###Human: Is it possible to plan for pregnancy based on TORCH test after three miscarriages? ###Assistant: Hello. 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 your TORCH test. First of all, it is not responsible for recurrent miscarriages. All high values of IgG suggest that you are immune and now nothing is to be done. If we want to know a fresh infection, then only IgM or avidity testing is required. Did you have any history of fever, sore throat or any eruptions on your skin at the time of first miscarriage? Now, just do not bother about these tests. The important test required to be done. If not done earlier are thyroid profile, fasting, and postprandial blood sugar, VDRL, anticardiolipin antibodies IgM and IgG, lupus anticoagulant, PT or INR and APTT, vitamin B12, serum homocysteine. Get all these tests and accordingly, she can plan a pregnancy after another month. Pre-conceptionally, she should take tablet Folvite 1 mg and tablet Ecosprin 75 mg once a day. Could be anti-phospholipid antibody syndrome with bad obstetric history or hypothyroidism. deranged sugar, hyperhomocysteinemia. Thyroid profile, fasting and postprandial blood sugar, VDRL, anticardiolipin antibodies, IgM and IgG, lupus anticoagulant, PT or INR and APTT, vitaminB12, serum homocysteine. RPL, bad obstetric history. Tab Folvite 1 mg and tablet Ecosprin 75 mg daily. One tablet should be taken while planning the pregnancy, at least six weeks before. First get all these tests done. If normal, then can plan pregnancy after next month.