10 doctors weighed in:

How risky is attempting pregnancy at the age of 40, mild lupus, antiphospholipid antibody syndrome currently taking coumadin (warfarin)?

10 doctors weighed in
Dr. Christine Hom
Pediatrics
6 doctors agree

In brief: Risks

The risks as you describe them, are many, but they are not insurmountable.
First, having a baby at 40 is more of a health hazard than having a baby at 20. This might be the biggest hurdle. Second, any chronic disease must be well controlled. Lupus should be quiet before attempting pregnancy. Third, any medications should be reviewed - you are likely aware that warfarin causes birth defects.

In brief: Risks

The risks as you describe them, are many, but they are not insurmountable.
First, having a baby at 40 is more of a health hazard than having a baby at 20. This might be the biggest hurdle. Second, any chronic disease must be well controlled. Lupus should be quiet before attempting pregnancy. Third, any medications should be reviewed - you are likely aware that warfarin causes birth defects.
Dr. Christine Hom
Dr. Christine Hom
Thank
Dr. Thomas Namey
Internal Medicine - Rheumatology
2 doctors agree

In brief: Risks are low!

I do not see major risks in becoming pregnant, that is if you get pregnant.
You will be switched to heparin, probably once daily lovenox (enoxaparin). But your lupus can be managed successfully during pregnancy, and the hughes syndrome should be a non-issue if on an anticoagulant. Hope you achieve your goal!

In brief: Risks are low!

I do not see major risks in becoming pregnant, that is if you get pregnant.
You will be switched to heparin, probably once daily lovenox (enoxaparin). But your lupus can be managed successfully during pregnancy, and the hughes syndrome should be a non-issue if on an anticoagulant. Hope you achieve your goal!
Dr. Thomas Namey
Dr. Thomas Namey
Thank
2 comments
Dr. Tracy Lovell
please see your rheumatologist first before attempting conception to make sure that your lupus is under control.
Dr. Thomas Namey
I sometimes assume that it is a given! But you are right..frequently not.
Dr. Bruce Rothschild
Internal Medicine - Rheumatology

In brief: Avoid when on coumad

Avoid pregnancy when taking coumadin (warfarin).
Discuss in detail with rheumatogist.

In brief: Avoid when on coumad

Avoid pregnancy when taking coumadin (warfarin).
Discuss in detail with rheumatogist.
Dr. Bruce Rothschild
Dr. Bruce Rothschild
Thank
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