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I had two miscarriages during the year, and now I'm afraid of getting another pregnancy, because again I may not make it by the 3rd month. According to my gynecologist, the reason for the first miscarriage was long-term contraception and the short interval between quitting and having occurred. The second pregnancy is a mystery to him, because it was developmentally good, but suddenly the pulse stopped. In my opinion, there was a short interval or missed tests after the first miscarriage. What tests do I need to do before I become pregnant?

If nothing indicates the cause of the miscarriage, diagnostic tests are performed only after 3 miscarriages. The most common cause of miscarriages around the third month are autoimmune and alloimmune disorders.

There is a whole range of research. What the patient is referred to depends on what the doctor suspects. Tests for infectious diseases are performed if the patient is suspected to be ill during pregnancy; various hormonal tests, if it is suspected that the cause may be disturbances in the secretion and action of hormones; genetic tests, if the family history is burdened or the partner is suspected of having hereditary diseases or the carrier of certain mutations; highly specialized examination of the coagulation system, if hereditary coagulation disorders are suspected; morphology, examination of the partner's sperm, hysteroscopy if abnormalities within the uterine cavity are suspected, highly specialized immunological tests, etc.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Barbara Grzechocińska

Assistant professor at the Department of Obstetrics and Gynecology at the Medical University of Warsaw. I accept privately in Warsaw at ul. Krasińskiego 16 m 50 (registration is available every day from 8 a.m. to 8 p.m.).

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