HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Should I Test For Protein S Deficiency Before Planning For Pregnancy?

default
Posted on Fri, 30 May 2014
Question: With my first pregnancy I was diagnosed with Protein S Deficiency. With my 2nd baby, no tests were ever run, I was simply told that because of the first test, that means I have it always. So, I took heparin injections throughout that pregnancy. Now that I am considering a possible third pregnancy, should I have a blood test before pregnancy to see if I really have PSD? Will I always have PSD during pregnancies as the previous provider suggested?
And right now (I am not pregnant) what type of provider should I see about this? I went to a Family Practitioner and mentioned this, but she wasn't familiar with this particular clotting disorder and basically told me it was outside her realm of knowledge.
doctor
Answered by Dr. Ivo Ditah (59 minutes later)
Brief Answer:
It is a permanent condition!

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear that you have protein S deficiency. This for sure puts you at greater risk of having blood clots than the rest of the general population. Protein S deficiency(PSD) is a congenital abnormality that can be passed from parents to child. This means that this condition would be present, be it during pregnancy or not. I will like to know what were the specific conditions that led to this diagnosis?

pregnancy increases the risk of having blood clots and this is the possible reason why you have been subjected to heparin injections during pregnancies. If you want a second control to reaffirm this diagnosis before you get pregnant, that is fine. I think it is worth it and more so if you have not been thoroughly educated on this.

You would need to see a hematologist. Your GP could have done this by simply ordering for the test to see if the results still suggest that you for real have this PSD. He needs not have any specific expertise here as he simply needs to order a test and review the results.

In all, PSD is a congenital disease and would be present all through your life. it can be transmitted from parents to offspring and thus needs to be well documented and children tested also. A hematologist would be the best person to contact for more investigation and advice on this.

I hope this helps. I wish you well. Thank you so much for using our services and feel free to ask for more information and clarification if need be.

.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3984 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Should I Test For Protein S Deficiency Before Planning For Pregnancy?

Brief Answer: It is a permanent condition! Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear that you have protein S deficiency. This for sure puts you at greater risk of having blood clots than the rest of the general population. Protein S deficiency(PSD) is a congenital abnormality that can be passed from parents to child. This means that this condition would be present, be it during pregnancy or not. I will like to know what were the specific conditions that led to this diagnosis? pregnancy increases the risk of having blood clots and this is the possible reason why you have been subjected to heparin injections during pregnancies. If you want a second control to reaffirm this diagnosis before you get pregnant, that is fine. I think it is worth it and more so if you have not been thoroughly educated on this. You would need to see a hematologist. Your GP could have done this by simply ordering for the test to see if the results still suggest that you for real have this PSD. He needs not have any specific expertise here as he simply needs to order a test and review the results. In all, PSD is a congenital disease and would be present all through your life. it can be transmitted from parents to offspring and thus needs to be well documented and children tested also. A hematologist would be the best person to contact for more investigation and advice on this. I hope this helps. I wish you well. Thank you so much for using our services and feel free to ask for more information and clarification if need be. .