This Week In The Bmj

Routine use of postcoital test does not raise pregnancy rate

BMJ 1998; 317 doi: (Published 22 August 1998) Cite this as: BMJ 1998;317:c

The postcoital test, introduced in 1866, has become an important part of infertility investigations despite reports of poor diagnostic and prognostic value. On p 502 Oei et al report their findings in the first randomised controlled trial of infertility investigations with or without the postcoital test (including treatment for abnormal test results). They found that the cumulative pregnancy rates with and without the test were closely similar at 24 months. Routine use of the postcoital test increased the number of investigations and treatments without increasing the pregnancy rate.

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