Even though a direct causal link has not yet been found for natural killer cells (NK cells) and recurrent miscarriage, there is growing evidence that NK cells plays a part in recurrent miscarriage. There are 2 types of NK cells, peripheral blood NK cells and Uterine NK cells. Uterine NK cells are the NK cells that represent the NK cell population in the lining of the womb. There are only few centres in UK that provide this highly specialised test for couples with recurrent miscarriage. Until recently couple had to travel to London or other cities for this test. Mr Vathanan offers this specialised uterine NK cell testing locally, so that you don’t have to travel to London or other cities for this testing.
The test is done by performing a small biopsy from the lining of the womb (scratching of the lining of the womb). This is a minor procedure that is done in the clinic. You do not need any anaesthesia or sedation. This takes around 5 minutes to perform this procedure and you can drive back home or carry on with your routine straight after the procedure. The specimen is then transported to USA for testing and analysis. Results will be available in 2 weeks.
NK cell testing is not recommended for all the couples with recurrent miscarriage. You may or may not benefit from this test. Mr Vathanan will advise you during the consultation whether you may benefit from this testing or not, so that you can make an informed decision whether to go ahead with the testing or not. Royal college (RCOG) statesthat Uterine NK cell testing in women with recurrent miscarriage and recurrent implantation failure is still a matter for debate pending further evidence and should be regarded, for the time being, as within the realm of experimental medicine.
If you wish further information about the test or to book a consultation with Mr Vathanan, please contact his secretary.