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What Is Thyroid, Immunity Test Suggested After Multiple Miscarriages?

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Posted on Sat, 27 Sep 2014
Question: My daughter age 38 has has 3 miscarriages & NOW, not in beginning, she'll need to get her thyroid, immune system & shape of uterus??? Please explain why & it's outcome after such tests??? Any other tests???
doctor
Answered by Dr. Dalia Muraleedharan (49 minutes later)
Brief Answer:
Dont worry

Detailed Answer:
Hi, thanks for writing..
I understand your concern..

Recurrent abortions can be due to many causes like thyroid disorders(hypothyroidism),uncontrolled diabetes, immune system disorders(APLA), uterine anomalies, fibroid,genetic abnormalities etc. That is why the doctor has asked for these tests.

1.After getting thyroid test(T3,T4,TSH), hypothyroidism can be ruled out and if it is present can be treated with eltroxin.
2.APLA screening for any autoimmune disease,if positive can be treated with aspirin and heparin injections as soon as the pregnancy is diagnosed.
3. Shape of the uterus can be determined by scan,hysterosalpingogram or sonosalpingogram. Any abnormality in the uterus like biconuate can be diagnosed and corrective surgery can be performed. If the is a large fibroid, myomectomy might be required. Cervical incompetence can also be treated by putting cervical encirclage during pregnancy.

Other tests which need to be done is screening for diabetes and TORCH infection.

Hope I have answered your queries. Feel free to ask any doubt. Good day.
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Answered by
Dr.
Dr. Dalia Muraleedharan

OBGYN

Practicing since :2003

Answered : 1044 Questions

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What Is Thyroid, Immunity Test Suggested After Multiple Miscarriages?

Brief Answer: Dont worry Detailed Answer: Hi, thanks for writing.. I understand your concern.. Recurrent abortions can be due to many causes like thyroid disorders(hypothyroidism),uncontrolled diabetes, immune system disorders(APLA), uterine anomalies, fibroid,genetic abnormalities etc. That is why the doctor has asked for these tests. 1.After getting thyroid test(T3,T4,TSH), hypothyroidism can be ruled out and if it is present can be treated with eltroxin. 2.APLA screening for any autoimmune disease,if positive can be treated with aspirin and heparin injections as soon as the pregnancy is diagnosed. 3. Shape of the uterus can be determined by scan,hysterosalpingogram or sonosalpingogram. Any abnormality in the uterus like biconuate can be diagnosed and corrective surgery can be performed. If the is a large fibroid, myomectomy might be required. Cervical incompetence can also be treated by putting cervical encirclage during pregnancy. Other tests which need to be done is screening for diabetes and TORCH infection. Hope I have answered your queries. Feel free to ask any doubt. Good day.