Our expert says:
It is unlikely that the warfarin is a contributory factor to poor embryo quality. The fact that none of the embryos developed beyond 4 cells could indicate a male factor problem as well and a thorough evaluation of the semen parameters should be undertaken. My recommendation is that ICSI should be the laboratory procedure of choice, if this has not already been done. Furthermore it would be safer to stop warfarin a much earlier and begin Clexane at the time of starting the down-regulation (Lucrin) i.e. around day 21 of the cycle.
Answered by: Dr M.I. Cassim
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