APA - Antiphospholipid Antibodies are NOT my Friends

I got my APA tests back yesterday, along with a plethora of other labwork that Dr. Z ordered. I had three positives and 2 borderlines which means they'll be adding heparin to my fertility cocktail mix. 3 ampules of Bravelle or Gonal F in the AM and a heparin chaser, and repeat in the PM. 4 syringes a day at minimum. Ouch. I will no doubt feel like a human pincushion after a short while. Sadly Nurse J said that if I was to get pregnant...that I'd have to continue the twice daily shots of heparin until the end of the 1st trimester and then they'd retest my APAs. If they were still showing up it would mean another 4 to 6 weeks of heparin...repeat.

Now the heparin is a rather inexpensive substance...lots of people take it for blood thinning as I've read online. But from what Nurse J said, if I am so unlucky as to test positive for MTHFR, then I might have to use Lovenox instead of the Heparin, and it is quite pricy. I didn't quite catch the significance of the three different allele patterns for the MTHFR. It's either aa, ac, cc. I'm not sure which of the 3 positive allele groups call for lovenox, and which call for extra baby aspirin and folic acid but I'll have my test for this back hopefully by next Tuesday and then they'll know which injectible blood thinner I'll be using.

And I was nervous about the AM and PM Gonal F shots? Sheesh....