Not Yet Pregnant Again After Curettage Due To Platelet Hyperagregation?

Illustration of Not Yet Pregnant Again After Curettage Due To Platelet Hyperagregation?
Illustration: Not Yet Pregnant Again After Curettage Due To Platelet Hyperagregation? obgyn.onlinelibrary.wiley.com

, I want to ask. I was pregnant, but at the age of 10 weeks the fetus was declared as not developing and had to be curetted. After going through a curette, I check that the torch is negative. I checked for platelet aggregation, and as a result I experienced platelet hyperagregation. Since I was curetted until now I haven’t been pregnant yet, I want to get pregnant again. I have to seek treatment, how to overcome my blood viscosity? Do I have to start therapy, or wait to get pregnant again and do therapy? I ask for his advice. Thank you

1 Answer:

Hello Titis, thanks for the question.

Platelet hyperaggregation is a condition where the blood thickens more easily, known through examination of platelet aggregation tests or TAT. People with platelet hyperagregation will easily experience blockage of blood vessels and disrupt blood circulation so that it can cause organs that get blood flow to lack of oxygen, and over time will cause tissue death. If a blockage occurs in the heart can cause heart attacks, in the brain can cause strokes, in the reproductive organs can cause miscarriage, preeclampsia, until fetal death.

During pregnancy, the blood will become thicker due to increased activity of blood clotting factors and decreased blood thinning activity so that the risk of blood clots and blockages increases. A thicker blood condition is caused due to imbalance of clotting factors and blood thinners. Thicker blood will easily form a blood clot that will disrupt blood circulation throughout the body, including the placenta or the umbilical cord. In addition to pregnancy, the risk of excessive platelet aggregation also increases in people with high cholesterol, smokers, allergies, diabetes, and malignancy. This platelet hyperaggregation can be caused by several things such as:

Hereditary factors, such as abnormalities of clotting factors or blood thinning factors. The formation of antiphospholopid antibodies, which is a blood clotting disorder that causes blood clots either in the arteries or veins. An advanced stage of malignancy will also be found in thicker blood. To determine the right treatment, it is necessary to know the cause of the experienced platelet hyperagregation. We recommend that you consult a doctor, the doctor will conduct a thorough examination and provide advice on medical plans that will be undertaken, such as administration of blood-thinning drugs, and others. Treatment should be done without having to wait for the next pregnancy, treatment is carried out faster, fewer complications arise, and the future prognosis will also be better.

Thus, hopefully useful.

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