**I_AM_DCA**

aksVA

Hey Girl-

I was just looking at one of your posts and saw your signature.  We have an oddly similar history...  And diagnosis!  I'm not sure about my levels yet (haven't been tested) but with the next pregnancy my RE is starting me on Lovenox and all of the vitamins and shi*t.  What's your plan?  How are you?  The holidays have hit me hard... 

I_am_DCA

Wow we're so similar it's scary.  I wish we weren't in the same boat.    I only have on copy of a bad gene where it looks like you have a bad copy of two different genes (compound hetero).  Right?  

My doctor and I have discussed Lovenox or not.  I've read the literature.  For my diagnosis, the data just isn't there.  I am taking 4 mg folic acid daily, baby aspirin, B vitamins, and will take progesterone after I ovulate.  That is all I am willing to do for now.  It's really difficult because I work in this field and I have a very hard time not being my own doctor.  Lovenox is extremely expensive, and I will only consider it if I have another loss.

Where are you in your cycle?  I should ovulate here in a few days....so here's to another exciting 2 weeks waiting.   

aksVA

Hey - I know, I do have a bad copy of two different genes - you are right.  What field are you in?  I'm a psychologist, so unfortunately I work with a lot of parents and their children  

 I haven't read much of the literature, but my RE seems aggressive.  He wants to go for it.  My husband's new insurance is really good, so I am hopeful they will cover a portion of it, given my history. I am not yet taking much more of the B/folic.  I just take a multi (not a prenatal - too expensive at the prescription level after a whole year of it!), extra folic, extra Calcium (leftover from the twins) and my migraine meds (Topamax) plus baby aspirin.  We are avoiding right now because my RE wants me to see a rheumatologist to rule out Lupus.  One of my tests showed a higher indicator of it, but I have no symptoms and he does not really think I have it.  I'm pissed to have to sit out a cycle...  January will be our start date.  I'll do the Lovenox from CD 1, apparently.

 Good luck.  Maybe we can be buddies if this one doesn't work for you BUT I HOPE IT DOES!!! 

I_am_DCA

I am in the midst of a residency in ob/gyn - almost 3/4 done!  Yup it's lovely delivering babies to people who really should not be reproducing.  And everyone at work knows my business.  That's also fabulous. 

I think that given your later losses and your compound hetero most would push for you to take lovenox.  It's such a hard decision isn't it?!?!

I can't believe you lost twins.  I can't even imagine how heartbreaking this year has been for you.

My ob/gyn wants me to have the sonohyst to check my cavity.  I want to have a hysteroscopy.  Either way I start working nights this week, and I just can't do it.  If we don't get KU this cycle, I will consider having it done in January. 

aksVA

Oh man.  I can't even deal with the irony of your situation.  I can't walk down the street and see babies/kids without cringing.  I'm sorry...  

 Are you seeing an RE yet?  Or just an ob/gyn?

 Everyone knowing your business is hard, but sometimes better than keeping things a secret.  Secret-keeping is a challenge when all you want to do is break down or bust out with the latest crap.  And when you're doing your residency, you're basically living with those people! 

I_am_DCA

I used to see an RE for my thyroid - I established care before TTC since I knew thyroid d/o can cause problems with pregnancy.  But I fired his quacky rear.  I probably should find one.....I'm just at a loss to see what they would do differently at this point.  If I'm not KU by January I guess I will find a new one.  Booooo.... 

aksVA

Ugh boooo hiisss  I know...  My friend is doing her family medicine residency right now in Montana and is doing a month of nights.  I can't even imagine.  I'll PM you my email address.  Keep in touch!