I am going to the dr on Mon to find out the final decisions on treatments. For sure it will include baby aspirin and possibly lovenox.

I am fed up with western medicine. I am now seeing an acupuncturist and she is treating me with Chinese herbs and Cod Liver Oil to get me an AF. I have taken Provera (or is it Promera I always get it mixed up) so many times in my life that I want to give something else a shot. She seems to think that the miscarriages have got my "chi" out of balance. Believe me I am not an unconventional kind of girl - far from it - but I just don't have peace about taking Lovenox. My last 3 OBGYNs have dismissed that I have PCOS because I don't have EXTREME symptoms and because I got pregnant with my son so "easily" (18 months of trying on my own). However the acupuncturist seems to think that the PCOS is playing more of a factor than the MTHFR. Half of the population has my kind of MTHFR...half of the population is not on blood thinners...
So that being said...I'm going to see how this works out for me. If it doesn't then I will do the prenatal, baby asprin and the B vitamins before a BFP. Start the Lovenox injections twice daily after BFP until the end of the 2nd trimester, then the Heparin. Induce at 37 weeks so they can control the blood thinners and continue the blood thinners for at least 6 weeks after delivery.

We are trying IVF with PGD. Its where they do genetic testing on the embryos before they put them back inside. They check for the chromosones that most likely casue women to miscarry. I go in next week for my egg retrival so I'm keeping my fingers crossed!

I am on the prenatal vitamin, 3 folic acid, b6, b12, and a baby aspirin as well. My last pregnancy *which was ectopic* I had to inject lovenox once daily and well as progesterone suppositories until 10 weeks. When I talked to a geneticist, she said that I shouldn't have to do lovenox and that the folic acid should take care of the blood clotting issue. So I am not sure if it is necessary, but if the doc says it is, I will go along with it. I just ordered Infertility Cures from the Chinese blah blah blah just to see what it says and if it can help us out.

I'm glad to find this discussion. I'm a little confused. I've had 2 MC's in the last 6 months. I have a dx of 4g/4g PAI. My doc called me last week after consulting with a high risk ob, who says that in the past treatment for recurrent MC with 4g/4g has been aspirin while TTC and throughout pregnancy, and lovenox/heparin after conception. HOWEVER, more recent thought is if the mother or close family member doesn't have a history of clotting (besides MC) they are no longer prescribe lovenox, just extra folic acid and aspirin daily while TTC and throughout the pregancy.
I haven't met to many women with my dx, there are a whole lot more with MTHFR and Factor 5, but all the ones that I have talk to that are currently pregnant say they are on lovenox. My dx does not mean that I am more likely to form blood clots, but that when I do form them my body does not break them down easily. This interferes with implantation.
SO, I'm thinking about getting 2nd opinion on the lovenox, I don't want to take chances, but if I can avoid lovenox that would be GREAT. I am also going to consult with an acupuncturist, and perhaps look into an anti-coagulant diet.

I've had all the major tests and still unexplained RPL is my only diagnosis after three early miscarriages. My treatment plan starts with letrozole in the first half of my cycle. Then I do 300mg progesterone starting the 4th day post-ovulation. I've been on baby aspirin, prenatals, extra folic acid, and I do acupuncture 2 or 3 times a week for the past several months. I'm hoping this treatment does the trick. It's the first time I've used letrozole, progesterone and acupuncture.

Well, NOW my treatment is a hybrid fertility drug cycle. femara CD3-7, then Gonal-f Cd7-trigger. Ovidrel for trigger.
THEN,
prometrium and lovenox 72 hours post trigger

BA 7 days post trigger
Along with super B vits and prenatals.

I have tried acupuncture, but still had another loss, and just can't afford to maintain all this other stuff and that, so it had to go. But I would have liked to continue.

Well, NOW my treatment is a hybrid fertility drug cycle. femara CD3-7, then Gonal-f Cd7-trigger. Ovidrel for trigger.
THEN,
prometrium and lovenox 72 hours post trigger

BA 7 days post trigger
Along with super B vits and prenatals.

I have tried acupuncture, but still had another loss, and just can't afford to maintain all this other stuff and that, so it had to go. But I would have liked to continue.

Well, NOW my treatment is a hybrid fertility drug cycle. femara CD3-7, then Gonal-f Cd7-trigger. Ovidrel for trigger.
THEN,
prometrium and lovenox 72 hours post trigger

BA 7 days post trigger
Along with super B vits and prenatals.

I have tried acupuncture, but still had another loss, and just can't afford to maintain all this other stuff and that, so it had to go. But I would have liked to continue.