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Q. We had a TORCH test after miscarriage. Can you explain the reports?

Answered by
Dr. Balakrishnan. R
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 27, 2017 and last reviewed on: Oct 09, 2018

Hello doctor,

My wife was pregnant last year, but a miscarriage occurred. We consulted our gynecologist and he suggested we have a TORCH test. The result of TORCH was rubella IgG 270.30 and IgM 0.42, and CMV IgG 118.60 and IgM 0.26. We are unable to understand the report. Is this hike in the value of Rubella IgG and CMV IgG the cause of miscarriage? Please guide us.

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Hello,

Welcome to icliniq.com.

How are you doing?

  • From the short history, I feel the reason for the miscarriage is her weight.
  • TORCH ( toxoplasmosis, rubella, cytomegalovirus, herpes simplex and HIV) are all the infections which we can contract anytime in life from our childhood. They may be experienced as simple cold or fever or so. When you get this infection, you develop IgM. Now the body starts developing antibodies against the particular infection, which is IgG, which stays for the rest of the life, preventing you from getting the same infection in the future. So, the rise in IgG only means that sometime in your life of 24 years, you had the infection and the high levels of IgG will not allow it again. There is no meaning of having this test, as it never recurs and if an active infection is present, there is no real treatment. The damage to the baby is fatal. After an abortion, there is no meaning in having this test. Your next pregnancy will not be affected.
  • From your weight, I presume you to have PCOD (Polycystic ovarian disease). This is a congenital condition, which means it is genetically programmed. You get it from your parents. When you suddenly put on weight, this cholesterol is converted into estrogen hormone. In your body too, when fat, which is a store for tomorrow, is more than normal, this is converted to a hormone which tips the balance between FSH (from the brain) and the ovarian hormone. FSH (follicle-stimulating hormone ) as the name suggests stimulates the follicle from the ovary. But, once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But, when the same estrogen hormone comes from fat, the brain is confused, and the follicle growth stops early at a smaller follicle size and will not rupture. In the next scan, you will see all these follicles as polycystic ovaries.
  • This is usually associated with obesity, irregular cycles, no periods for few months and later heavy periods with clots and fleshy masses, or spotting on and off, thyroid abnormality and prolactin problem indirectly.
  • You develop that extra-pad of fat around the mid-segment of the body, especially waist, thighs and breast, no fat beyond elbows and knees. Excessive body hair growth, hair fall, a darker shade over the lower half of the face, acne, oily skin on the face, darkening of the skin over the back of the neck, inner thighs and the undersurface of the breast. She may have a family history of diabetes, especially father or his family.
  • This will not allow ovulation to occur on time and so you cannot get pregnant, till treated. It also increases your chances of early pregnancy abortions. The first few weeks, up to 12 weeks to be precise, is supported by hormones from the ovary. Due to a hormonal imbalance in PCOD, this support will be defective, and miscarriages are common within the first three months or 12 weeks. But, there is a solution for this.
  1. Your weight has to be weight (in kg) = height (in cm) - 100. From this calculation, your expected weight is 48 to 53 kg. Once you reduce your weight to the normal range, you will not need any medicine to get periods or to get pregnant, and the pregnancy will be healthy. To reduce weight, avoid junk food, fast foods, red meat, and snacking in between meals. Do not fast though.
  2. Have low-calorie foods which are high in proteins.
  3. Regular exercise (especially for the waist and hip area), aerobics, yoga, brisk walking (swing your hands well) are necessary to be done.
  4. Try to reduce 2 to 4 kg a month. Do not hurry on weight reduction. It will be difficult to maintain. As soon as you reduce at least 5 kg, you will see changes.

Hope I have clarified your query. Do write back if you have any more queries. All the best.

For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist


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