Routine use of postcoital test does not raise pregnancy rate

Routine use of postcoital test does not raise pregnancy rate

The postcoital test, introduced in 1866, has become an important part of infertility investigations despite reports of poordiagnostic and prognostic value. On p 502 Oei et al report theirfindings in the first randomised controlled trial of infertilityinvestigations with or without the postcoital test (includingtreatment for abnormal test results). They found that the cumulativepregnancy rates with and without the test were closely similarat 24 months. Routine use of the postcoital test increased thenumber of investigations and treatments without increasing thepregnancyrate.

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Effectiveness of the postcoital test: randomised controlled trial: S Guid Oei, Frans M Helmerhorst, Kitty W M Bloemenkamp, Frederieke A M Hollants, Debbie E M Meerpoel, and Marc J N C Keirse
BMJ 1998 317: 502-505. [Abstract] [Full Text] [PDF]