Does 'rubella IgG reactive' indicate any infection?

Question

Hello doctor,

My wife had her last period two months back. We got married nine days later. Her period skipped for last month. Some bleeding is happening once in a day for past two days. But, it is in small amount only. We visited the doctor; she suggested tests. We did all the tests like CBC, Hb, rubella IgG, thyroid, and urine routine. Kindly explain what rubella IgG reactive means in the test. Is there any infection? We did pregnancy test also, which came negative.

Answer 1

Hello,

Welcome to icliniq.com.

If pregnancy has been ruled out already, then the delay is likely to be stress induced. However, it is important to learn if she has any hormonal imbalances and ever had irregular menses or not with possible causes being hypothyroidism, hyperprolactinemia or PCOD (polycystic ovarian disease). Nevertheless, the reports (attachment removed to protect patient identity) indicate rubella IgG positive, which indicates previous infection, not recent or ongoing. Secondly, the urine report shows urinary tract infection with WBC (white blood cells) and pus cells. So, she would require a short course of antibiotics for the same. It is suggested that she should get an ultrasound pelvis done to check for endometrial thickness and also for ovarian volume and follicular status.

Answer 2

Hello,

Welcome back to icliniq.com.

Antibiotics are not required for rubella but required for her urinary infection. As of now for at least five days. IgG rubella positive indicates past infection against which immunity has developed already. Also, it is seen that post marriage the menses tend to be irregular for four to six months. So, if the menses do not arrive naturally for another seven days, then she can opt for a withdrawal bleed with progesterone to resume her menses.