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Postcoital recovery of sperm in Douglas pouch aspirates of infertile patients
Author(s) -
Aref I.,
Reda M.,
Kandil O.,
El Tagi A.
Publication year - 1984
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(84)90100-0
Subject(s) - medicine , hysterosalpingography , sperm , infertility , pouch , gynecology , laparoscopy , unexplained infertility , obstetrics , andrology , surgery , pregnancy , biology , genetics
Tubal dysfunction is certainly involved in some cases of infertility. Clinical diagnostic procedures for tubal patency are occasionally misleading and contradictory. Moreover, they provide no information on tubal function. The recovery of viable sperm in Douglas pouch aspirates (DPA) was used to evaluate tubal function in 94 infertile patients with different tubal findings at hysterosalpingography (HS) and laparoscopy. Sperm recovery in DPA of ten infertile patients with poor or negative postcoital Sims‐Huhner test results demonstrated the limitation of this test for evaluation of sperm transport in the female genital tract. Laparoscopic aspiration of DP may be performed in infertile patients under‐going chromosalpingoscopy as a part of their infertility investigation. The procedure should be supplementary to other available diagnostic parameters.