Q: Is it possible to have a safe pregnancy after a missed abortion due to positive Toxoplasma gondii? If one has completed a three months course of Spiramycin, are there any chances of abortion again or it is curable?

A:Yes, it is possible to have a safe pregnancy after previous miscarriage due to Toxoplasmosis. The best thing is to periodically monitor toxoplasma serology and monitor the fetus by ultrasound during pregnancy. It is always better to be in touch with an experienced Obstetrician to review the management and consider any intervention, if needed. The obstetrician can in turn liase with a local microbiologist or the lab which conducts these special serological tests and monitor the course of pregnancy.