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What tests can be done?


Forum: Recurrent Miscarriage and Pregnancy Loss

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  #1  
November 20th, 2009, 01:29 PM
esparando para bebé's Avatar Proud Car Seat Technician
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**Edited to add, I cannot take credit for this list. I compiled two old stickies in effort to clean up the board.**

Karyotyping for DH and you (tests for any genetic issues)
Sperm assays and investigations - including DNA fragmentation testing
Hysteroscopy, HSG etc. to check for scarring, fibroids, polyps etc
Thin lining, no triple stripe etc.
Doppler - to check blood flow in uterus
Insulin resistance (fasting glucose test)
Thyroid levels (TSH, T3, T4)
Anti Nuclear Antibodies
Anti thyroglobulin
Anti-thyroid antibodies
Full Blood count
ESR (Erythrocyte Sedimentation rate)
RA (Rheumatoid Arthritis)
BLOOD CLOTTING PANEL (Thrombophilia panel)
Serum Immunoglobulins (IgG, IgM and IgA)
Activated Protein C Resistance
Factor V Leiden genotype
Anti Phospholipid Antibodies
Lupus Anticoagulant
Anti Cardiolipin Antibodies
Plasma Free Protein S level
Factor II G20210A
Prothrombin Gene Mutation
Antithrombin III M
Fibrinogen level
APTT (Activited Partial Thromboplastin Time)
APTR
MTHFR (methylenetetrahydrofolate reductase) and connected with this is measurement of your homocysteine levels (The GP may not be able to do this one)
Mycoplasma,
Ureaplasma
Bacterial vaginosis
Chlamydia and any other bacterial infections
Varicella Zoster antibodies
Progesterone (should be done through endometrial biopsy since blood tests aren't accurate.)
Prolactin
Immune testing (so called Chicago or Level 2 tests) - to be done by specialist consultant:-
Natural Killer Cells
Cytokines, (TH1, TH2)
Tnf-alpha
DQ Alpha
LAD

Sonohystogram (SHG):
An SHG is an u/s with saline procedure that looks at the shape of the uterus as well as looks at the tubes.--Tylenol and Advil are recommended before the procedure.

Quote:
Glucose Resistance Testing:
You must fast for 12 hours before you take this test and you are normally expected at the lab first thing in the morning. A blood vial will be taken to check for your normal resting glucose levels. You will then be given an aweful tasting orange drink that is super sweet and kinda tastes like that McDonald's orange drink. A couple of hours later you will return to the lab and another blood sample will be taken to check you glucose levels after have your system shocked with the sugar. Plan to take the morning off because it eats into a good protion of the morning and some tests require further blood work at various hours through the day.
HSG--a procedure where they insert a catheter into your cervix and inject your uterus with dye to check the shape of your uterus and to make sure your tubes are clear via x-ray
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Last edited by esparando para bebé; November 20th, 2009 at 01:36 PM.
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  #2  
November 20th, 2009, 01:34 PM
rebeccabaltimore and more's Avatar (rebeccabaltimore)
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Thank you for putting this together, it is soo useful!
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  #3  
August 5th, 2011, 01:22 PM
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Yes, thank you!
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  #4  
November 20th, 2011, 08:42 PM
LisaB's Avatar Mom to twins + 1
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You can also run a karyotype on the embryo, if you've had a D&C or have an intact piece of placenta (sorry to be so graphic) It will tell you if there were chromosomal errors.
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  #5  
December 30th, 2011, 02:50 PM
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These are fantastic, thank you!! i had my third miscarriage 3 wks ago and i don't have my appointment to see the specialist until the 8th March12. This has given me an idea of what to expect when I go x
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  #6  
December 30th, 2011, 02:57 PM
esparando para bebé's Avatar Proud Car Seat Technician
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Quote:
Originally Posted by Sue1397 View Post
These are fantastic, thank you!! i had my third miscarriage 3 wks ago and i don't have my appointment to see the specialist until the 8th March12. This has given me an idea of what to expect when I go x
I'm so sorry for your losses. I am going waiting on my fifth loss now.

Hydrate (a lot) before your appointment. My OB took 8 vials of blood from me. Then when I went to the RE, he took another 6 vials for further testing.
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