Office Labs

Question 1

What labs do you order for your work up of: PCOS

Answer 1

TSH, Prolactin, 17-OHP, free testosterone

Question 1

What labs do you order for your work up of: Recurrent Pregnancy Loss

Answer 1

HbA1c, TSH, APLS

Question 2

What labs do you order for your work up of: Infertility

Answer 2

HbA1c, TSH, AMH, cycle day 21, HSG/pelvic US, semen analysis

Question 3

who should be tested for APLS?
how do you diagnose APLS? Need a clinical and + labs

Answer 3

Clinical Criteria
Vascular thrombosis (non provoked)

OR

OB indication:
1+ morphologically normal fetus SAB > 10 weeks
3+ consecutive SAB before 10 weeks with normal anatomy and paternal/maternal chromosomes excluded
PTD < 34 weeks due to placenta insufficiency

*15% of women with pre-eclampsia will test + for APLS