What is Post coital tets ? Tit for tat!!! If a man refuss to get semen examined there are other means to asses his sen.

What is Post coital test ? Tit for tat!!! If a man refuses to get semen examined there are other means to asses his sen.The  cervical   factor  of infertility is rare at present as surgeries  are not often done on cervix  Frequent  D & Cs may damage   endocervical    glands and epithelium Cauterization of cervix   should be discouraged.

Any member have ever observed postcoital tets to be done by his mentor/Lab person?? May observe if someone in your town does this very simple procedure: Post coital test is very useful in infertility management   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

1.                      Preovulatory  cervical  mucus  is normal

2.                      Sperm  count  is normal

More over when the patient  is shown  these moving sperms  under  microscope  even after  12 hours  of intercourse it gives  them confidence   that both  the partners  are normal ( coital factor, seminal parameters, & possibly oestogen content ) .Some form assurance will possibly normalize their endorphins and may, but not always improve chance of conception. Those men who refuses 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 reason patient may 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.  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.. We know that Cervix   acts  as a reservoir  for sperms so after the sexual   relation   even if  ovulation  occurs  in 2-3  days after intercourse , well conception can occur. We can therefore   explain  the patient that for conception it is more important to meet prior to ovulation. This is more important nowadays when many a husband are employed outside the state .  . Those who are staying together in those case, couple should therefore be advised intercourse at least once in 2-3  days during  10-20  days  of 28-30 days cycle. WE know all these and we do convey to our couple as a routine. The couple should be clearly told that abstinence of more than 3 days  is not advisable during this  period in natural cycle as well as in stimulated  cycles for IUI.