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What Causes Positive IgG And Negative IgM Antibodies?

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Posted on Mon, 6 Apr 2015
Question: Hi i had an spontaneous abortion at 8 weeks..now i took a torch test which says cmv igg positive and igm negative and same for rubella..what does this indicate?when can i conceive next?
doctor
Answered by Dr. Nidhi Setia (1 hour later)
Brief Answer:
wait for atleast 3 months for next pregnancy.

Detailed Answer:
Hello
Welcome to HCM.
I can understand you concerns.

First regarding CMV and Rubella, Positive IgG and negative IgM antibodies suggest that you have these infections in past but now you are immune to it.
I do not think this will cause any problems in future pregnancy.

Regarding future conception, a female can become pregnant as early as one week after abortion.
But, it is advisable to wait for atleast 3 months so that body can recover from previous deficiencies. Also, this provides time for regeneration of uterine endometrial lining which is necessary for proper implantation.

However, as you have had spontaneous abortion in past, common causes of spontaneous abortion like diabetes, hypertension, thyroid disorder and hormonal imbalances should be ruled out.

Kindly consult your obstetrician for further investigation of these causes to minimize the risk of abortion in future.

Hope this helps.

Feel free to discuss further.

Take care.

Thanks.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Nidhi Setia (21 minutes later)
Thank u so much.. Any precautions or preventions to take...will cmv cause any problem in future pregnancy?i am also a case of pcod..has that to do anything with my spontaneous abortion?any medication required?
doctor
Answered by Dr. Nidhi Setia (32 minutes later)
Brief Answer:
no problem due to CMV in future pregnancy; progesterone support.

Detailed Answer:
You are most welcome dear.

The common precaution which you should take are:
1. Consume plenty of fluids.
2. Stay off from heavy load work, weight lifting.
3. Take proper sleep and maintain healthy sleeping habits.
4. Consume healthy food and vitamins.

I do not think CMV would cause any problem in future pregnancy.

PCOS can cause spontaneous pregnancy in some cases as it can cause hormonal imbalance.

Progestrone (prescription drug) may be needed as a supportive treatment for next pregnancy. This should be started as soon as you conceive next.

Metformin (prescription drug) is another drug which can be helpful in PCOD.

Kindly keep a regular follow-up with your doctor.

Hope this answers your query satisfactorily.

Kindly close the discussion if you have no more queries and give your valuable feedback.

Take care.
Thanks.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Nidhi Setia (10 hours later)
I have attached my reports above please let me know if it is ok and i can go ahead with what u said earlier
doctor
Answered by Dr. Nidhi Setia (28 minutes later)
Brief Answer:
reports ok; go ahead with earlier advices.

Detailed Answer:
Hello again.

Thanks for uploading the reports.

I have gone through your reports.
It suggests that there is no acute infection.

There should be no problem in conceiving in future due to this.

You can go ahead with my earlier suggestions.

Do keep a regular follow-up with your local gynecologist.

Wish you good health.

Thanks.
Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
Dr.
Dr. Nidhi Setia

OBGYN

Practicing since :2009

Answered : 761 Questions

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What Causes Positive IgG And Negative IgM Antibodies?

Brief Answer: wait for atleast 3 months for next pregnancy. Detailed Answer: Hello Welcome to HCM. I can understand you concerns. First regarding CMV and Rubella, Positive IgG and negative IgM antibodies suggest that you have these infections in past but now you are immune to it. I do not think this will cause any problems in future pregnancy. Regarding future conception, a female can become pregnant as early as one week after abortion. But, it is advisable to wait for atleast 3 months so that body can recover from previous deficiencies. Also, this provides time for regeneration of uterine endometrial lining which is necessary for proper implantation. However, as you have had spontaneous abortion in past, common causes of spontaneous abortion like diabetes, hypertension, thyroid disorder and hormonal imbalances should be ruled out. Kindly consult your obstetrician for further investigation of these causes to minimize the risk of abortion in future. Hope this helps. Feel free to discuss further. Take care. Thanks.