Clinical Focus


  • Obstetrics and Gynecology

Professional Education


  • Medical Education: University of California San Diego School of Medicine Registrar (2013) CA
  • Residency: Stanford Hospital and Clinics CA

All Publications


  • Trends in Postpartum Uptake of Long-Acting Reversible Contraception Between 2012 and 2016 Noon, B., Lerma, K., Kharsa, Z., Shaw, K. LIPPINCOTT WILLIAMS & WILKINS. 2019: 32S
  • Pregnancy During Recovery from Hematopoietic Stem Cell Transplant for Mycosis Fungoides JOURNAL OF ADOLESCENT AND YOUNG ADULT ONCOLOGY Kharsa, Z. C., Gustin, S. L., Westphal, L. M. 2013; 2 (3): 133-135

    Abstract

    We report a case of spontaneous pregnancy with subsequent full-term live birth following hematopoietic stem cell transplantation (HSCT) for mycosis fungoides in a 24-year-old nulligravida with 4 years of prior infertility due to primary ovarian insufficiency. Four months post-transplant, the patient was found to be 10 weeks pregnant. Her pregnancy was complicated by first trimester fetal exposure to mycophenolate mofetil (pregnancy category D), delayed-onset acute gastrointestinal graft-versus-host disease, and multiple systemic infections. This report highlights the importance of discussing potential fertility outcomes in patients undergoing HSCT, including the necessity for adequate contraception post-transplant, even in the setting of previous infertility.

    View details for DOI 10.1089/jayao.2013.0007

    View details for Web of Science ID 000209404500011

  • Pregnancy During Recovery from Hematopoietic Stem Cell Transplant for Mycosis Fungoides. Journal of adolescent and young adult oncology Kharsa, Z. C., Gustin, S. L., Westphal, L. M. 2013; 2 (3): 133–35

    Abstract

    We report a case of spontaneous pregnancy with subsequent full-term live birth following hematopoietic stem cell transplantation (HSCT) for mycosis fungoides in a 24-year-old nulligravida with 4 years of prior infertility due to primary ovarian insufficiency. Four months post-transplant, the patient was found to be 10 weeks pregnant. Her pregnancy was complicated by first trimester fetal exposure to mycophenolate mofetil (pregnancy category D), delayed-onset acute gastrointestinal graft-versus-host disease, and multiple systemic infections. This report highlights the importance of discussing potential fertility outcomes in patients undergoing HSCT, including the necessity for adequate contraception post-transplant, even in the setting of previous infertility.

    View details for PubMedID 26812191