Question about treating SCH

RFV

4 Posts
Reply Posted on: Nov 12, 2012 at 9:20am
I have a question about treatment of SCH. I have had 3 SCH's, the third of which is in the second trimester (I am now 16 weeks). I was on lovenox and BA but was told to stop both.

Do you recommend treating with IVIg or intralipids? Or is this something that just heals naturally?Thanks in advance!

Dr. Braverman

2026 Posts
RE: Question about treating SCH Posted on: Nov 12, 2012 at 10:01am
cant treat it once it started , the idea is to improve implantation so it does not happen in the first place.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

RFV

4 Posts
Reply RE: Question about treating SCH Posted on: Nov 13, 2012 at 6:45am
Thank you so much for your quick reply. You're the best!!An implantation failure sounds so scary. I realize there isn't really a treatment - but once this resolves can one expect a normal pregnancy, or are people with SCH at a higher risk for other things?

Is there anything I can do besides pelvic rest and drinking water? Can travel impact this? My ob doesn't seem particularly concerned but I wonder if I need a high risk OB.

Thanks again!

Dr. Braverman

2026 Posts
RE: Question about treating SCH Posted on: Nov 13, 2012 at 7:03am
I dont know your case , but as a rule Im not that concerned as well , they tend to resolve.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

RFV

4 Posts
Reply RE: Question about treating SCH Posted on: Nov 13, 2012 at 12:41pm
Thank you, I really appreciate your response! Out of curiosity, how do you prevent SCH from happening in the first place? My RE made it sound like SCH's are fairly common with FET, but I'm not sure I understand why this would be the case...

Dr. Braverman

2026 Posts
RE: Question about treating SCH Posted on: Nov 13, 2012 at 1:36pm
"sometimes" they happen for no reason , but I think there are both immune and thrombophilic reasons as well, these should be addressed prior to your next conception. I feel that if you make it through without complications tthe workup might not be warranted.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.