Just Dx with Heterozygous MTHFR After 2Nd M/c. Next Steps?

Updated on October 24, 2011
A.D. asks from Mount Laurel, NJ
4 answers

Has anyone else been diagnosed with Hetero MTHFR? I have one healthy son, but have had two miscarriages in the past year. There seem to be conflicting thoughts on how serious the Hetero version may be. Apart from taking Folgard (I just go the OTC version, should I look into getting the RX version?) what else can I do? If you've had a healthy pregnancy with MTHFR I'd love to hear your story, too.

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K.N.

answers from Cleveland on

Welcome to the club. I know you'd rather not be here but this is somehow where we ended up and now we deal. I had 3 kids, no issues, before finding out about the MTHFR, and I don't recall which is what but I have both the genes, not jut one. I lost 2 babies, very early in the pregnancies, and was then tested and MTHFR was the result. At that point I started folgard and baby aspirin, and conceived without trouble, but then that never was the trouble. We stopped the aspirin at 14 weeks and my darling boy is almost 9 months old. No complications, no bleeding, and a great doc who let me go in biweekly to hear the heartbeat so I wouldn't worry.

And as luck would have it, while I was breastfeeding we wound up pregnant again. I was terrified, I wasn't on my folgard at the time or anything else, but we are almost 16 weeks along and just fine so far. I am seeing a different doctor in the same group and while we started the folgard again right away (and thankfully we found out really early)he said the aspirin wasn't needed.

It is worth asking your doctor about though. Good luck and I really hope the folgard helps and everything goes well the next time around. It really is possible, I have proof upstairs taking a nap. (oh and get the Rx for folgard, it's a LOT better)

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S.D.

answers from Tampa on

I do too. I also had 2 early miscarraiges within a year after having a normal health pregnancy with my then 3yr old son. I had to take baby aspirin daily (even before getting pregnant), lovenox injections daily once pregnany (along with the aspirin) until 36wks, then stopped the aspirin and was changed to heparin injections twice daily until delivery. I had a tubal a day after my now 6mo old son was born, but was restarted on lovenox daily until 6wks postpartum after that. And LOTS of monitoring of the baby. Oh, I was on folic acid already due to seizure meds that I take. And of course my prenatal vit - I was a walking pharmacy, LOL ;) My son was born small (5-13 at 38wks), but healthy, so it was all worth it. I was still able to breastfeed with the lovenox but haven't resumed my baby aspirin as was recommened because I'm still breastfeeding - according to the pediatrician it's "probably" safe, but since I've never had a blood clot in my life (knock on wood), I will wait to start taking it again until he's weaned. Best of luck to you!

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A.S.

answers from Boca Raton on

I must have because my younger son is a double compound which means he has the trait from both mom and dad (I hope I'm remembering the lingo correctly).

I do give him Folapro, and my husband and I take it too.

I would get myself the best nutritional and supplemental advice possible, and would consider going to an integrative physician for it (even if I have to pay out-of-pocket). It seems like when you have MTHFR you are more at risk for poor absorption of "B" vitamins. And from what I understand, there is a continuum of severity - i.e., in rare cases it results in severe problems, yet other people seem OK.

My sister had spina bifida and now I realize that my mom probably carries the gene too (can relate to poor absorption of folic acid). We always thought the spina bifida was because my mom was exposed to rubella while pregnant, but that might not have been a factor. Or perhaps it was both. My sister and I are close in age (21 months) so maybe my mom's body didn't have time to replenish itself.

Good luck and hope you can get some good professional advice.

PS: I am NOT a health care professional of any type - this is just my own opinion based on personal experience.

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K.B.

answers from Pittsburgh on

I also have the heter MTHFR, also diagnosed after two lost babies. We have two healthy kids (one miscarriage between and one after our second success) so we have decided against trying again, but I would love to. I think having a doctor that you trust and is knowledgable is a huge factor. I agree with one of the other comments, seems like some people with this issue do fine and some really struggle. I have never had a clot, or had trouble getting pregnant, just issues staying pregnant. But I have read that it can also increase risks of other defects and healthy issues. Bottom line, I think genetic counseling along with a high risk OB is a smart plan, but it's possible to have a successful pregnancy with this condition. Good luck!

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