AI Article Synopsis
- The post-coital test (PCT) evaluates cervical mucus and sperm movement in the female reproductive tract, providing insight into fertility.
- A negative PCT result does not rule out pregnancy potential, highlighting its limitations.
- Higher numbers of motile sperm observed in the mucus correlate with increased pregnancy rates, suggesting a filtering mechanism that may exclude abnormal sperm, while "shaking" behavior indicates a possible immune response against male sperm.
Article Abstract
The choice of optimal time, the technique and limitations of the post-coital test (PCT) have been described. They are of important significance for getting reliable information both concerning the cervical mucus, quality and migration of spermatozoa in female genital tract. It has been stressed that a negative PCT does not necessary exclude pregnancy. There are shown data for prognostic value of the PCT. The observation of more than 20 motility spermatozoa per HPF and higher frequency of pregnancy is common finding in comparison to low motility and number of spermatozoa in cervical mucus. The data support the hypothesis of "filtering" mechanism, excluding entrance of abnormal spermatozoa. Observing "shaking" phenomenon directs to searching immunological factor (local or systemic) against male gametes.
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