BOH Panel – Extended

BOH Panel – Extended Test Overview

The BOH Panel – Extended is a comprehensive group of blood tests designed to evaluate causes of recurrent pregnancy loss, infertility, implantation failure, and pregnancy-related complications. “BOH” stands for Bad Obstetric History, referring to repeated miscarriages, stillbirths, premature deliveries, or unsuccessful pregnancies.

This extended panel helps identify underlying hormonal, autoimmune, genetic, infectious, and clotting disorders that may affect a healthy pregnancy.

Why is the BOH Panel – Extended Test Done?

Doctors may recommend this panel for individuals with:

• Recurrent miscarriages
• Repeated IVF implantation failure
• Unexplained infertility
• History of stillbirth or fetal growth restriction
• Preterm labor or pregnancy complications
• Suspected autoimmune or clotting disorders
• Family history of thrombosis or genetic abnormalities

What Does the BOH Panel – Extended Include?

The extended panel may include a combination of:

Autoimmune Markers

• ANA (Antinuclear Antibody)
• Anti-dsDNA
• Lupus Anticoagulant
• Anticardiolipin Antibodies (IgG & IgM)
• Beta-2 Glycoprotein Antibodies

Clotting & Thrombophilia Tests

• Protein C & Protein S
• Antithrombin III
• Factor V Leiden Mutation
• Homocysteine
• Prothrombin Gene Mutation

Hormonal Evaluation

• Thyroid Profile (TSH, T3, T4)
• Prolactin
• Progesterone
• LH & FSH

Infectious Disease Screening

• TORCH Panel
• CMV
• Rubella
• Toxoplasma
• HSV

Genetic & Chromosomal Tests

• Karyotyping
• Genetic mutation analysis (if advised)

Sample Required

• Blood sample (Serum / Plasma / Whole Blood depending on tests included)

Preparation for the Test

• Fasting may be required for certain components
• Inform your doctor about current medications
• Avoid stopping prescribed medicines unless advised

Understanding the Results

Results are interpreted collectively by a gynecologist, fertility specialist, or physician. Abnormal findings may indicate:

• Autoimmune disorders
• Blood clotting abnormalities
• Hormonal imbalance
• Hidden infections
• Genetic factors affecting pregnancy outcomes

Early detection helps guide appropriate treatment and improve chances of a healthy pregnancy.

Benefits of the BOH Panel – Extended

• Identifies hidden causes of recurrent pregnancy loss
• Helps in fertility and pregnancy planning
• Supports personalized treatment strategies
• Assists in reducing future pregnancy complications
• Improves maternal and fetal health outcomes

When Should You Consult a Doctor?

Consult a healthcare professional if you experience:

• Two or more miscarriages
• Difficulty conceiving
• Previous pregnancy complications
• Family history of clotting disorders
• Repeated unsuccessful fertility treatments

Early evaluation can help improve reproductive health and pregnancy success.