Any
member has ever observed postcoital test to be done by his mentor/ any Lab
person?? May observe if someone in your town does this very simple procedure: Post
coital test, I won’t claim is very useful in infertility management but has
some relevance even today . For instance, when a man declines to undergo
routine semen analysis very firmly then one
can tactfully have an rough idea
of his seminal parameters by
channelizing to PCT. When
more than seven motile
sperms are seen per high power field
of microscope , 10-12 hours
after intercourse it is an excellent PCT
according to WHO standards . In reality , what information
we get from a normal PCT are 1) Preovulatory cervical
mucus is normal &2) hopefully
Sperm count is normal, at least not that poor. The added
adv of PCT is that, I feel in that way , when the husband / woman is allowed to peep through microscope “sperms
moving under microscope
even after 12 hours of intercourse”- it gives them confidence that both
the partners are near normal (
coital factor, seminal parameters, & possibly oestogen content ) .Some form
assurance will possibly normalize their endorphins and which may, but not always
improve chance of conception. Showing PCT
in a microscope to the woman concerned (male if present) will boost up
their level of mental confidence ). The couples
misconception is wiped off to a great
extent., The leave clinic with a smiling face.. Those men who refuse to undergo
seminal analysis (routine tests) can be managed by asking the F partner to attend
clinic 12 hrs after coitus at midcycle. In
fact if she fails an appointment due to family reasons, she may be informed
that sperms may remain alive in Cx mucus for 48-72 hours. In most of the patients and in few they have also been seen after seven days. There is a misconception in majority
of the couples that sexual relations
must be kept when ovulation occurs
No comments:
Post a Comment