Patient's question:
Last year after my husband and I got married, I had two miscarriages. Recently, I went to the hospital for related tests. The results showed that the doctor said the high rate of abnormal sperm in my husband's semen was the issue and prescribed medication. After taking the medication, the abnormal rate of sperm decreased. However, when we went for a follow-up check-up, we were seen by a different doctor who said that a high rate of abnormal sperm is not related to miscarriage and advised me to come back for another test when I get my period. He mentioned that an immunotherapy would be needed, involving taking my husband's blood and administering it to me in three separate injections.Doctor's answer:
Hello. Generally, it is recommended to have a check-up three months after a miscarriage, but some tests may not be performed at this time, or different doctors may have varying opinions. You can follow the advice of your attending physician for the tests. Western medicine suggests the following tests: (Mainly adding relevant content based on infertility and infertility) 1. Sperm motility and morphology tests for men; 2. Prostate examination for men; 3. Six female sex hormone tests [Progesterone should be checked one week before the menstrual period (i.e., preferably on the 7th day of high temperature), while the other five should be checked on days 2-5 of the menstrual period, preferably on the 3rd day]; 4. Four or six items of female pre-natal and post-natal health tests; 5. Comprehensive immune tests (including anti-sperm antibodies, anti-endometrial antibodies, anti-human chorionic gonadotropin antibodies, and anti-cardiolipin antibodies); 6. Immune antibody tests (blocking antibodies, anti-embryo antibodies, anti-ovarian antibodies, and anti-nuclear antibodies); 7. Thyroid function tests; 8. Screening for trichomoniasis, candidiasis, mycoplasma, chlamydia infections, vaginal inflammation, etc. through routine vaginal discharge tests; 9. Testing for sexually transmitted diseases such as gonorrhea and syphilis; 10. Chlamydia and mycoplasma tests for the cervix; 11. Hysteroscopy; 12. Ultrasound examination of the uterus and adnexa; 13. Oral examination for women; 14. Ultrasound follicle monitoring; 15. ABO hemolysis and Rh blood group antigen system tests (subjects: women with blood type O, husbands with blood type A or B, or those with a history of unexplained miscarriages); 16. Chromosome tests for both men and women, etc.