Third-Party Reproduction

Experiences with Lovenox?

Can any of you on Lovenox tell me about your experiences on this?  It was recommended for me, but I was too scared to take it.  My RE/OB and Dr. KK disagreed on my need for it, and I opted to go without this cycle.  If I have no success, I will be adding it in for the next go around.

I guess the potential for pain scares me (I do PIO shots all the time, but these are in the stomach and I am reading about burning, etc.), along with the fact I'd be on a blood thinner.  My OB's office made it sound like just that fact would make my pregnancy high risk.  The nurse started talking about how even paper cuts would send me right to the ER, and I got nervous.  Not sure if this is complete BS, wanted to get others' opinions.

I have borderline uterine blood flow and MTFHR; all of my other (very extensive) hematology bloodwork came back normal.

image
DOR and AMA
2/12-5/12: 4 IUI cycles = all BFN;
7/12: DE IVF # 1 (with ICSI)- 20R, 16M, 14F, 5DT of 2 blasts; 6 frosties = BFN;
Lupus anticoagulant initially high, then found to be normal on hematology consult;
Follow up testing in September all clear;
Started synthroid for "high normal" TSH;
FET # 1- late October 2012- BFP on FRER; beta # 1- 21(low), beta # 2- 48 (still low), beta # 3- 132, beta # 4- 1,293; beta # 5- 5,606; last beta- over 100,000. First u/s 11/21- heard heartbeat
12/12- Officially an OB patient!
Level 2 ultrasound at 20 weeks shows vasa previa and VCI
Referral to MFM and mandatory c section for delivery
Beautiful baby girl born at 34 weeks
Finally home after 15 day NICU stay!
Trying for sibling: FET # 2- May 2014; beta 5/31, BFN
FET #3, early July 2014; beta 7/14, BFN
DE IVF # 2- August 2014; 14R, 13M, 11F, 5dt of 2 blasts (3 AA), 5 frosties = BFN
FET #4- December 2014, yet another BFN

Dr. KK work up shows borderline uterine blood flow, elevated NK cells, and MTHFR mutation (homozygous for c677t)

Added baby aspirin, prednisone, supplements, Metanx, and intralipids

Switched to large clinic for final attempt; had endometrial receptivity testing in January; FET March 2015 = yet another BFN

Likely OAD- NBC

Re: Experiences with Lovenox?

  • Mrs.McIrishMrs.McIrish member
    edited December 2014
    I've been on it since my ET last March. I have 2 more shots left before Im done!! I really think it is what made the sticky difference for me(plus normal embryos). It really wasn't bad at ll. They are sub-q so easier than PIO. It burns in the beginning but then it stops or you just adjust to it. I did belly shots for a long time and then moved to "love handles". I had bruising in the beginning but it subsided after a while. The paper cut sending you to the ER is insane!! I had no issues with the blood thinner. I cut my legs with the razor shaving my legs etc. I didn't notice any extra bleeding. I would not do another ET without it. Who said you didn't need it? I just feel like it fixes issues that we may not even know about --my girls are the only cycle I used it with so I'm a big fan. My MFM said I didn't need it (2 copies of MtHFR) but "allowed" me to stay on it-- I was not stopping it and would have found a new doctor. I'm still on it 4 weeks post partum since I had a c/s.

    just saw in your siggy that you are homozygous MThFr-- which one? I'm c677t and yes, use lovenox!!!!!!!!! Not even a question to me.

    TTC #1 since 8/1/10; Me:41 and BRCA1+, DH:46
    DOR (FSH 24.3)/ terrible egg quality ; homozygous MTHFR c677t
    5 IUI's: 2/11 to 6/11 and 1/12= BFN
    OE IVF#1-4 8/11-6/12= all BFN
    DE IVF#1 11/12 bad embryos= BFN
    DE IVF #2 2/13 BFP/Beta hell: m/c 5w6d
    CFNBC 7 months, not doing well; decided on guarantee program at RBA w/frozen DE
    DE IVF #3 1/14  ET 4BB; BFP;M/C 5w1d, incomplete m/c; MVA extraction in ER 7w1d

    DE FET#1 ET 3/1714; BFP, beta 1 3/27= 197, beta 2 3/31= 1586, beta 3 4/7= 13879!!
    First u/s= Twins with HBs at 6w2d! We are Team Pink x 2!!

    K & K born 11/21/14 at 38wks 4 days

    imageimage

    SAIF/PAIF Welcome


    http://waitingforraintostop.wordpress.com

  • Loading the player...
  • Sorry your nurse is dramatizing this for you! I've been on Lovenox since October, and will stay on it for the duration of my pregnancy (god willing).

    The first few weeks, yes, it burned going in, but it wasn't too terrible. I definitely bruise more easily, and it takes a little longer for clots to form (ex: cut myself shaving, and had to put a bandaid on). But really, it is worth it to me knowing we're doing everything imaginable to help our chances.

    My RE didn't really see the need to start Lovenox for this cycle (he's very conservative) but Dr. KK was all for it. Even still, my RE said that it wouldn't harm me, even if it didn't help. I checked with a trusted friend who is a doctor (different field, but still very helpful) and she reassured me that it was safe. We decided to give it a go, and haven't regretted it.
    **SIGGY WARNING**

    Me: 32 DH: 35  TTC#1 since March 2012
    Dx: Poor Embryo Quality, Arcuate Uterus, Poor Uterine Blood Flow, Mild Endo, 
           Protein S Deficiency, Sjorgen's Syndrome 

    IUI #1-5: BFN
    Laparoscopy & Hysteroscopy: minimal endo, partial septoplasty
    IVF #1: 10R/6M/6F ~ Day 3 ET = BFN
    IVF #2: 14R/9M/5F ~ transfer canceled ~ all embryos arrested at 1-2 cell stage
    IVF #3: 9R/5M/5F ~ 1 frosty!
    IVF #4 (FET #1): BFN

    IVF #5 (DE IVF #1 with Dr. KK protocol): Currently PREGNANT!!!!!!
    Synthroid + Prednisone + Metformin + Baby Aspirin + Supplements Galore = 15+ pills a day
    Lupron + Lovenox + Delestrogen + IVIG + B/W = 2-5 pokes a day
    19R, 17M, 17F - transferred two Grade A blasts 11/16, four frosties!!!
    Beta #1 11/24 (13dpo/8dp5dt) = 367 ~ Beta #2 11/26 (15dpo/10dp5dt) = 709
    Beta #3 11/29 (18dpo/13dp5dt) = 1,997 ~ Beta #4 12/1 (20dpo/15dp5dt) = 3,403

    imageimageimage

    My Blog: Running and Dreaming for Two ~ All are Welcome!
  • I have been on it for 3-4 of my pregnancies but it didn't make any difference.  I have MTHFR C-677 mutation.  After extensive blood work(complete blood profile with a pediatric onco-hematologist it was ruled that I don't need to take it.

    I bleed really easily and I didn't really notice any difference while being on it.  Also for the shots, I would take 10 Luvenox shots over a single PIO.  

    This is only my experience and who knows maybe it will help you get pregnant/keep the pregnancy.

    Good luck with everything!
    TTC since 2007; Unexplained; 8PG: 4CP, 2EP, 2MC w/HB at 8-9 weeks
    Getting ready for DIVF #1 - Transfer 12/16! 
  • I used it for my last cycle and will use it again if Dr. KK recommends it. Yes, it burns, but it's really not a big deal. I never had any bleeding issues while on it. while the bleeding risk is very real and could potentially be serious, your nurse is obnoxious for being so dramatic and said that to you. Do you also have high nk cells? If so, are you treating it?

    Me (32) DOR, elevated NK Cells/ 2 copies of MTHFR mutation/ MH (35) azoo/high DFI   (TTC#1 since 2009)

    IVFs#1-4: (4/10-2/12) all BFN

    Surprise Bfp (9/11) - c/p

    DS IUI#1-2 (9/12, 10/12) - BFN

    DS IVF: (11/12) - BFN

    DE/DS IVF#1: (10/13) - 2 day 3 embies transferred-BFFN

    FET of 2 day 6 blasts: (12/13) - c/p

    DE/DS IVF #2: (4/14) - 1 day 5 blast transferred...BFFN...again.

    FET 5/14: 1 day 5 hatching blast transferred...another BFFN

    Repeat SHG 6/14-normal / Endometrial Receptivity Array biopsy 7/14-Receptive Uterus

    New RE, additional testing reveals elevated NK Cells

    FET of 1 day 5 blast (RE recommends transferring 1 due to elevated NK cells) with lovenox, steroids & intralipids in October

     

     

     

  • Yes, @mcirish, it is c677t. Thanks for sharing your experience.

    image
    DOR and AMA
    2/12-5/12: 4 IUI cycles = all BFN;
    7/12: DE IVF # 1 (with ICSI)- 20R, 16M, 14F, 5DT of 2 blasts; 6 frosties = BFN;
    Lupus anticoagulant initially high, then found to be normal on hematology consult;
    Follow up testing in September all clear;
    Started synthroid for "high normal" TSH;
    FET # 1- late October 2012- BFP on FRER; beta # 1- 21(low), beta # 2- 48 (still low), beta # 3- 132, beta # 4- 1,293; beta # 5- 5,606; last beta- over 100,000. First u/s 11/21- heard heartbeat
    12/12- Officially an OB patient!
    Level 2 ultrasound at 20 weeks shows vasa previa and VCI
    Referral to MFM and mandatory c section for delivery
    Beautiful baby girl born at 34 weeks
    Finally home after 15 day NICU stay!
    Trying for sibling: FET # 2- May 2014; beta 5/31, BFN
    FET #3, early July 2014; beta 7/14, BFN
    DE IVF # 2- August 2014; 14R, 13M, 11F, 5dt of 2 blasts (3 AA), 5 frosties = BFN
    FET #4- December 2014, yet another BFN

    Dr. KK work up shows borderline uterine blood flow, elevated NK cells, and MTHFR mutation (homozygous for c677t)

    Added baby aspirin, prednisone, supplements, Metanx, and intralipids

    Switched to large clinic for final attempt; had endometrial receptivity testing in January; FET March 2015 = yet another BFN

    Likely OAD- NBC

  • @Km672‌, Dr KKs findings this far were borderline uterine blood flow (with very minimal blood flow to zone 3), elevated nk cells and the MTHFR mutation. She recommended a host of supplements, Metanx, baby aspirin, prednisone, and lovenox. I see her for my final consult this week and I am sure she will likely recommend IVIG. I did indeed do intralipids this cycle, through my RE (KK does not prescribe this). For what is is worth, my NK cells prior to treatment were around 25, and KK likes to see below 15. Cytokines were normal. I did have my NK cells drawn again after intralipids. Have not gotten those results yet, but am interested. I know you are waiting to see KK and for me, it's been enlightening. I love her, her NP, and medical assistant. I've had a lot of trouble getting ahold of their insurance person, though. The one downside. GL to you!

    image
    DOR and AMA
    2/12-5/12: 4 IUI cycles = all BFN;
    7/12: DE IVF # 1 (with ICSI)- 20R, 16M, 14F, 5DT of 2 blasts; 6 frosties = BFN;
    Lupus anticoagulant initially high, then found to be normal on hematology consult;
    Follow up testing in September all clear;
    Started synthroid for "high normal" TSH;
    FET # 1- late October 2012- BFP on FRER; beta # 1- 21(low), beta # 2- 48 (still low), beta # 3- 132, beta # 4- 1,293; beta # 5- 5,606; last beta- over 100,000. First u/s 11/21- heard heartbeat
    12/12- Officially an OB patient!
    Level 2 ultrasound at 20 weeks shows vasa previa and VCI
    Referral to MFM and mandatory c section for delivery
    Beautiful baby girl born at 34 weeks
    Finally home after 15 day NICU stay!
    Trying for sibling: FET # 2- May 2014; beta 5/31, BFN
    FET #3, early July 2014; beta 7/14, BFN
    DE IVF # 2- August 2014; 14R, 13M, 11F, 5dt of 2 blasts (3 AA), 5 frosties = BFN
    FET #4- December 2014, yet another BFN

    Dr. KK work up shows borderline uterine blood flow, elevated NK cells, and MTHFR mutation (homozygous for c677t)

    Added baby aspirin, prednisone, supplements, Metanx, and intralipids

    Switched to large clinic for final attempt; had endometrial receptivity testing in January; FET March 2015 = yet another BFN

    Likely OAD- NBC

  • I'll just echo what others said but honestly they were no big deal. Yes, they sting a little but if you've ever gotten salt in a paper cut, that hurt worse. I bruised where the shots were but again, NBD and I never noticed excess bleeding ir bruising from it and the bruises didn't actually hurt...they looked worse the they felt by far. I did the lowest dose (40mg?) which was more prophylactic level then "treatment" level.

    The cycle I didn't use it I had a 16w miscarriage; the cycle I did use it I got take-home baby. Needless to say if we TTC again I will be on Lovenox (cheerfully!).

    My MFMs did do full care for my pregnancy because I was on it, but that was not a bad thing imho. I loved that they take everything super seriously and I got extra monitoring. I wouldn't waste a cycle not taking it, as taking it (esp. the lower dose) is not a big deal and as @Mrs.McIrish said, could fix problems you don't you even have.
    Lil'mamaz was born on Aug 21, 2014! She's PERFECT!

    It's been a long road to here...
    Me (43) and J (45) - same sex couple. And we don't feel 40+!
    June'12 - First RE Visit
    Sept. '12 - Tubes removed
    Dec. '12 - Donor Egg/Donor Sperm IVF Cycle - 4 good embies!
    Dec. '12 - Fresh transfer, BFP! EDD 8/29/13
    Mar. '13 - Missed m/c at 16w1d, baby boy stopped growing at 15w4d
    Loss due to umbilical cord clot...baby was perfect. :(
    Jul '13 - FET#1 - c/p
    Sept. '13 - FET#2 - BFN
    Dec.' 2, 2013 - FET#3 with our last chance embie - BFP!!!
    Dec' 26, 2013 - hb!!
    EDD 8/20/14 with a baby girl!
    Little S was born on 8/21/14 - 8lb, 14 oz and 20 inches long.
    We live in Seattle and used SRM for our donor egg IVF cycle


    imageimageimageimage

  • Thanks, all. if we cycle again, I'll use the lovenox. They recommended 40 mg for me.

    image
    DOR and AMA
    2/12-5/12: 4 IUI cycles = all BFN;
    7/12: DE IVF # 1 (with ICSI)- 20R, 16M, 14F, 5DT of 2 blasts; 6 frosties = BFN;
    Lupus anticoagulant initially high, then found to be normal on hematology consult;
    Follow up testing in September all clear;
    Started synthroid for "high normal" TSH;
    FET # 1- late October 2012- BFP on FRER; beta # 1- 21(low), beta # 2- 48 (still low), beta # 3- 132, beta # 4- 1,293; beta # 5- 5,606; last beta- over 100,000. First u/s 11/21- heard heartbeat
    12/12- Officially an OB patient!
    Level 2 ultrasound at 20 weeks shows vasa previa and VCI
    Referral to MFM and mandatory c section for delivery
    Beautiful baby girl born at 34 weeks
    Finally home after 15 day NICU stay!
    Trying for sibling: FET # 2- May 2014; beta 5/31, BFN
    FET #3, early July 2014; beta 7/14, BFN
    DE IVF # 2- August 2014; 14R, 13M, 11F, 5dt of 2 blasts (3 AA), 5 frosties = BFN
    FET #4- December 2014, yet another BFN

    Dr. KK work up shows borderline uterine blood flow, elevated NK cells, and MTHFR mutation (homozygous for c677t)

    Added baby aspirin, prednisone, supplements, Metanx, and intralipids

    Switched to large clinic for final attempt; had endometrial receptivity testing in January; FET March 2015 = yet another BFN

    Likely OAD- NBC

This discussion has been closed.
Choose Another Board
Search Boards
"
"