PREGNANCY-BIRTH Messages for January, 2000: Re: APA's, Hashimoto's Thyroiditis & 5 Weeks Pregnant

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Re: APA's, Hashimoto's Thyroiditis & 5 Weeks Pregnant

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Wed, 12 Jan 2000 21:24:53 -0600 (CST)

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At Tue, 11 Jan 2000, anonymous@obgyn.net wrote: >
>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
>

Couldn't have said it better.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: 26.5 weeks pregnant with twins, developing severe cough, see ob?"
Previous message: Harvey S. Marchbein, M.D.: "Re: Seeking hard facts on Progesterone Levels in Early PG"
In reply to: anonymous@obgyn.net: "Re: APA's, Hashimoto's Thyroiditis & 5 Weeks Pregnant"
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