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Re: APA's, Hashimoto's Thyroiditis & 5 Weeks PregnantFrom: anonymous@obgyn.netTue, 11 Jan 2000 09:55:38 -0600 (CST)
At Sun, 9 Jan 2000, Ann-Marie wrote: > >I would like to know if I pretty much need to resign myself to losing >this pregnany. I have become this concerned after reading Dr. Beer's >INCIID Immune Bulletin Board. > >History: >July 1996 M/C blighted ovum at 7 1/2 No spotting, missed m/c & D&C. Had >prolonged bleeding post D&C treated with methergine. > >Healthy son born 7/2/97 -- has some spotting at 7-8 weeks, brown blood. >Otherwise pregnancy was healthy. Prolonged labor & postpartum >hemmorrhage. > >D&E at 14.2 weeks 5/21/99 due to Trisomy 18; red spotting at 7-8 weeks >and 10 1/2 -14 weeks until D&E. > >TTC since August 99; Diagnosed by primary care with Hashi's Thyroiditis >[had pronounced goiter] in early Nov. Started on 50 mcg of levoxyl & >referred to RE for Dec. evaluation. > >Although warned to use birth control during Dec's eval. cycle did not >listen and became pregnant. Meanwhile TSH has dropped from 17.7 to 4.57 >and T4 now in low normal range. > >Yesterday I was exactly 5 weeks pregnant on 28 day cycle. With positive >pregnancy test I was put on crinone 8% -- my progesterone level was 32 >at 12 DPO. I was called this Thursday [2 days short of 5 weeks] with >news that I am moderately positive with APA [no additional details] and >should start 81mg of baby aspirin which I did. >My HcG levels are: > 12 DPO 103 > 14 DPO 307 > 21 DPO 6030 Progesterone 34.7 >I have been told to return at 6 weeks for doctor u/s and more blood >draws. I also have a mini-consult [really scheduled for the results of >the fertility testing that I am keeping for Tuesday. > >Obviously I am very very concerned that I did not start baby aspirin >before conception. Also when is heparin indicated? I also think I >remember reading on Dr. Beer's site that 75% [?] of patients with >elevated APA's lose their pregnancies if not started on baby aspirin and >heparin prior to conception. So are my chances now of carrying baby to >term as low as 25%? BTW I had some slight brown spotting which presented >itself the following morning after starting crinone. This has almost >disappeared. > >Worried & Sad in Boston, >Ann-Marie Dear Ann-Marie, I had a similar experience regarding Dr. Beer's website. I was found to have a positive ANA after some bloodwork was done after my second miscarriage in 5 months. I did some research on the ANA problem and discovered Dr. Beer's website before I was scheduled to go back to my OB. Basically, I have found out that Dr. Beer is not your "mainstream" doctor. He has some very different ideas. Both my OB and my Maternal/Fetal specialist disagreed with his course of action. Dr. Beer recommended aspirin, heparin, and prednisone for my "condition". My doctors basically said I could take the baby aspirin if it made me feel better but that it isn't proven to be that effective. As far as the heparin and the prednisone they said it was not necessary. I was concerned as you are because I, too, was 5 wks pregnant when I was doing all this research (just 1 month after my D&C). Try not to take too much stock in Dr. Beer's opinion. The medical community strongly disagrees with him diagnosing and treating and prescribing medications to patients he has never even met. I hope this helps until one of the doctors can answer your question. Try to hang in there!
-- Midge
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