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Re: INFERTILITY: Anticardiolipin and Pregnancy

From: docben (anonymous@obgyn.net)
Mon, 5 May 2008 21:51:52 -0500 (CDT)


At Sun, 4 May 2008, Sarah wrote: >
>Hi there,
>
>I tested positive for IGg two years ago. I was tested as a result of
>having suffered through two consecutive miscarriages (one during week 5
>and the second during week 6.5 of my pregnancies). As a result of which
>I was prescribed low dose ASA for the first 20 weeks of my third
>pregnancy. I gave birth to a healthy girl under this treatment.
>
>I developed post-partum thyroidism and was retested for the
>anticardiolipin antibody (was told it is only a true positive if the
>test is conducted twice). At the time that I was tested for the
>anticardiolipin antibody, I had a TSH>200. My original IGg test from
>two years ago was 21 however, the new test results were 27 and then 33.
>
>My question is:
>
>1. Could the fact that I was so severely hypothyroid during my latest
>round of anticardiolipin testing have skewed the results?
>2. Given the recent anticardiolipin results, should I be taking heparin
>and low dose ASA during my next pregnancy despite having had a
>successful pregnancy outcome with low dose ASA alone?
>
>Thanks,
>Sarah

Sarah,

Although both conditions (hypothyroidism and the presence of anticardiolipin antibody) can be related to autoimmune disease, I would consider them separate and treat each individually.

--
Ben Gocial, M.D.
Philadelphia, Pa





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