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Anyone have factor 5 Leiden?

I just got tested for factor 5 and it came back positive. I'm just a little scared because I am nervous I'm going to throw a pulmonary embolism or have dvt. If you have factor 5 or know someone that does, I would love to know how you/they are handling it, and what you are using for birth control! My mid-wife said progesterone only, but I'm not very familiar with these types of bcp's. I've only used ones with estrogen. TIA! :)

Re: Anyone have factor 5 Leiden?

  • Forgot to add some info. The reason why I'm quite nervous about this blood disorder is because my mid-wife told me very little bout it over the phone. She is going to mail some info, but I just wanted to know about daily activities, avoid what kinds of foods (high in vit. k), etc. I felt like she kinda left me hanging...
  • It runs in my family.  I would immediately ask for further testing, as it is important to know if you have 1 copy of the gene or two.  That significantly changes your odds of ever having any ill effect from the gene.  

    If you are pregnant your midwife may need to take extra steps to make sure you do not develop blood clots while pregnant.  It also provides an increased risk for miscarriages, and people are often tested for the gene (especially if they are white and of European descent) after having several as a possible cause for why they are happening.  It also gives more risk of Pre-eclampsia. 

     The only daily activity changes that I know of to be recommended are - increase your circulation by not sitting still for extreme long periods - especially really long air flights or car trips. Tell any doctor who may have to operate on you, so they can be on the look out for any issues. Also the one you mentioned, non-estrogen birth control.  As far as the goes, the IUD is a great option. 

     Hope this helps!  

  • I am def, not pregnant, so that's good. I'm hoping she will give me more info about the genetics. It sounded like she didn't have my chart in front of her and she was in a rush. Thanks for the advice!
  • DamikDamik member
    Ancient Membership 2500 Comments

    I have it, heterozygous Factor V Leiden. I found out when I got a DVT 2 Christmases ago. I had to be on Warfarin for 6 months. I was told not to fly long distance for a year. It really hasn't really affected me beyond that. I just pay attention to my body to be sure I don't have a DVT again.

    I have had multiple miscarriages that may be a result of it. I also know that you are at a higher risk for pregnancy related issues. I think it is easy to live with, but if you have any questions ask!

  • DamikDamik member
    Ancient Membership 2500 Comments

    Oh and I have had surgery after finding out and they put special leg things on me so I didn't develop a clot.

    Because I have problems with all other B/C and I don't want children I got sterilized. If you don't want kids for a while the paraguard IUD is a good choice.

  • Thanks Damik! My mid-wife did mention something about mirena. We want children some day, but not for awhile... atleast 2 years or so. How did you feel when you had dvt? Just a lot of pain, swelling, redness,etc.?
  • DamikDamik member
    Ancient Membership 2500 Comments

    No, I didn't have the usual symptoms, it felt like I had a charlie horse for that lasted for 6 days I decided to get it looked at after some of the caring ladies here on the nest suggested that it might be something serious. They did an ultrasound and found it. I had no swelling or anything, the area was warm to the touch, though.

    As for Mirena, I would still suggest Paraguard it doesn't have any hormones while Mirena has a small amount and I don't think it is worth the risk.

  • I don't have factor 5, but I have MTHFR and Anticardiolipin clotting factors.  I have had one pulmonary embolism and was on Coumadin for a year with weekly protime testing.  

    My OBGYN said no hormones at all, so I have my tubes tied.  PM me with any questions. 

  • I don't have factor 5, but I have Protein C and S Deficiency which is also a clotting disorder.  I found out in October 2006 after outpatient knee surgery and many complications.  At that time I was in the hospital for 9 days with multiple pulmonary embolism and a dvt in my calf.  I passed out many many times and was taken to the ER and later transferred to another hospital where they tested and determined this deficiency.  I have been on coumadin since the incident and will be on it for lifetime.  I have had a terrible time keeping my levels at a theraputic level and therefore have had weekly protime tests and just now have went to monthly checks.  As for daily living - I have to watch what I eat (vitamin K related) and the fact that I could bleed excessively if cut or in an accident is always on my mind and therefore affects some of my activities.  If my blood is either too thin or too thick I get headaches and very tired.  I've come to the mindset that is my life now and you have to take it into stride.  I am also not on any birth control and have been told that I can't be.  I was taken off as soon as I found out about the clotting disorder.  My new concern is I'm getting married in December and in time would like a child.  (side note - My fiance went through this whole ordeal with me and we have refrained from having sex because of the birthcontrol and also our beliefs until marriage)  Has anyone had a successful pregnancy with a clotting disorder? 
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  • I also have Factor 5 Leiden. I had a DVT at 19 after using the OrthoEvra birth control patch. No one in my family knew I had it, but I'm glad I got it because we found out my mother and my grandmother both had it. If we had to found out that way, I'm glad I'm the one who got the DVT and not them. Both my mom and grandma never had a clue they had it, and between the two of them had 6 successful pregnancies. I'm not on anything currently, I just make sure to get up and move and stretch during the day (I work at a desk all day). On our honeymoon, we took an 8 hour road trip, so I stopped every 2 hours to get out and move around. I met with with a specialist, and he said I should have a pretty normal life. I'm on the progestrin-only BCP, and haven't had any problems. But you would definitely want to check with your doctor first.
  • OK So I don't have factor 5 but it does run in my family. Also I am 24 years old and at 22 I had a DVT that split shot to my lungs and caused and Double Pulmonary Embolism (due it BC and other factors). I can NOT take BCP or any kind replacement hormone (sp?). I can and do have an IUD, the mirana, it has its goods and its bads. Whenever my H and I decide to have kid I will have to go on heprin (blood thinners shots daily to twice daily).

     Anyways to get back to you see if you can get an IUD for BC or use condoms. I'm not sure if about progesterone only pills my doctor never told me anything about that (my blood Doc or OB/GYN). Also make sure to stick with a good rounded out diet that will help your blood thinner levels and last but not least now with being on blood thinners be careful how much you drink. You don't have to stop but trust me there were time when I thought I didn't drink much at all and ended up in a very bad place. As long as you follow your doctors and your meds closely you will be great and wont even know anything is wrong.

     Make sure you carry a medical card that states you have Factor 5 and what blood thinner meds you are on. My relatives (sp?) that have it live full and great lives, traveling, have kid, and all the stuff they use to due before they found out. Good luck and don't be worried you will be fine!

  • image2010brideinpa:
    I don't have factor 5, but I have Protein C and S Deficiency which is also a clotting disorder.  I found out in October 2006 after outpatient knee surgery and many complications.  At that time I was in the hospital for 9 days with multiple pulmonary embolism and a dvt in my calf.  I passed out many many times and was taken to the ER and later transferred to another hospital where they tested and determined this deficiency.  I have been on coumadin since the incident and will be on it for lifetime.  I have had a terrible time keeping my levels at a theraputic level and therefore have had weekly protime tests and just now have went to monthly checks.  As for daily living - I have to watch what I eat (vitamin K related) and the fact that I could bleed excessively if cut or in an accident is always on my mind and therefore affects some of my activities.  If my blood is either too thin or too thick I get headaches and very tired.  I've come to the mindset that is my life now and you have to take it into stride.  I am also not on any birth control and have been told that I can't be.  I was taken off as soon as I found out about the clotting disorder.  My new concern is I'm getting married in December and in time would like a child.  (side note - My fiance went through this whole ordeal with me and we have refrained from having sex because of the birthcontrol and also our beliefs until marriage)  Has anyone had a successful pregnancy with a clotting disorder? 

    I was told that pregnancy was extremely dangerous (hence have the tubal ligation), and if I really wanted to attempt a pregnancy that I would need intensive medical supervision and daily injections of Heparin (Coumadin can't be taken while pregnant.) 

  • Thanks for all the advice! I'm hoping my mid-wife will call me back next week and explain to me more about my genetics about pregnancy.

  • Hetro Factor V, mutliple DVT's, now on thinners the rest of my life. I go in once a month to get my INR cheked.

    My current hematologist wasn't too "impressed" with the Factor V part. He said that all it told him was that I am or have ancestors from a European country. Yes, it upps my risk but being overweight and on estrogen based BCPs were also risks. There are different reason why people throw clots and why you throw them figures out which path you take after the standard 6 months of thinners.

    I have been on progestrone only BCP's for a few years now (switched with the first DVT and now with the 2nd). You have to take them within the same time frame every day (like 2 hours or so) to be most effective.

    As for pregnancy, I have already talked to an OB that specifically only has patients with clotting disorders. Yes, I'll have to be on lovenox which is an injection (twice a day) for my entire pregnany and at least 6 weeks post partum. Yes, I'll get monthly ultrasounds after 20 weeks due to issues with low bith weight and placenta previa but this OB (and I'm sure there is a "high risk" one near you) has had many years and many successful pregnancies with women with Factor V and on thinners (like me).

    You can PM if you want but definately talk to your doc and they can give you all the info you need to make an informed decision.

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  • I do. I use Mirena IUD. Before that just condoms.

    I did daily injections of blood thinners during pregnancy as a precaution because there's risks that another poster covered up there ^^. I have never had a clot, but due to family history I was tested as a teenager. My mom had 3 clots in her early 30s but no pg complications. I've also never m/c. I'm happy my ob was so proactive. :)

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  • I am homozygous for factor 5 and have been living with it for 6 years so far. I found out after going into the hospital with a DVT one christmas after being on birth control for 2 months. I have to take warfarin for the rest of my life. I try my best to follow a consistent diet and have my blood tested every few months. I typically need to stretch every couple of hours during long plane rides or car rides to keep my leg from throbbing a swelling a bit. As for birth control, my obgyn has just recommended paragard IUD and i have been using it for 3 months and so far so good! It is non hormonal and my cramping has just been a tish worse then normal with it. It is definitely worth looking into!  
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