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

Preparing for pregnancy after a missed abortion requires a comprehensive examination, including genetic examination, uterine and reproductive system assessment, immune and endocrine testing, to ensure that the body recovers well and eliminate potential influencing factors, providing protection for healthy pregnancy preparation.

1Genetic examination:

Missed miscarriage may be caused by chromosomal abnormalities, which may exist in both spouses. Chromosome karyotype analysis or genetic testing can be performed to evaluate whether there are problems with chromosome structure or number. If a genetic abnormality is confirmed, a professional geneticist can be consulted to determine whether auxiliary technologies such as preimplantation embryo screening (PGT) are needed to avoid genetic risks.

2. Uterine and reproductive system assessment:

Reproductive health is essential for a successful pregnancy. Ultrasound examinations are required to determine the morphology of the uterus and the recovery of the endometrium, including the presence of uterine fibroids, endometrial polyps, uterine septate and other abnormalities that may affect pregnancy. If necessary, hysteroscopy can be performed to further determine whether there are adhesions or other lesions in the uterine cavity. If the problem is confirmed, treatment may include minimally invasive surgical repair or drug therapy.

3. Immune and endocrine tests:

After miscarriage, the body's immune and endocrine systems may be disrupted. For example, antiphospholipid antibody syndrome, thyroid dysfunction such as hypothyroidism, hyperthyroidism, or abnormal glucose metabolism such as insulin resistance may lead to miscarriage or pregnancy failure. Blood tests are required to test antibody indicators, thyroid function, blood sugar and insulin levels. If there are abnormalities, treatment can be carried out under the guidance of a doctor, such as standardized medication, adjustment of treatment plans, etc.

4Infection and inflammation examination:

Especially for reproductive tract infections, mycoplasma, chlamydia, gonorrhea and other possible infections should be ruled out. Relevant examinations include vaginal secretion smear, urine routine and cervical secretion culture. If infection exists, follow the doctor's advice and use antibiotics reasonably to prevent the impact of inflammation on pregnancy preparation.

5. Mental and physical health assessment:

Missed abortion may have a great impact on women's physical and mental health. Before preparing for pregnancy, you should also evaluate your mental state and overall physical condition. You can adjust your emotions through psychological counseling, maintain a regular schedule, eat a balanced diet, and strengthen your physical fitness through proper exercise and schedule adjustment to create good conditions for preparing for pregnancy again.

Preparing for pregnancy again should be done at least 3-6 months after a miscarriage, and only after ensuring that the relevant examination results are normal. During this period, it is recommended that the couple adjust their lifestyle together, avoid smoking and drinking, and supplement folic acid and necessary vitamins. Reasonable examinations and comprehensive preparations will help women better prepare for the new pregnancy journey and ensure the health and safety of mother and baby.