Hi and thanks for the query,
It is very necessary to do a complete evaluation for infertility
, called an infertility work up. To start with, VDRL is a test for Syphillis and the APA is to test for anti phospholipid antibodies
. Presence of these conditions are very frequently associated with recurrent abortions or miscarriages that might go unnoticed by the patient. Other further examinations like an obstetric ultrasound
to determine any uterine malformations might be necessary. Examining your partner with appropriate tests to eliminate the male factor often associated with but neglected in infertility evaluations are very useful. I suggest you consult your infertility specialist or experienced gynecologist for further evaluation and management.
Thanks and best regards,