TORCH test is done in pregnant women to know the presence of infections such as toxoplasmosis, rubella, cytomegalovirus, herpes simplex, and HIV. It might also include other viral infections. As these diseases can cross the placenta and affect the fetus, this test is recommended for pregnant women.
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We had a TORCH test after miscarriage. Can you explain the reports?
Query: 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 valu... Read Full »
Answer: 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... Read Full »
Is it good to have high IgG levels in the TORCH test while planning for pregnancy?
Query: Hi doctor, My wife was pregnant last year, but we had to drop. After dropping pregnancy, we consulted our gynecologist and he suggested us to have TORCH test. The result of TORCH before eight months was rubella IgG 40.62 and IgM 0.62, CMV IgG 8.89 and IgM 0.28 and herpes IgG 2.97 and IgM 0.56. W... Read Full »
Dr. Dattaprasad Balasaheb Inamdar
Answer: Hi, Welcome to icliniq.com. Rubella, CMV (cytomegalovirus) and herpes IgG positivity (immunoglobulin G) indicate that she had these infections in the past and now is immune to them. These infections will not happen again except herpes. Nothing needs to be done for these reports and you can go... Read Full »
Can I acquire a TORCH infection if my rubella IgG is positive?
Query: Hi doctor, I am 4 months pregnant. I had a TORCH test before two years as I met with miscarriage. The TORCH results were rubella IgG positive 19.56, rubella IgM non-reactive, CMV IgG reactive (738.65) and CMV IgM antibody non-reactive. I want to know whether I am at the risk of TORCH infection? Am ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through the query and images (attachment removed to protect patient identity). You are not at risk of TORCH infection (toxoplasmosis, other, rubella, cytomegalovirus and herpes infection), so relax and do not worry. If it would have been the IgM posi... Read Full »
Can I rely on the TORCH test to plan pregnancy after miscarriages?
Query: Hello doctor, After three miscarriages, my doctor suggested me for torch test and it came out positive with high values of rubella IgG 272 IU/ml, toxoplasma IgG 78.6 IU/ml and CMV IgG 12 U/mL.1 and herpes IgG 46.1. My doctor gave me Acylex 200 mg two times a day for two months and advised us to not ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your case summary. Please tell me about the miscarriage at what time of gestation did they occur. Have you got an ultrasound done in those previous pregnancies? Was any shadow of the baby seen at that time? Was heartbeat seen in the baby? Next is... Read Full »
My recent scan showed intrauterine fetal demise. Is there any way to get the baby back?
Query: Hi doctor,I am ten weeks pregnant, and my ultrasound report showed a single intrauterine gestational sac in the uterus. A small yolk sac and a small fetal pole are seen in the gestational sac, with good cardiac activity. Bilateral ovaries are normal in size, shape, and echotexture, and CRL is 4.53 m... Read Full »
Answer: Hi, Welcome to icliniq.com. I am very sorry for your loss. Once the scan says no cardiac pulsations, all you can do is cross-confirmation with a scan at a different center. If the second scan also gives the same finding, you have to accept it. Then all we can do is not lose hope, you are a young ... Read Full »
What could be the reason for occasional spasms above the lips?
Query: Hello doctor, I have been experiencing a muscle spasm above my lip on the left side. It is a rapid vibration that I can see when I look in the mirror and feel when I touch the affected area. I do not experience any pain when the spasms are happening and I can still talk, smile, and otherwise move m... Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. I can understand the issue. It is basically the facial muscle spasm that you have. In the classical pattern, it involves larger areas of the face and not smaller area or single muscle. The cause for it can be mild compression (more of irritation than compression) over t... Read Full »
Rubella IgG tests were reactive. Is it too risky to get pregnant?
Query: Hello doctor, I had three miscarriages. I did TORCH test twice. Now that I went to my doctor she told me not to get pregnant since my rubella IgG tests came out to be reactive. In the first TORCH test, my rubella IgG value was 65.1. In the second TORCH test, my rubella IgG value was 277. I did the s... Read Full »
Answer: Hello, Welcome to icliniq.com. Do not worry. With recurrent miscarriage, you do not require to go for TORCH test as it is responsible for sporadic losses and not a recurrent one. Have you been immunized against rubella in childhood by receiving MMR at 16 to 18 months? The levels of 277 suggest... Read Full »
TSH is very high in a CMV IgG positive patient. Can she become pregnant?
Query: Hello doctor,We are trying for pregnancy. My wife recently got some tests done namely a TORCH profile with the primary sample being serum through the ECLIA method. The toxoplasma IgG was 500.0 positive IU/mL and rubella IgM was 0.20 with negative COI. With the ELISA method, there is HSV I and II IgG... Read Full »
Answer: Hello, Welcome to icliniq.com. Your wife is immune to rubella and CMV (cytomegalovirus). If you just want to be sure about the recent infection get an avidity testing for CMV and rubella infection. Your TSH (thyroid-stimulating hormone) is very high. You need to see an endocrinologist or physi... Read Full »
Can Rubella IgG and IgM values change during pregnancy?
Query: Hello doctor, I had a TORCH test after 12 weeks of pregnancy. It showed Rubella IgG and CMV IgG to be high, but the Rubella IgM and the CMV IgM were normal. Please advice. Read Full »
Answer: Hello, Welcome to icliniq.com. The presence of high levels of IgG antibodies during pregnancy usually is indicative of a past infection and this is not a pinpoint diagnosis. The levels are rechecked after two weeks or so. We then compare the new levels with the old ones, and if they are higher, th... Read Full »
Should I repeat the torch test done earlier during my pregnancy?
Query: Hi doctor, During my previous pregnancy last year, due to a Down syndrome issue, the baby's brain was not formed properly. This was detected at the end of the fourth month. At that time, I did not go for a TORCH test. Now, I am pregnant again. At the third week check up, he did a TORCH test. IgG and... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your query and understand the concerns. You having a history, of the brain of the baby not forming properly due to Down Syndrome in the last pregnancy, is not an indication for getting a TORCH (toxoplasmosis, rubella cytomegalovirus, herpes sim... Read Full »