Factor V Leiden and Compound hetero MTHFR

yesica_s2001

10 Posts
Reply Factor V Leiden and Compound hetero MTHFR Posted on: Jul 13, 2011 at 2:57pm
HI doctor Braverman,
I had a few questions to ask you. I was a patient of yours and hope that I will soon be one again (when we have a positive pregnancy test). The testing that you ran showed that I had Factor V leiden and Compound Hetero MTHFR. I was told to be on Lovenox 40 mgs, metnax, and baby asprin. I start Lovenox since the day I ovulate and stop it if I have a negative pregnancy test and use the other meds all the time. My question was, Once a positive pregnancy test should I increase my lovenox dose? My doctor didn't want to check to see if I am on a thereputic level because I am a small girl (5' 2", 115lbs) he thought that 40 mgs was more than enough. Do you recommend that I still get tested? Also me OBGYN, even after talking to you said that once I do get pregnant he would only have me on lovenox for the first trimester!!! He doesn't feel that I am a high risk patient but I DO NOT feel comfortable getting off of the lovenox. Shouldn't I be on it during all of the pregnancy? I will confirm a pregnacy tommorow, and if I am indeed pregnant I want to be under very good care. I will call and pay the monitoring fee so that you can help me be a mom. What are your recommendations after a positive pregnacy test is reveieled?

I am from Nebraska..remember..you said you would help me double the states population !

Dr. Braverman

2004 Posts
Re: Factor V Leiden and Compound hetero MTHFR Posted on: Jul 14, 2011 at 1:14am
I would most certainly continue the lovenox past 12 weeks, with all due respect to your OB/GYN you are at increased risk of thrombosis with Factor V and pregnancy. Call me after your pregnancy test, good luck.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

yesica_s2001

10 Posts
Reply Re: Factor V Leiden and Compound hetero MTHFR Posted on: Jul 14, 2011 at 1:28am
Do you still recommend checking to see if I am at a thereputic level with the lovenox?
Should I take more than 1 tablet of metnax?

I hope to talk to you soon!!

Dr. Braverman

2004 Posts
Re: Factor V Leiden and Compound hetero MTHFR Posted on: Jul 15, 2011 at 10:09pm
yes I would check the levels with an anti XA level. no more metanx is needed. please of course check with our doctor for all final decsisions.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.