What tests should be done to prepare for pregnancy after a missed abortion?

In order to ensure that the body returns to normal and prepares for pregnancy smoothly after a missed abortion, it is recommended to check the uterus, hormone levels, and infection to rule out potential problems and develop a scientific pregnancy plan. Complete examination and conditioning are critical for another pregnancy.

1. Uterine health check

Missed abortion may have some impact on the uterus, so it is very important to conduct uterine-related examinations. For example:

B-ultrasound examination: to understand whether there is residual tissue in the uterus and to evaluate the thickness and recovery of the endometrium.

Hysteroscopy: If there is a risk of uterine adhesions or foreign matter being retained, hysteroscopy can be performed to further diagnose, identify problems and provide treatment.

Uterine artery ultrasound: evaluates whether the uterine blood flow is normal to ensure a good blood supply environment for the uterus that is conducive to pregnancy.

The above examinations can help clarify the health status of the uterus. Once abnormalities are found, they must be dealt with in a timely manner, such as removing residues, surgically separating adhesions, etc.

2. Hormone level test

Missed abortion may be related to endocrine disorders. After recovery, assessing hormone levels is an important prerequisite for pregnancy preparation. The following hormones can be checked first:

Estrogen and progesterone: observe ovarian function, whether ovulation is normal, and whether medication is needed to regulate endocrine.

Thyroid hormone: Abnormal thyroid function can affect conception, and problems should be diagnosed through thyroid function screening such as TSH and T4.

Insulin and glucose tolerance: If you have PCOS or a history of obesity, your insulin levels should be checked because metabolic problems can interfere with ovulation.

If there is a hormone imbalance, you can take medication under the guidance of a doctor to help stabilize your endocrine system.

3. Infection-related examinations

Missed abortion may be related to infection. Before trying to conceive, you need to check and rule out the risk of infection:

TORCH screening: focuses on checking for toxoplasmosis, rubella virus, cytomegalovirus, and herpes simplex virus infections.

Reproductive tract infection examination: Check for common reproductive tract infections such as mycoplasma and chlamydia to avoid affecting subsequent pregnancies.

Vaginal secretion examination: Evaluate the vaginal microecological environment to rule out inflammation or flora imbalance.

If infection is detected during the examination, anti-infective drugs can be selected for treatment based on the pathogen to ensure the safety of subsequent pregnancy.

4. Psychological adjustment and comprehensive conditioning

Missed abortion may bring about certain mood swings and psychological pressure, which will also affect the quality of pregnancy preparation. It is also important to adjust your mood, get enough rest, and maintain a healthy lifestyle. It is recommended to increase nutrition appropriately, such as supplementing foods rich in vitamin E and protein, and maintain regular exercise to improve the body's immunity and endocrine balance.

Preparing for pregnancy is a gradual process. It is recommended to complete the examination and conditioning under the guidance of a doctor, and start trying to get pregnant after confirming that the body has fully recovered.