Hi mummaof1, so sorry to hear of your mc and troubles TTC #2. I personally think it is an issue and from what I know you should be treated though as I believe that would require clexane to thin the blood which has risks, I can understand your dr not being willing to prescribe this without you already being pregnant. Perhaps the only thing you could do is poas as early as you can and get a BT to confirm right away and get on meds ASAP. Maybe your dr might suggest low dose aspirin in addition to thin the blood as less risks than clexane. Or as a last resort you could see a fertility specialist and cycle under their care as they may prescribe meds earlier.

Just FYI I have mthfr one of the same thrombophilia blood clotting disorders but couldnt conceive without meds. I take daily clexane and low dose aspirin for entire preg.

Wishing you all the best xx