There are few blood tests (serological, blood count, sedimentation…) for confirming lupus but they are not a 100% secure confirmation of the condition because other rheumatic diseases can indicate the same laboratory results. At least 4 of these 11 diagnostic criteria have to be present to confirm lupus:
1. Malar rash (rash on cheeks)
2. Discoid lupus (red, scaly patches on skin which cause scarring)
3. Photosensitivity (adverse reaction to sunlight)
4. Mouth or nose ulcers
5. Arthritis
6. More than 0.5g per day protein in urine, or cellular casts seen in urine under a microscope.
7. Seizures or psychosis
8. Pleuritis (inflammation of the membrane around the lungs) or pericarditis (inflammation of the membrane around the heart)
9. Hemolytic anemia (low red blood cell count), leukopenia (low white blood cell count), lymphopenia (low lymphocyte count) or thrombocytopenia (low platelet count)
10. Antinuclear antibody test (positive ANA), very sensitive (98%) but non specific.
11. Anti-Sm antibody or false positive serological test for syphilis or antiphospholipid antibody positivity, presence of Anti-ss DNA in 70% of patients.
In your case, you mentioned only “positive blood results” without more detailed information about which blood tests were positive. If lupus is confirmed via further diagnostic procedures, therapy is absolutely necessary. Corticosteroids are used for treating lupus and are not contraindicated with pregnancy. You can consult a rheumatologist to confirm or exclude lupus as a possible diagnosis for these symptoms and your present medical condition.
A laparoscopy is a relatively safe procedure. Surgical trauma during laparoscopy is minimal. To further clarify, hydrosalpinx is a complication and final stage of tubal infection (salpingitis) and is treated surgically. If both tubes are affected, conception will be very difficult. An incompetent cervix is often reason for miscarriage in the second half of the pregnancy.
