recurrant loss

Elissa

0 Posts
Reply recurrant loss Posted on: Jul 25, 2011 at 2:41pm
Hi Dr. Braverman,

I have had several miscarriages and one successful pregnancy. My first pregnancy ended at 16 weeks. It was suspected due to a blood clot, as after the loss bloodwork showed a borderline protein S deficiency. Past bloodwork has also showed antiphospholipid antibodies, positive ANA, single strand MTFHR, and Hashimoto's Thyroiditis. (I also have a pacemaker due to heart block that is thought to be congenital. I have been tested for Lupus, and Lyme's but the tests have been negative.)

During my second pregnancy I was treated with Lovenox from the very beginning and it was successful. Since then over the past several years, my same doctor and others have refused to treat me with Lovenox again because they said research has changed regarding this treatment. I have had several early losses, 8 weeks and earlier. I have since found a dr. that recommended starting Lovenox b4 pregnancy while trying to conceive. I have been using it for the past 3 months and just had a positive pregnancy test.

In your opinion, would any other treatments benefit me? I read about the Prednisone treatment on your website, but not sure that it addresses my issues. I will also be starting progesterone treatment, my synthroid dosage will be adjusted, and my endocrinologist also recommended taking 250 mg. of idodine daily.

Thank you in advance for your opinion!

Dr. Braverman

2026 Posts
Re: recurrant loss Posted on: Jul 25, 2011 at 6:25pm
Yes you may benefit from prednisone as well, but there are levels that need to be monitored while you are pregnant that will dictate the dose and if any other medications are needed. I do agree however with starting your lovenox early as you have done.

I would be happy to guide you through the first trimester if you need.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

Elissa

0 Posts
Reply Re: recurrant loss Posted on: Jul 27, 2011 at 1:18am
Thank you so much for your prompt response!