What tests should be done after miscarriage?

With the development of society, many women take abortion too lightly, and even use abortion as a means of contraception! Many women do not pay attention to the maintenance of their bodies after abortion, and always rush through it. Little do they know that this is an important cause of infertility. In order to ensure good health, let's learn what examinations need to be done after abortion today?

Recommended tests for patients with miscarriage:

1. Chromosome testing of aborted embryos or tissues. Why is this put first? Because the main reasons for each embryo miscarriage may be different, and chromosomes are the most important reason. 60%-70% of miscarriages are due to abnormal embryo chromosomes. Therefore, checking embryo chromosomes is the first-hand basis for predicting the risk of next miscarriage. Some hidden chromosome translocations can only be discovered by checking aborted tissues. Currently, most embryo chromosome tests are to extract DNA for gene chips or second-generation sequencing to check for abnormal chromosome copy numbers, which is not limited by the traditional chorionic villus cell culture method with high detection conditions, high failure rate and limited detection range.

2. Chromosomes of both spouses. The first line of testing for recurrent miscarriage.

3.TORCH. Eugenic screening, including detection of multiple pathogens such as Toxoplasma gondii TOX, rubella virus RUV, cytomegalovirus CMV, herpes simplex virus, etc.

4. Gynecological B-ultrasound. Hysterosalpingography (HSG) if necessary. Check for anatomical abnormalities.

5. Gynecological examination. Including tests for vaginitis (routine leucorrhea + BV), cervicitis, cervical HPV, chlamydia, mycoplasma, gonorrhea, etc.

6. Endocrine testing. Including basic endocrine testing on the 3rd to 5th day of menstruation, luteal phase progesterone testing, luteal function testing, thyroid hormone testing, etc.

7. Glucose tolerance and insulin resistance testing.

8. Blood lipid, liver and kidney function tests.

9. Identification of folate genotype and determination of homocysteine.

10. Antibody screening. Including anti-cardiolipin antibodies (ACA), anti-beta-2 glycoprotein antibodies, autoimmune antibody (ANA) antibody spectrum, anti-endometrial antibodies (EMAb) and other tests.

11. Coagulation function and D-dimer testing.

12. Blood type test for both husband and wife.

The above items may be slightly different in different hospitals and medical centers. Patients can undergo selective testing based on their own conditions and physician recommendations.