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    This blog has been a bit neglected lately as life got in the way of cyber postings but gathering dust on my bookshelf sat a book that Dr Beattie had ...

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Page modified at: 09/01/2011

Pelvic Ultrasound Scan

Mid pregnancy losses can sometimes be due to abnormalities of the shape of the uterine cavity , fibroids or synechiae (adhesions) which can be identified on a pelvic ultrasound scan.

 

 

 

 

 

Blood Tests

 

  • Day 2-6 FSH and LH to exclude Polycystic Ovarian Syndrome (PCOS)
  • HbA1C to exclude diabetes
  • Thyroid function tests
  • Chromosomes (patient and partner)
  • DRVVT to exclude Lupus Anticoagulant (repeated twice at least 6 weeks apart)
  • Anticardiolipin Antibodies (repeated twice at least 6 weeks apart)
  • Factor V Leiden, Prothrombin Mutation Analysis, Protein S, Protein C, Activated Protein C Resistance (APCR), Anti-Thrombin III.

     

    Endometrial Biopsy for Natural Killer Cells (NK Cells)

    High levels of NK cells can be identified by an endometrial biopsy.

    Endometrial Biopsy

  • A speculum examination is performed to visualise the cervic
  • A fine plastic tube is passed into the uterine cavity and a small sample of the lining (endometrium) is taken
  • The procedure takes about 5 minnutes and is as uncomfortable as having a smear
  • It is usually done around day 24-26 of the cycle ie just before a period
  • Results are usually reported in about 2 weeks
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