[ohnicole]

I went to an appointment with a hematologist today. I made the appointment because I had been diagnosed with a clotting disorder (Factor II/prothrombin), and I wanted to get tested for other clotting disorders.

My OB had already agreed that because of my family history and my own previous m/c, that I would go on Lovenox/heparin after my next BFP. And I was totally happy with that, because I want to do everything I can to prevent another m/c.

Well the hematologist basically said that Factor II is nothing to worry about because the risk of DVT/PE is small and he was going to send a letter to my OB recommending that I shouldn't be given Lovenox. I asked whether the m/c risk is higher with Factor II, and he said yes, but since there is no research looking at whether or not blood thinners decrease the risk, there is no reason to give them. How about for the CHANCE of avoiding the loss of another baby????

And he said he would not test me for other clotting disorders because if I tested positive for something else it would make other doctors more likely to give me blood thinners when, in HIS opinion, there is no need.

So basically, I wanted additional testing, and I end up with no tests, and also a recommendation against the treatment that I think makes the most sense for my next pg.

I just hope my OB doesn't listen.

I don't really know how I would make it through a pg without Lovenox when I KNOW that I have a higher risk for losses after 10 weeks (going all the way through the 2nd and 3rd trimesters). I am about to have a panic attack just thinking about the possibility.

[funnygal]

Wow, it doesn't sound to me like he was very assuring to you at all. I hope you're able to talk to your OB and get a good plan for pregnancy. I guess I don't understand why he didn't do more testing. If you have other disorders then you very possibly might NEED treatment/thinners.... Why not just get all your bases covered and know for sure? Do you have an appt. with your ob soon?

[Celena]

I'm sorry you had a frustrating appt! Don't let your imagination run away from you on this and don't let his opinion ruffle your feathers since he's NOT your PCP anyways. He can "express" all he wants until the cows come home, but that isn't going to make your OB do what is in "his" opinion anyways. (what a jerk, BTW)

I would DEFINTELY express your displeasure with the endo's opinion and ask that if with a next pregnancy to go ahead with the blood thinners anyways . I'm curious as to why your OB is bypassing the baby asprin? Or have they advised you to take it while ttc and then alert them when you get a bfp?