When do I start and stop clexane?
Dr Gorgy tends to start clexane (often on a reduced dose, initially) on day 5/6/7 of your cycle/stimulation. For IVF it is continued until the day of HCG administration (last dose taken that morning, assuming you have been taking clexane in the morning), and then restarted (often at an increased dose) the day after egg collection (to avoid any extra bleeding making egg recovery more difficult). If you are still bleeding on that day, then its advisable to phone Dr Gorgy (or your consultant) to check. Other clinics will often delay starting clexane until after EC or even until BFP but some clotting issues may have already started to cause a problem by then and clexane cannot dissolve existing clots only prevent future clots. For minor issues, Dr Gorgy may recommend stopping clexane at 12 weeks of pregnancy, but more often he recommends taking it until 31 weeks (by which time the baby is basically viable even if clotting issues start). In cases of significant clotting risk, you will need
