I think a lot depends on how high your titre is. For some people, the APS is quiet enough to treat with aspirin daily, for others like me, it's treated with coumadin to keep the blood thin. I tested high positive.
It's not something to "sit on and wait for". The sooner you get treatment and get your blood thinned, the better off you'll be. There is a high risk of stroke or heart attack with APS if it isn't treated. I wouldn't wait for your doctor to make the first move.
I hope this helps. I know it's scary. Yes, you are at a risk for miscarriage. In my case, the likelyhood of even conceiving was next to zero. But it's different for everyone.
I can do anything through Jesus Christ who strengthens me. I have learned in whatever state I am in,to be content. Phillipians 4:11-13
34 years old. Diagnosed with Lupus in 2000. Fibromyalgia, anti-phospholipid syndrome(APS)(stroke),Sjogren's, Raynaud's, Libman Sach's Endocarditis, vasculitis, sacroiliitis, arthritis (neck), anxiety. Prednisone, Imuran, Coumadin, Clobazam, Amitriptyline, Didrocal, Cozaar, Zoloft, Neurontin, calcium, multi-vitamin, vitamin D, Magnesium, vitamin B6, Acidophilus