Dear dr. Sher!
I have a question about Clexane. I’m 17 weeks pregnant, I’ve been injecting 0.4 clexane since the beginning, I started at about 67 kg and gained about 3 kg so far.
I am on immune therapy due to previous treatments, from there the doctor sent me to a hematologist with a question mark, because I only had minor deviations, both of them thought a lot about whether I needed the injection but in the end the hematologist prescribed it. (Only one value I had was really bad, the anti-c1q.)
Since then, I havent been visiting the hematologist separately, but we checked the thrombosis values ​​(INR, APTI, Fibrogen) at the lab, they were in the normal range, but I only attend immune controls and gynecological examinations.
Now, for the next immune control, the doctor asked for anti-xa results which I have just learned is necessary for the proper injection dose. It will be in 2 days, and it can take up to 20 days to see the results.
Because of this, I am a little scared that we hadn’t watched anti-xa separately until now. Everything was fine with the baby, including the measures, heartbeats, etc.
My question is, could this cause a problem if we haven’t watched anti-xa more often? Is it too late that the data will only be revealed after about 3 weeks? Would I have had symptoms/signs if the current dosage was not enough?
Thank you very much for the answers.