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Re: Metformin and Birth Control?
From: anonymous (anonymous@obgyn.net)
Fri, 29 Jun 2001 13:40:48 -0400
Thank you for all your great 'blood clot' advice. Its so nice to hear from someone who is young and doing ok in a similar situation to mine. I think what I'm going to do is stay with the coumadin for the remainder of the year (I think that most hematologists would recommend this after having multiple clots in both lungs all the same time) until I finish up grad school and get a 'real job' with my own health insurance. Then I'd like to see a hematologist for a second opinion about how I should progress from there. I'd be very interested in any hematologist you think is good. As for the baby thing, I know you can't be on coumadin during pregnancy, but my lovely doctor made it seem that there weren't any options like the heparin injections. I'm glad to know that having a baby isn't necessarily out of the question for me. Thanks so much for all your help!
Much love
>From: anonymous@obgyn.net (Sue)
>Reply-To: anonymous@obgyn.net
>To: Multiple recipients of list PCOS-MEDICATION
>Subject: Re: Metformin and Birth Control?
>Date: Mon, 25 Jun 2001 10:35:17 -0500
>
> >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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