The perinatologist’s office was very very far away and we both really complained about driving that far – but man o man was it worth it. I really haven’t felt more comfortable with any of my care/dr’s completely. But this Dr (aka Dr Wonderful) just laid it all out there and was sympathetic to our situation and needs. He asked me at first if I had any questions, I told him that I may have questions after he goes over the results of our scan and fetal echo. He explained that, as of now, everything is measuring on target and Mini is nearing 16 oz.(~15.5 oz for now). He stated that things seemed to be measuring a few days ahead but that was good news and not bad news. It just gives them wiggle room with my due date (which is still the same). He explained that he was originally concerned about my ASD and spine but after the pictures and echo, all looks great and processing growth that normal.
Then we started discussing the lo.veno.x, auto immune issues, and fertility. Apparently, I have been confused on this topic – and an now a little more confused with a little more clear understanding – if that even makes since.
My RE tested me for a zillion of things. I thought I understood that the mt.hf.r disorder was being treated by the lo.ve.no.x, but that is not the case. I am taking an extra fo.lic acid pill for that. This disorder is called ho.moc.ysteine.
The Lo.ve.no.x is being used to treat an abnormal level of Anti-cardiolipin antibodies.(a.c.a testing) There was a test that revealed that I had a slightly higher level than normal. I think the paper stated that fewer than 11 are good or 10, and mine was 20. Dr Wonderful stated that I was at a slight risk for deep thrombosis as a result of these findings (and m/c's), It’s just precautionary and dually noted to watch. He also explained to me that most women use lo.ve.nox(he.pa.rin along with prednisone and a baby aspirin) early in a pregnancy or before they become pregnant because it makes the uterus/cells more “sticky” to help with implantation if there is to be believed of a need to assist in that area. Since I did not start taking it until week 8 or 9 – he doesn’t think it had much effect on this pregnancy. He also states that my dosages are much too low for a patient who legimately does have this problem. Dr. Wonderful said that based on the dose, he doesn’t think I necessary “need” it but the risks are much greater to take me off of it now – because I have made it this far why screw anything up and be able to second guess medicine. I agreed, so we will continue to same amount like always 1- 40 mL shot a night. He states that I continue until this until week 34.
He tends to believe that my troubles/menstrual cycles,m/c, etc are more due to the P.CO.S., and not the Anti-cardiolipin antibodies (because I started the drugs so late) or ho.moc.ysteine. He stated of course it is a compound issue and makes it seem impossible and complex (or in his words “a doozy”) but it seems to be manageable which we are doing.
So based on all of the above: The ho.moc.ysteine, the P.C.O.S, abnormal Anti-cardiolipin antibodies, and being larger women: Here is the new and latest possible diagnosis that he is slightly concerned with: Pre.ecla.mps.ia.
The only thing about that is that the signs are basically h.igh b.loo.d p.ress.ure. Well, that is one thing that I do not have. My Bp is usually 112/59-118/72 ish. So I hope that it continues to remain normal. I plan on adding more fresh veggies in my diet to help with the folic acid which should help maintain my weight which will hopefully help maintain my pcos and keep me away from the pr.eecla.mpsi.a. PHEW, lots of technical terms – sorry If your face hit the keyboard out of boredom - as always - if you have questions or comments - please feel free to ask away or email me
On the good part – We got to have an u/s for 2 hours and 15 mins while they measures, checked, rechecked, re-measured and showed us and re-showed us boy parts!