Pathogen tests for pregnant women or women planning to get pregnant

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Undiagnosed and untreated infections of the genitourinary tract may be a reason for infertility and pose a threat to pregnant women and their unborn children.

The infections are the most dangerous during pregnancy and are a particular threat to fetus. Irrespective of the stage of pregnancy, results of an infection may be permanently evident in postnatal life and lead to congenital defects and inhibition of intrauterine development, including even fetal death.

In women, infections of the genitourinary tract are often a cause of chronic inflammation of the ovaries, Fallopian tubes and the cervix. In men they may result in inflammation of the testicles, epididymis and the prostate and adversely affect semen quality.

Due to the possibility of many severe complications, diagnostics of STDs (sexually-transmitted diseases) should be performed even in the case of the slightest suspicion of infection with these pathogens. It should be emphasized that in many cases pathogen infection of the genitourinary tract has no distinct clinical symptoms, and only its results (infertility, miscarriages, congenital defects in a fetus) indicate former or ongoing infection.

In pregnant women or women planning to get pregnant the test may be carried out of a cervical and urethral swab.

In the case of miscarriage, material for testing may include a cervical swab or chorion from miscarriage/stillbirth*.

The test may be carried out also in men from a swab of the urethra, corona of glans penis and of the area under the foreskin or of urine delivered in a sterile vessel.

* Testing of chorion from miscarriage/stillbirth may be carried out after making a previous arrangement with the laboratory.

 

MethodAnalyzed pathogenAnalyzed material
Real time PCR Bacterial panel I:
Chlamydia trachomatis, Neisseria gonorrhoeae, Ureaplasma urealyticum
Cervical canal and ectocervical swab and urethral swabs
Real time PCR
Cervical canal and ectocervical swab and urethral swabs
Real time PCR  

Swabs and washings/other (contact with the laboratory)

Chorion from miscarriage/stillbirth*

Real time PCR Chlamydiosis (Chlamydia trachomatis) Cervical canal and urethral swabs or urine samples transported in sterile vessels
Real time PCR Gonorrhea (Neisseria gonorrhoeae) Cervical canal and urethral swabs or urine samples transported in sterile vessels
Real timePCR Ureaplasm (Ureaplasma urealyticum) Cervical canal swab and urethral swabs
Real timePCR Mycoplasma (Mycoplasma genitalium) Cervical canal swab and urethral swabs
PCR Cytomegalovirus (HCMV)

Swabs and washings/other (contact with the laboratory)

Chorion from miscarriage/stillbirth*
Real time PCR Cytomegalovirus (HCMV)

Swabs and washings/other (contact with the laboratory)

Chorion from miscarriage/stillbirth*
PCR Herpes simplex viruses (HSV I/I) – differentiation Cervical swab and penile swab
Chorion from miscarriage/stillbirth*
Real time PCR Herpex simplex viruses (HSV I/I) – differentiation Cervical swab and penile swab
Chorion from miscarriage/stillbirth*

* Testing of chorion from miscarriage for pathogens may be carried out after making a previous arrangement with the laboratory.