Patient's question:
Detailed medical condition and consultation purpose: Miscarriage occurs around two months into each pregnancy. Both partners have normal chromosomes. Ultrasound did not detect fetal heartbeat. Does high prolactin levels affect fetal development? Is it an issue with sperm or eggs? Viruses have also been tested and shown no abnormalities.Doctor's answer:
If you have had a history of miscarriage or spontaneous abortion, it is best to identify the cause before pregnancy. On days 3-5 of your menstrual cycle, use the electrochemical luminescence method to test for endocrine function and anti-embryonic antibodies. On days 3-5 after your period ends, undergo a vaginal speculum examination, dynamic digital hysterosalpingography, and vaginal four-dimensional color Doppler ultrasound. Generally, this should be sufficient for a definitive diagnosis. Some patients may still require further examination with an electronic hysteroscope or laparoscope.If you are already pregnant, you should first undergo an ultrasound to confirm the condition of the embryo. Use the electrochemical luminescence method to test for anti-embryonic antibodies, progesterone, and β-HCG. If the pregnancy has stopped developing, a hysteroscopic embryo removal procedure should be performed, along with testing for embryonic chromosomal abnormalities and the uterine cavity environment.
Can you send over the endocrine test results? It’s not always just high prolactin; other conditions can also lead to elevated prolactin levels. How have your menstrual cycles been on a regular basis?