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

Hello,

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From the short history, I feel the reason for the miscarriage is her weight. TORCH (toxoplasmosis, rubella, cytomegalovirus, herpes simplex, and HIV) are all infections that we can contract anytime in life from our childhood. They may be experienced as a 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 in 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 the estrogen hormone. In your body too, when fat, which is a store for tomorrow, is more than normal, this is converted to a hormone that 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 a few months and later heavy periods with clots and fleshy masses, or spotting on and off, thyroid abnormality, and prolactin problems indirectly. You develop that extra pad of fat around the mid-segment of the body, especially the waist, thighs, and breasts, with no fat beyond the 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, and 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 her 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, are 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 expected weight is 105 to 116 lbs. 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 food, red meat, and snacking in between meals. Do not fast, though.
2. Have low-calorie foods that are high in proteins.
3. Regular exercise (especially for the waist and hip area), aerobics, yoga, and brisk walking (swing your hands well) are necessary to be done.
4. Try to reduce 4 to 8 lbs a month. Do not hurry on weight reduction. It will be difficult to maintain. As soon as you reduce at least 11 lbs, you will see changes.

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