As we mentioned in previous articles, infertility is defined as inability of a couple to conceive after 12 months of unprotected sexual intercourse or can not carry the pregnancy to term. It effects over 5 millions couple alone in the U. S. and many times more in the world. Because of unawareness of treatments, only 10% seeks help from professional specialist. In this article, we will discuss what is male infertility post-coital test?
I. Definition
The Post-coital test is to analyze the sperm present and motility.
II. Procedure
1. The test may be done after sperm is ejaculated into the vagina after sexual intercourse of the infertile couple.
2. It can be done through the test tube by placing the cervical mucus with semen sperm of infertile couple.
III. Diagnosis
1. Sperm penetration
It is a measure of the ability of the sperm to undergo the process of egg penetration. It includes DNA and enzymes that are needed for penetration and fertilization.
2. Sperm movement
The test is to check the sperm for any type of movement including progressively motile sperm which swims forward in a straight line and non-progressively motile sperm which swims in an abnormal path.
3. Cervical mucus analysis
It checks if the cervical mucus is friendly or hostile to sperm invasion because during the fertile period there is an increase in cervical mucus production at the ovulation and the mucus becoming more pliable, stretchable, and slippery which allow sperm to move freely through the cervix. If the sperm can not move through it in this period than there are 2 outcomes
a) Sperm problem and other tests may be required before treatments.
b) Cervical mucus abnormality ( sperm unfriendly mucus) and treatments may be required.
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