Subchorionic Hematoma and Clexane

ThreeStars

19 Posts
Reply Posted on: Dec 3, 2014 at 5:28am
Dear Dr. Braverman,
do you prescribe or recommend Clexane for patients with history of subchorionic Hematomas because of implantation issue caused by activated killer Cells and without thrombophilic issues?

thank you
412

Dr. Braverman

2026 Posts
RE: Subchorionic Hematoma and Clexane Posted on: Dec 7, 2014 at 7:37pm
Clexane is a very common addition to our protocols, but the reasons are quite varied and not as simple as you are stating. You are correct however that SCH is usually indicative of an implantation issue and clexane is a common drug for this , but many times there are other issues that also need attention.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

ThreeStars

19 Posts
Reply RE: Subchorionic Hematoma and Clexane Posted on: Dec 8, 2014 at 6:41am
Thank you for your answer,
Subchorionic hematomas are caused either by autoimmun or thrombophilia. And a women who have Hashimoto and no thrombophilia problems also needs Clexane? I thought that Clexane is indicated only by thrombophilic factors.
412

Dr. Braverman

2026 Posts
RE: Subchorionic Hematoma and Clexane Posted on: Dec 8, 2014 at 6:49am
Not true, clexane also has anti inflammatory properties, inhibit complement activation , and also prevent thrombosis in those with inflammatory states such as with autoimmune disease.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

ThreeStars

19 Posts
Reply RE: Subchorionic Hematoma and Clexane Posted on: Dec 8, 2014 at 7:05am
In this cases you prescribe Clexane already before a positive pregnancy test or from a positve test?
And do you think that 5 mg Prednisolon from cyclus day 6 and 15 mg Prednisolon from a positive test is adequate enough?
412

Dr. Braverman

2026 Posts
RE: Subchorionic Hematoma and Clexane Posted on: Dec 8, 2014 at 7:17am
This depends on the diagnosis and the immune testing.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

ThreeStars

19 Posts
Reply RE: Subchorionic Hematoma and Clexane Posted on: Dec 8, 2014 at 7:26am
I know that high dose of Omega 3 is also blood thinning. Could it compare with low dose of Clexane?
412

Dr. Braverman

2026 Posts
RE: Subchorionic Hematoma and Clexane Posted on: Dec 8, 2014 at 7:39am
No .
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.