Lovenox treatment

KatherineP

2 Posts
Reply Posted on: Dec 17, 2013 at 10:45am
Hi Dr Braverman,
i am currently 13 weeks pregnant via Ivf. I've had 2 miscarriages, one at 6 weeks and one missed miscarriage at 12 weeks via IUI (baby measured 10.5 weeks). We did chromosome testing on the fetus and everything was normal, so my fertility dr tested for immune & blood clotting disorders. I have c677t MTHFR & PAI-1. I have been on 40 mg of lovenox daily since my embryo transfer. Now that have "graduated" from the fertility dr, the perinatologist says he does not think I need to continue the lovenox, which obviously makes me very nervous due to all that we have been through. I was under the impression that the further along I get, the higher the risk for clotting. The dr says that most clotting that would cause miscarriage would happen in the first trimester. Just curious to see if this is the same protocol you would recommend for your patients. Thanks so much!
KatherineP

Dr. Braverman

2026 Posts
RE: Lovenox treatment Posted on: Dec 17, 2013 at 10:50am
Of course I dont know your case well enough to comment on your own specific situation . But in my experience I have seen only better results when I leave my patients on the lovenox throughout the pregnancy. With the history of miscarriages and the findings that you have (not sure what else was done and if this is a "complete" workup for recurrent miscarriage I try and be more aggressive with the therapy. To date I have never had a complication in those that have stayed on the therapy.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

KatherineP

2 Posts
Reply RE: Lovenox treatment Posted on: Dec 17, 2013 at 11:20am
Thanks for the reply! I did have a complete recurrent miscarriage workup. My CBC is fine & have no negative side effects from the lovenox thus far, so I would feel better staying on it. Ill discuss again with my dr. Thanks again for the response.
KatherineP