Patient's question:
I am worried about another ectopic pregnancy. What necessary tests should I do before having a child?Doctor's answer:
Hello, pre-pregnancy check-ups are similar to our regular health check-ups, and the number of tests can vary. Below is an explanation of a few important items:1. Routine hematological tests: This test can determine the level of hemoglobin, allowing for early treatment if anemia is detected. It also provides platelet counts, which are related to blood clotting. Both too many and too few platelets can lead to bleeding, so individuals with platelet issues should be treated before pregnancy. Additionally, this test measures the size of red blood cells (MCV), helping to identify carriers of thalassemia. Thalassemia carriers have smaller red blood cells, with an MCV below 80. This is an inherited genetic disorder, and only if both parents are carriers will the next generation be affected. Therefore, if the expectant mother has an MCV below 80, the expectant father should also undergo a blood test. If both have an MCV below 80, further tests such as blood electrophoresis and DNA testing may be required. If only one has an MCV below 80, there is no need to worry. This is a genetic disorder that can be diagnosed prenatally, so the incidence of thalassemia in newborns has significantly decreased in recent years. Thus, a complete blood count (CBC) can be considered a cost-effective yet highly valuable test.
2. Syphilis serology and HIV testing: These are tests for two sexually transmitted infections. Syphilis can affect the fetus, but fortunately, it is treatable. Once fully cured, pregnancy can be carried out with peace of mind. HIV, however, is more complicated. At least we must prevent this "adult black death" from affecting the next generation and avoid bringing innocent HIV-positive babies into the world.
3. Measles antibody test