about 32 weeks. Survival rates for the baby born to a woman on dialysis is relatively poor (60-80%). Also, there are serous concerns about long term damage to their lungs, eyes, brains and growth because of their premature births and low birth weights.