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Amenorrhoea,recurrent miscarriages - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
Doctor :   How may I help you today?
User :   Hi Sir,
User :   Hi Sir,
User :   Hello Sir, My wife had an abortion in February 2009. Later was diagnosed that the cleaning was not done properly and some of tissue was left in. After consulting othr doctor again a cleaning was done. She was detected pregnant in end of October 2010 however later in ultrasound report showed embryo demised. Again a cleaning was done on November 24th and doctor said she has infection in ovary.till today she did not have periods. Please advise should we wait more or what should we do. Also is intercourse permitted in the situation.
Doctor :   Intercourse: Is permitted
User :   To be more precised the cleaning was done on November 24 2011
Doctor :   Regarding Periods: It is 2 months ago she had abortions. So cycles are expected in few months.
Doctor :   For not having periods, we can do bunch of tests, but because she had periods before and was pregant , I think it is too early to consider the tests
Doctor :   so Mean while she can use birth control pills to regulate the cycles
Doctor :   Pills will regulate the cycles cycles and after few months she can stop the pills and then she will get the cycles back.
Doctor :   If she do not get the cycles then we can do few tests
User :   she has been asked for some copper t to put to regularize her periods. Can you advise on this
Doctor :   Because she had abortions two times, and I do not advise copper in uterus now
Doctor :   The purpose of copper T is the same , not to get pregant
Doctor :   But if she do not want the pills then she can consider thw copper T
User :   Some tests were conducted like hormone test blood count test
User :   torch, tsh,bsugar,vd&l,Elisa-these were other test
Doctor :   ok
Doctor :   I hope the tests are normal.
User :   yes all were normal but some sign of TB.not sure what test is that
Doctor :   there is no TB test u mentioned
Doctor :   For Tb u need to get skin test for TB
Doctor :   And they send the uterine sample for TB
Doctor :   Do u have the results
User :   two more test were there mantonx & Igm
User :   Yes
Doctor :   yea, what is the result of Mantoux test results ? Ig m?
User :   is it the clot reaction test?
User :   sorry clot retraction test
Doctor :   clot retraction test is not for TB
Doctor :   it is too see whether she has any bleeding problems
Doctor :   Hi
User :   HI SIR I AM SENDING YOU THE COMPLETE TEST REPORT
Doctor :   u mean typing.
User :   YES
Doctor :   Go ahead..
Doctor :   before that U can see abnormal labs
Doctor :   and type the abnormal labs first
Doctor :   Just browse in report and find abnomral ones
User :   Hb - 12.5 TLC - 6600 platelet count - 2.71 bleeding time - 3.15 clotting time - 7.10 differential leucocyte COUNT NEUTROPHIL -73 LYMPHOCYTE- 25 EOSINOPHIL- 1 MONOCYTE - 1 CLOT REACTION TEST CLOT REACTION 48 % SERUM 52 %
User :   SORRY I DID NOT GET THAT
Doctor :   Just keep typing now
Doctor :   type all the results
Doctor :   I will see the abnomral ones
User :   HB 12.5
User :   SHOULD I TYPE ONE BY ONE
Doctor :   type all
Doctor :   which ever is fine
User :   I MENTIONED ALL ABOVE
Doctor :   The tests are in normal range
Doctor :   They are are general testst
Doctor :   They are not specific to know the reasons for abortions
User :   WHAT SHOULD WE DO NOW BECAUSE TREATMENT FOR INFECTION CANNOT BESTARTED UNLESS SHE GET HER PERIOD
Doctor :   They are not harmonals tests
Doctor :   What infection
Doctor :   TB?
User :   DOCTOR SAID THAT SHE HAS INFECTION IN OVARY
Doctor :   I do not see any specific test for ovary infectin
Doctor :   If the Gynecologist is worried about the Uterine TB,she might have done some tests and samples from Uterus
Doctor :   WHat infections she want to treat?
Doctor :   Tb or bacterial ?
Doctor :   Ask her.
Doctor :   Treating periods is different . treating infection is different.
Doctor :   TB uterus is very common, Mr. AAAAAAA
Doctor :   So ask the doctor do uterine sampling again
User :   THYROID STIMULATING HORMONE 2.13 AS PER THE THYROID FUNCTION TEST
User :   v.d.r.l TEST - NON REACTIVE
Doctor :   that is Normal
Doctor :   So ask the doctor do uterine sampling again . And send the saml for TB microscoscopy, Tb cilure, cytology/histology
Doctor :   and PCR for TB
Doctor :   if one of these tests positive we ca start TB medicines
Doctor :   x But these medicines has to be taken for 9 months
Doctor :   So diagnosis is very important with tests from uterine sample
User :   SIR WHAT IS TORCH TEST BECAUSE I SEE SME REPORTS FOR THAT ASWELL
Doctor :   TORCH is is the test for infection-Toxoplasmosis, Rubella, cytomegalo virus , herpes
Doctor :   These are done due the reason for abortions
Doctor :   These infections are cause abortions
Doctor :   So these tests are done
Doctor :   Please follow up wi th Gynecol0ogist
Doctor :   confirm the infection
Doctor :   And if there is infection start tretment
Doctor :   treationg infection will treat periods
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