First, a general diagnosis of
Including history taking (internal, external, obstetric history, metabolic history, infections, intrauterine foreign bodies whether stored, the availability of drug poisoning, radiation therapy, etc.), physical examination and pelvic examination should pay attention to the uterus size, location, accessories case basal body temperature measurement of endometrial examination, hysterosalpingography, hysteroscopy and laparoscopy, when necessary, inspection. Laboratory tests including routine blood test, ESR, blood and semen Orders.
Second, special examination
1, for those who suspect a genetic disorder, couples the two sides should do karyotype examination, or further his wife's family to do the investigation and genetic pedigree drawing.
2, hormone determination, including the estrogen and progesterone hormones, such as the quantitative detection of human chorionic gonadotropin.
3, urine, cervical mucus culture to understand whether microbial infection.
4, for compounds of pregnancy after abortion Pathological Anatomy and cytogenetic studies.
5, suspected to be suffering from autoimmune diseases were detected APA.
The more comprehensive inspection, one by one to exclude common causes are still unknown etiology should be suspected autoimmune habitual abortion, immunological tests to be done.
Third, immunological tests
1, the first application of mixed lymphocyte reaction (MLR) and lymphocyte toxicity of antibody to identify primary and secondary recurrent spontaneous abortion.
2, anti-sperm antibodies.
3, blood type and anti-blood group antibody.