It requires continues monitoring ( dosage needs to be based on not only the persons body weight but also other important health parameters ) and therefore please talk to the doctor and feel free to discuss your doubts. Do not hesitate to take the help of your doctor even if you miss one or two follow-ups.
When both partners are sickle cell carrier then each baby has 1 in 2 risk of being a carrier ,1 in4 risk of having sickle cell anaemia and 1 in4 chance of not being a carrier
Ivf is not required ,can go for normal conception ,but prenatal testing - either amniocentesis or chorionic villus sampling should be done at around 10 weeks of pregnancy to find out the sickle cell status of baby.
People who have thalassemia trait (also called thalassemia minor) carry the genetic trait for thalassemia but do not usually experience any health problems except perhaps a mild anemia. A person may have either alpha thalassemia trait or beta thalassemia trait, depending upon which form of beta protein is lacking. If you have thalassemia trait, your physician may prescribe iron supplements because your red blood cells are smaller than is typical. Unless you also have iron deficiency in addition to thalassemia, this is not needed and should be avoided.
Occasionally, a person with thalassemia may experience some physical ailments that s/he believes is related to thalassemia. In such cases, physicians should look carefully for other causes of these ailments, as there are no significant health-related issues associated with thalassemia trait. Trying to address these issues by “treating” thalassemia trait may prevent the doctor from addressing whatever the actual underlying cause of the issues may be.
The most important reason for discovering if you carry the thalassemia trait is this: If two people who each carry the same form of thalassemia trait have a child, there is a 25% chance that this child will be born with a severe form of thalassemia.