D-Dimer Levels After Abortion: Key Questions Answered

Thrombus levels after abortion?

Hello, doctor.
I have a few questions:
1.
Will the blood test for thrombosis the day after a miscarriage cause the thrombosis values to increase? My D-dimer level is 0.49 mg/L FEU.
I've heard that a normal result should show no thrombosis.

2.
If I want to get pregnant, should I wait until I am pregnant to monitor this? Will that be timely enough?
3.
Are there any medications for treating thrombosis that are covered by health insurance?
Thank you for your response.

Miss Lin, 30~39 year old female. Ask Date: 2015/11/13

Dr. Lin Wenbin reply Obstetrics and Gynecology

You have misunderstood the direction.
After an abortion, you need to pay attention to any changes in your body and communicate these conditions to your physician.
The doctor should then use these observations along with laboratory test results to provide appropriate treatment.
As a patient, it is your responsibility to inform the physician about your condition (such as bleeding, diet, bowel movements, discharge, and daily activities) so that the doctor can utilize ultrasound and blood tests to make an accurate assessment.

Reply Date: 2015/11/13

More Info

Understanding D-Dimer Levels After Abortion: Key Questions Answered
After an abortion, it is common for patients to have concerns regarding their health, particularly concerning blood clotting and D-Dimer levels. D-Dimer is a fibrin degradation product that is typically elevated in the presence of clot formation and breakdown. Here are answers to your questions regarding D-Dimer levels and their implications after an abortion.

1. Will D-Dimer levels increase after an abortion?
Yes, it is possible for D-Dimer levels to be elevated after an abortion. The body undergoes significant physiological changes during and after the procedure, including potential bleeding and tissue trauma, which can lead to an increase in D-Dimer levels. However, a D-Dimer level of 0.49 mg/L FEU is generally considered within the normal range, as levels below 0.5 mg/L FEU are typically interpreted as negative for thrombosis. Therefore, while some increase in D-Dimer levels can occur post-abortion, your result suggests that there is no significant concern for thrombosis at this time.

2. Should I wait until I am pregnant again to monitor D-Dimer levels?
If you are planning to conceive again, it is advisable to discuss your D-Dimer levels and any other concerns with your healthcare provider. Monitoring D-Dimer levels is usually more relevant if there are symptoms or risk factors for thrombosis. If you have a history of clotting disorders or other risk factors, your doctor may recommend monitoring your levels before conception or during early pregnancy. However, if your D-Dimer levels are normal and you have no other risk factors, it may not be necessary to monitor them until you are pregnant again.

3. Are blood clot treatment medications covered by insurance?
The coverage for medications used to treat blood clots, such as anticoagulants (e.g., warfarin, rivaroxaban, or apixaban), varies by insurance provider and plan. In general, most health insurance plans in the U.S. do cover medications for the treatment of blood clots, especially if prescribed by a healthcare provider. It is essential to check with your specific insurance plan to understand the coverage details, including any copays or prior authorization requirements.

In conclusion, while it is normal for D-Dimer levels to fluctuate after an abortion, your current level indicates no immediate concern for thrombosis. If you are considering pregnancy, it is best to consult with your healthcare provider regarding any necessary monitoring or treatment. They can provide personalized advice based on your medical history and current health status. Always prioritize open communication with your healthcare team to ensure the best outcomes for your reproductive health.

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