What Does The Following Torch Test Result Indicate?

Posted on Sun, 1 Mar 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 1 Mar 2015 Answered on

Mon, 23 Mar 2015 Last reviewed on

Question : Hi I want to get pregnant but have not been able to. Everything is normal so my doctor advised a torch test. This is the results.
CMV-IgG: positive (129.0)AU/ml
CMV-IgM: negative (0.19) INDEX

Rubella-IgG: positive (177.2) IU/ml
Rubella-IgM: negative (0.28) Index

Toxoplasma IgG: negative (0.0) IU/ml
Toxoplasma IgM: negative (0.07) index

HSV IgG: 30.0 index
HSV IgM: 0.40 index

The doctor said that I will not be able to conceive.

Answered by Dr. Mahesh Koregol (48 minutes later)

Brief Answer:
Your doctor is wrong

Detailed Answer:
Hello

I am sorry to see that your doctor has given you wrong advice.

You all tests IgM is negative. It means You dont have any active infection. IgG positive means old infection. This has no impact on fertility.

I request you to send me all other tests you have (like HSG and semen analysis) so that I can advice you better.

Let me know if you have any more questions.

Regards
Dr. Mahesh Koregol

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (50 minutes later)

Thank you. This is such a relief.
I have done a number of test over the span of 3 years.

HSG Conclusion: (26 May 2014)
Uterus is normal in size n shape
Both fallopian tubes are patent
Good peritoneal spill of contrast medium is seen without any loculation

Semen analysis: (18 Oct 2014)
4 days abstained
Viscosity - adequate
P H - 8
Fructose test- positive
Total sperm count - 70 million/ml
Motility grade - III

motility after liqification
Active motile 60%
Sluggish motile 30%
Non motile 10%
After 3 hours
Active motile 50%
Sluggish motile 35%
Non motile 15%
Abnormal forms 20%
Pus cells 5-6/hpf
Precursor cells 3-4/hpf

Follicular study for 3 months indicated rupture by injection
Month 1: rt ovary day 14 -2.7x2.6
Lf ovary 2.0x1.8
Date of ruputure- day 17
ET: 10.8mm

Month 2: day 13 rt ovary 2.6x2.1,
Lf ovary 2.5x1.9
ET: 10mm
Date of rupture: day 16

Month 3: day 2 - both ovaries - MSF
Day 14 - rt ovary 3.3x2.3, 2.6x2.2
Lt ovary 2.2x1.7, 1.3x1.0

Clicked submit by mistake. He also said I have bad eggs. How am I to know if the eggs are good or bad? Can you please give me a guideline. Also I have been under progenova and goodova during these studies. Injection HUGOG(5000IV) to rupture the eggs.

Answered by Dr. Mahesh Koregol (3 hours later)

Brief Answer:
Your doctor is wrong again

Detailed Answer:
Hello

Your HSG, follicular growth scan are normal.

Your husband's semen analysis is also excellent.

There is no way to tell eggs are bad un less you take them out and examine under microscope.

Your doctor seem to be misleading you.

I advice you see another good infertility specialist in your town.

Let me know if you need any help.

Regards

Above answer was peer-reviewed by : Dr. Raju A.T