Thank you so much to the ladies who answered my questions about Lovenox a few weeks ago. I had my preconception appt with my OB today.
We went through all of my u/s, bloodwork, etc from my last pregnancy and ultimately my OB thinks that Lovenox is optional for me. I was tested for a range of issues based on my Raynaud's Syndrome and I don't seem to have any other autoimmune things going on, and I don't have a clotting disorder. Basically the plan for next time is just careful monitoring and frequent u/s to check growth. If growth becomes an issue, I will start Lovenox then. I am starting baby Aspirin now and will continue with that throughout any future pregnancies.
I also discussed my dissatisfaction with the MFM I saw. It turns out that I'm not the only one who had issues with his "personality". Obviously she couldn't go into detail, but she did assure me that I wasn't alone. She said we could definitely move forward with a different MFM and she actually wants me to see them prior to TFAS so I'm waiting to hear back as to when that appt is scheduled.
So the TL;DR version: I'm starting baby Aspirin and probably don't need Lovenox, seeing a new MFM, and my OB is wonderful!