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Obstetrics and Gynaecology
Published in Seema Khan, Get Through, 2020
For each case below, choose the SINGLE most appropriate treatment from the list of options. Each option may be used once, more than once or not at all. The plasma progesterone level during the luteal phase of the cycle is absent. FSH and LH levels are noted to be low.Agglutination of the sperm head to head is seen on semen analysis. Sperm antibodies are also noted in the man’s plasma.The seminal analysis reveals severe oligospermia. The wife has patent tubes and a normal uterus.The postcoital test reveals absence of sperm. The husband has a past history of mumps with orchitis. The wife has patent tubes and a normal uterus.A 35-year-old woman is found to have blocked and severely diseased tubes on laparoscopy and hysterosalpingography. The uterus is normal.
Investigations in infertility
Published in David J Cahill, Practical Patient Management in Reproductive Medicine, 2019
The use of the postcoital test is discussed in detail, regarding its reliability and the practical undertaking of the test, in Chapter 4 (Section 4.7). Many clinics now dismiss this as unpractical or not meaningful.
Evaluation and Management of Male Infertility
Published in Steven R. Bayer, Michael M. Alper, Alan S. Penzias, The Boston IVF Handbook of Infertility, 2017
The postcoital test is the microscopic examination of the cervical mucus performed before expected ovulation and within hours after intercourse to identify the presence of motile sperm in the mucus. It is used to identify cervical factors that contribute to infertility. Examination may reveal gross evidence of cervical inflammation that can be treated. Although its value has been seriously questioned, some physicians still consider it as a useful diagnostic test because it may help identify an ineffective coital technique or a cervical issue [26].
The use of inositol(s) isomers in the management of polycystic ovary syndrome: a comprehensive review
Published in Gynecological Endocrinology, 2018
Antoaneta Gateva, Vittorio Unfer, Zdravko Kamenov
A very interesting finding is that treating fertile women with MI vaginal suppositories for three consecutive days in the periovulation period improved sperm total motility in postcoital test performed on cervical mucus (sperm progressive motility was significantly increased, compared to non-progressive motility, and the number of immotile spermatozoa decreased). Moreover, it positively affected their conceiving capacity, without changes in cervical mucus structural and biochemical characteristics [71].