A Medical Conclusion… maybe

In order to understand this post you have to read the last one to understand the medical background and why I have to take medicine.

I asked the Dr. about doing a possible aspirin regiment, and the answer is no… the reason behind that is because  my body doesn’t produce enough Protein C. At first I thought that I just needed to thin my blood. Though, it seems that this protein breaks up the clots which is why I need be on a coagulated.

My problem though is that I want a baby… I want to get pregnant. I wanted to get pregnant right as I finish my Associates degree which would be August 2013.

Warfarin is the only medicine that I can afford, and you 100% can not get pregnant on it with out seriously fucking up your baby.

“”Warfarin is contraindicated in pregnancy, as it passes through the placental barrier and may cause bleeding in the fetus; warfarin use during pregnancy is commonly associated with spontaneous abortionstillbirthneonatal death, andpreterm birth.[17] Coumarins (such as warfarin) are also teratogens, that is, they cause birth defects; the incidence of birth defects in infants exposed to warfarin in utero appears to be around 5%, although higher figures (up to 30%) have been reported in some studies.[18] Depending on when exposure occurs during pregnancy, two distinct combinations of congenital abnormalities can arise.[17]

When warfarin (or another 4-hydroxycoumarin derivative) is given during the first trimester—particularly between the sixth and ninth weeks of pregnancy—a constellation of birth defects known variously as fetal warfarin syndrome (FWS),warfarin embryopathy, or coumarin embryopathy can occur. FWS is characterized mainly by skeletal abnormalities, which include nasal hypoplasia, a depressed or narrowed nasal bridge, scoliosis, and calcifications in the vertebral column,femur, and heel bone which show a peculiar stippled appearance on X-raysLimb abnormalities, such as brachydactyly (unusually short fingers and toes) or underdeveloped extremities, can also occur.[17][18] Common non-skeletal features of FWS include low birth weight and developmental disabilities.[17][18]

Warfarin administration in the second and third trimesters is much less commonly associated with birth defects, and when they do occur, are considerably different from fetal warfarin syndrome. The most common congenital abnormalities associated with warfarin use in late pregnancy are central nervous system disorders, including spasticity and seizures, and eye defects.[17][18] Because of such later pregnancy birth defects, anticoagulation with warfarin poses a problem in pregnant women requiring warfarin for vital indications, such as stroke prevention in those with artificial heart valves.

Usually, warfarin is avoided in the first trimester, and a low molecular weight heparin such as enoxaparin is substituted. With heparin, risk of maternal hemorrhage and other complications is still increased, but heparins do not cross the placental barrier and therefore do not cause birth defects.[18] Various solutions exist for the time around delivery.””  http://en.wikipedia.org/wiki/Warfarin

Heparin injections are safe for pregnancy, but they are done three times a day, and are roughly $20.00 a shot with insurance. So 20×3= 60.00 a day 60×30= 1800.00 a month 1800.00×9 = Way too expensive for us to afford….

The next problem is that I can not take birth control…

I can’t take pills, ring, or the shot…. period

Condoms Nick breaks in a few short strokes… every time

The next option would be an IUD…. but I want to get pregnant and I’m not sure how expensive it’s likely to be.

I can’t get pregnant though, because we can’t afford the shots….

I can’t take birth control though because of being on the medicine and the blood clots…

So right now I’m stuck in a rough spot…. Play Russian roulette with a baby and take the meds w/o birth control.

Get an IUD an increase the odds of be having another blood clot… playing Russian roulette with my life….

Don’t take birth control or the meds pray I get pregnant quickly and risk me and the baby for 9+ months….

Or… the other answer that I hate, but it makes sense would be to get my tubes tied… or Nick snipped….

I’m not even sure how much that would cost period, and we can’t afford it though it sounds like the only logical option in my mind. Keep me in your prayers that I might be able to figure out something less drastic…

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~ by Snow on December 6, 2011.

6 Responses to “A Medical Conclusion… maybe”

  1. I’m sorry honey, it’s a lose/lose situation. I can only hope whichever route you go, it works out well for you =/ Perhaps for now at least spermicidal lubricant? It’s not 100% but its better then ignoring the risks.

    • Not sure if it would work, but it might at least help. I’d prefer not to have to be celibate for the rest of my life. I enjoy sex way too much for that.

  2. Well worst comes to worst, You can always go backdoors!

  3. I use spermicidal wafers that you insert. They dissolve and are good for three hours. I’m looking at the package now and it is distributed by a company in Oyster Bay, NY so you ought to be able to find it. I got it in the pharmacy of a grocery store. It is called Vaginal Contraceptive Film. Relating to the condoms, and this might be a silly question sorry if it is, but it doesn’t sound like it fits, can you get a larger size?

    • Condoms go longer not wider as they go up in size….”blush” Nick is a little… lot on the thick side. Though, the doctor just informated me today he talked with a specialist and I can use the nuva ring long as I continue to take my meds correctly.

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