Ask a Gynaecologist and Get Answers to Your OB/GYN Questions ASAP
Hello and I would be happy to help. Here is what I know1. You have a history of recurrent pregnancy loss2. You have had greater than three unexplained first trimester losses3. There is a question of antiphospholipid antibody syndrome4. You have had very appropriate treatment but are still experiencing losses (two since being treated)Is that about correct?Dr. Tim
I am terribly sorry about your losses. There are a couple of things in the workup that you did not specifically mention. In couples undergoing what you have experienced, the typical workup would include:1. Testing for anti-phospholipid antibody syndrome (lupus anticoagulant and ACA antibodies)2. Thrombophilia testing: FVL, Protein C and S, antithrombin, Prothrombin gene mutation3. Evaluation of the uterus with hysteroscopy or sonohysterogram4. Genetic testing / karyotyping of you and your partnerIn terms of what you are describing, the most important thing that you need to have done at this point is #4Dr. Tim
Were the labs in #2 above done?Dr. Tim
Based on what you are telling me, you have had an incredibly thorough workup. How else can I help you? Are there questions about all of this that you would like answered further?Dr. Tim
In a patient such as you, I would have you on a daily baby aspirin and then start you on the lovenox injections with the first positive pregnancy test. You certainly could check with your OB Provider to see if they think that this is reasonableDr. Tim
Normally you can buy aspirin in the US over the counter. A baby aspirin here is 88 mg per day. Perhaps in the UK it is 75 mg That is what I would tell a patient to take. If this is what you decide, then you probably should check this with your doctor.
You are very welcome