What tests should a 36-year-old woman undergo when having a second child?

Apr 17, 2023 Source: Cainiu Health

Dr. Lv Aiming

Introduction

For a 36-year-old woman planning a second child, examinations include complete blood count, blood glucose, coagulation profile (four tests), six-item sex hormone panel, eight-item pre-pregnancy screening, and hysterosalpingography to assess fallopian tube patency. Vaginal ultrasound is used to detect uterine fibroids, ovarian cysts, and other conditions, along with cervical cancer screening. For the male partner, evaluations include semen analysis to assess sperm count and motility, as well as ultrasound examination of the testes and epididymis.

Generally, there are many tests that need to be done when having a second child at the age of 36, with some differences between men and women. The details are as follows:

I. Tests for Women

1. Blood Tests

Blood samples are taken to perform complete blood count, blood glucose, coagulation profile (four items), sex hormone panel (six items), and eight-item preconception screening. These tests help assess ovarian function and determine whether there is endocrine imbalance.

2. Hysterosalpingography (HSG)

Before pregnancy, it's important to evaluate whether the fallopian tubes are open. If blocked tubes are detected, appropriate treatment can sometimes be performed during the hysterosalpingography procedure.

3. Gynecological Examination

Vaginal ultrasound is used to check for conditions such as uterine fibroids or ovarian cysts. In addition, cervical cancer screening should be performed to rule out cervical abnormalities.

II. Tests for Men

1. Semen Analysis

A semen test before pregnancy can assess semen volume, sperm count, and sperm motility, which helps increase the chances of conception.

2. Ultrasound Examination

Ultrasound of the testes and epididymis can identify diseases that may affect a second pregnancy, such as varicocele or testicular atrophy.

In addition, a physical examination of the reproductive organs is also recommended to improve the likelihood of conception.

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