ASSESSMENT OF POST COITAL TEST IN FEMALES WITH UNEXPLAINED INFERTILITY IN BAGHDAD CITY 2018- 2019

Abstract

subjected to the post-coital test at 2 hours after intercourse. The study was conducted in Baghdad during the period from January – April, 2018-2019. The study revealed that less than half of females were over 35 years and more than half were educated from urban areas and housewives while half of them had recurrent urinary tract infection, vaginitis, diabetes mellitus and less than that had positive family history, anxiety and hypertension. About interventions, 30% of females had cautery, D&C, IUI and less had IVF. 100% had taken clomiphene drug. The mean of BMI was 32.5±2.5. Ultrasound monitoring was done, there were normal findings with patent tubes except part of cases had picture of polycystic ovarian syndrome and ovarian failure. For the post-coital test, a small percentage was with normal amount and consistency (score 3) and a high percentage was with abnormal spinnbarkheit and ferning tests, (mostly score 0 & score1). 75% of cases had acidic vaginas with dead nonmotile sperms while 25% with alkaline vaginas with an average of 40% progressive active sperms, and 30% had moderate progressive Liner motility with high significance (P value<0.05). For cellularity, 70% was less than 6-8/HPF. For sperm activity, only 30% were motile sperm. For sperm count (3 days’ absence), 30% had mild oligospermia, 20% had moderate oligospermia and 10% had severe oligospermia. Most of the females had normal hormonal assay but there was a gross deficiency in the level of DHEA and D3 (average mean was 90±5μg/dl, 25±2 IU respectively) with a small part of them had an elevation in FSH and Testosterone hormones. For dietary patterns, most of the females had dairy products, salt, and tea with sugar daily, more than half of them had acidic food, fast food, dried food, and gas drinking daily while part of them had an intake of fruit weekly and vegetables monthly. Half of them were smoking cigarette weekly. High vaginal acidity, impairment of cervical mucous with deficiency of DHEA and D3 in the females, and oligospermia in the males should be considered in case of unexplained infertility. Keywords: Post-coital test, female with unexplained infertility, spermatozoa How to cite this article: Hameed AK, Abdul Fatah BN (2020): Assessment of post-coital test females