Pregnancy loss after miscarriage and preparation for future pregnancy: What tests should be done?

Patient's question:

In September 2017, I was 12 weeks pregnant and had a thorough check-up for a missed miscarriage. There was a fetal heartbeat and fetal bud, but my progesterone levels were low. I took medication and drank it, but suddenly had brown discharge. A careful check-up confirmed a missed miscarriage, and I underwent a D&C procedure. Now I want to conceive again and plan to have a pre-pregnancy check-up at the hospital. What tests do I need to have?

Doctor's answer:

One week before menstruation, check progesterone levels, and also conduct routine tests on vaginal secretions with reliable results. Pre-pregnancy requires a comprehensive health examination, monitoring data such as blood pressure, blood sugar, liver and kidney function, etc. Infectious diseases such as hepatitis B, syphilis, and AIDS should be tested, in addition to a thorough examination for conditions like toxoplasmosis, cytomegalovirus, and rubella virus. As long as timely treatment is provided upon early detection, the chances of alleviating symptoms and recovery are very high.

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