WOMENS-HEALTH Messages for March, 1997: Re: Infertility

Re: Infertility

From: Aniruddha (anonymous@obgyn.net)
Sun, 2 Mar 1997 00:41:31 -0600 (CST)

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In reply to: Lama: "Infertility"
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Reply: Geffrey H. Klein, MD: "Re: Infertility"

At Thu, 27 Feb 1997, Lama wrote: >
>>We had a post-coital two days ago and the doctor could not find any
>sperms (dead or alive). Is it likely that in the course of 6 months,
>which is the date when my husband did the exam, all the sperms were
>gone? Is it possible that the earlier analysis was wrong, or could the
>doctor doing the post-coital have made a mistake?
>
>Thank you

One single abnormal postcoital test result is of little significance. If the repeat semen analysis is normal ( as it most probably will be !), then you can repeat the postcoital test - but this should be done after being accurately timed in the preovulatory phase - using ultrasound monitoring, if needed. ( A second abnormal PCT result may upset you unduly). From a practical point of view, I never do PCTs for may patients. If they haven't got pregnant within a year of trying, and all results are normal, then we proceed to intrauterine insemination. This may seem quite drastic, but is a very pragmatic approach. After all, whether or not the PCT is normal ( in which case the "diagnosis " is unexplained infertility); or not ( in which case the diagnosis is "cervical factor infertility" ), if a pregnancy has not resulted, you need to progress to the next step - which is IUI ! So why do a test which does not affect your treatment plan ?

-- Dr Malpani, MD

Malpani Infertility Clinic Bombay. India.

Next message: Aniruddha: "Re: Secondary Infertility???"
Previous message: Aniruddha: "Re: Technology"
In reply to: Lama: "Infertility"
Next in thread: Geffrey H. Klein, MD: "Re: Infertility"
Reply: Geffrey H. Klein, MD: "Re: Infertility"

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