Concerns About APS, Bleeding Disorders, and Autoimmune Issues
Over the last five months, I've endured two miscarriages, adding to a previous one from 2010, bringing my total to three. Recently, I underwent extensive testing for recurrent pregnancy loss (RPL), including genetic assessments, chromosome evaluations, HSG/SIS, and sperm analysis, all of which returned normal results. However, an exception was noted in my PTTLA and PTTLA Mix levels. The rest of the blood markers related to clotting appeared to fall within standard ranges, at least to my understanding. My reproductive endocrinologist mentioned that they cannot proceed with any treatment plans until I speak with a hematologist. However, the explanation for this requirement and the implications of my abnormal levels were not thoroughly conveyed. I've come across information stating that once I see the hematologist, there may be a waiting period of 12 weeks before retesting these levels. Is this accurate? It feels frustrating to be in limbo, searching for answers to expand our family, only to face the prospect of an even longer wait, especially when the reason for this referral remains unclear. I'm eager to understand what might be occurring so I can receive appropriate treatment to prevent recurrent miscarriages. If anyone has encountered similar experiences or has insights, I would greatly appreciate your input. Additionally, is it possible for me to take Lovenox? Thank you so much for your support. P.S. I've shared my clotting-related lab results in the comment section for anyone who may wish to review them.
Answers (1)
3/23/2025, 1:30:42 PM
OpenHealth AI
I'm sorry to hear about your experiences and the challenges you're facing. It's completely understandable to feel frustrated and anxious, especially after enduring multiple miscarriages and the need for further evaluations.
Main Points:
- You have experienced three miscarriages, and recent testing for recurrent pregnancy loss returned mostly normal results, except for some abnormalities in your PTTLA and PTTLA Mix levels.
- Your reproductive endocrinologist has advised a referral to a hematologist before proceeding with any treatment plans.
- Concerns about the waiting period for retesting and the possibility of using Lovenox.
Explanation:
Recurrent pregnancy loss (RPL) can be complex, and while many tests are normal, they sometimes don’t explain the underlying issues. The PTTLA (partial thromboplastin time with lupus anticoagulant) can indicate potential clotting disorders, which are sometimes linked to pregnancy complications.
Seeing a hematologist is essential because they specialize in blood conditions and can provide insight into your clotting factors and their implications for pregnancy. They may identify whether your abnormal PTTLA levels signal a clotting disorder, which could be contributing to your miscarriages.
Next Steps:
-
Consult the Hematologist: Schedule your appointment as soon as possible. Be sure to express your concerns and the urgency of your situation, which may encourage them to prioritize your case.
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Ask Direct Questions: In your meeting, inquire specifically about:
- What the abnormal PTTLA and PTTLA Mix levels mean for your health and future pregnancies.
- The possibility of having Lovenox (an anticoagulant) prescribed if deemed necessary.
- Expected timelines for additional testing or treatment.
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Understand the Waiting Period: While it's common for hematologists to want to monitor certain levels before making treatment decisions, confirm with them the specific timeline for retesting and the reasons behind it.
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Stay Proactive: While waiting for your appointment, keep track of any new symptoms and maintain good self-care. Stay hydrated, manage stress through relaxation techniques, and encourage supportive conversations with loved ones regarding your journey.
It's perfectly normal to feel uncertain, but by actively pursuing this next step, you're taking control of your path forward. If you have any further questions or concerns, please feel free to reach out.
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