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Re: INFERTILITY: Anticardiolipin and PregnancyFrom: 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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