For unclear clinical data, if suspected of hyperandrogenism, it is necessary to conduct a test with ACTH (synakten depot). Inadequate increase in cortisol, DEA and 17OP indicates a latent, nonclassical form of adrenogenital syndrome.
For the habitual miscarriage of pregnancy is characterized by the presence in the body of the mother of persistent forms of bacterial and viral infection.
If there is an ischemic-cervical insufficiency, the treatment should be etiological. Thus, with gross anatomical changes in the cervix due to old ruptures (if this is the only reason for miscarriage), surgical treatment outside of pregnancy (cervical plastic) is necessary.
When determining lupus anticoagulant, a number of studies are conducted to confirm the immune or infectious nature of the lupus anticoagulant, since at present we do not have the technical capabilities of differential diagnosis.
Preparation of women with malformations of the uterus for pregnancy should be carried out taking into account anamnesis and the type of malformation of the uterus. Very often a woman has a normal reproductive function and does not suspect that she has an underdevelopment of the uterus.
Determination of basal temperature in the first 12 weeks of pregnancy. With a favorable course of pregnancy, the basal temperature is increased to 37.2-37.4 ° C. The temperature below 37 ° С with the differences indicates an unfavorable course of pregnancy.
When threatening abortion, a feeling of heaviness or slight pulling pains in the lower abdomen and the sacrum area is noted, with late abortion there may be pains of a cramping character. Bloody discharge is slight or absent.
With the onset of abortion, cramping pain and spotting are more pronounced than with menacing. The fetal egg exfoliates in a small area, so the size of the uterus corresponds to the period of pregnancy.
Abortion in the course is characterized by cramping pains in the lower abdomen, marked by bleeding. The fetal egg is in the cervical canal, its lower pole can protrude into the vagina. Abortion in transit may result in incomplete or complete abortion.
With undeveloped pregnancy (missed abortion), the embryo (fetus) dies without the appearance of signs of a threatening miscarriage. More often this type of termination of pregnancy is observed with habitual miscarriage, with hyperandrogenia, autoimmune disorders, etc.