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Re: Metformin and Birth Control?

From: Sue (anonymous@obgyn.net)
Mon, 25 Jun 2001 10:33:15 -0500 (CDT)


>I'm wondering if I should be on the coumadin forever, considering my test result for anti-phospholipid syndrome was only a moderate positive.  Maybe I should consult another hematologist in a year and ask about the possiblity of going off the coumadin to be re-tested?<

I don't know if you're willing to travel to Lex for a hematology appt., but if you are, then try to get in to see Dr. Russ Eldridge at Bluegrass Hematology & Oncology. He is really the best around and is an absolute expert on clotting stuff. If your tests came back fairly normal, then you should be able to get off of coumadin and do a baby aspirin regimen. I really pushed to get off the coumadin, b/c of the side effects I had (extreme hair loss, memory loss, etc.), and also know that if you're going to repeat a clotting study, you must be off the coumadin for at least 2 weeks. The drug tends to give "false positives" when doing a C&S protein study, although I'm not sure how it affects anticardiolipin or antiphospholipid studies.

>I'm so very excited that you're pregnant and still taking blood thinners.  My regular doctor (a total frat boy) told me that because I'm on blood thinners forever, I probably couldn't ever have a baby.  I'm so happy that this may not be the case.<

Admittedly, if your dr. was talking about being on coumadin for the rest of your life, then babies are pretty much out of the question, at least biologically. Coumadin crosses the placenta and is teratogenic, so the treatment of choice is heparin. The unfortunate side of heparin is that it only is given by injection (my husband's getting to be a pro now!), and it burns like crazy. But the bruising can be minimal, depending on the dose and type used. Anyhow, I really don't WANT to do it, but since it's more than just me now, I do it anyway and count down until delivery when I can stop. : )

Let me know if you decide to get a 2nd opinion--I have Eldridge's info in my office and am more than willing to be your "go-between," should you need it. : )




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