IgG TORCH Positive And IgM Negative Results?
I want to ask, a year ago my child was born without a cranium, then died. Then get pregnant again 3 months later, and miscarry at 10 weeks of pregnancy. And now I just had a torch test with IgG toxo, cmv, and rubella positive results. While the IgM is all negative. Do I have to take medication to decrease IgG before getting pregnant again? What medicine? Thank you
Thank you for the question.
TORCH infection (toxoplasmosis other rubella cytomegalovirus herpes) during pregnancy is indeed one of the most common causes of miscarriage, congenital defects (including anencephalus, congenital cataracts, hearing loss, heart problems), until the fetus dies.
For those of you who have a history of pregnancy with anencephalus (a baby without a cranium) and miscarriage, a TORCH examination is very important so that treatment can be given early, even before pregnancy planning is re-done. That way, the risk of recurrent pregnancy disorders can be minimized.
A positive IgG TORCH test result that is accompanied by a negative IgM test result indicates that your infection has been going on for a long time, has been resolved well, thus making your body produce antibodies to be more resistant to subsequent infections. Therefore, it is actually relatively safe for you to go back to planning your current pregnancy. No need to consume drugs anymore to reduce the IgG.
However, this condition should be confirmed again by an obstetrician who examined it ... Because, determining the best time to re-plan a pregnancy should be considered for a variety of factors. Not only that, besides TORCH, there are also many other possibilities that are at risk of causing birth defects and miscarriages, such as poor sperm cell quality, chronic maternal disease that is not controlled, side effects of treatment, and so on. So that pregnancy planning can be re-done optimally, it's a good idea for you and your husband to go back to the obstetrician.
I hope this helps.