Diagnosis and treatment of the cervical factor. II. Employment of pelvic sonography in diagnosis.
A study was performed to evaluate the relationship between the postcoital test, follicle size, and the basal body temperature (BBT). We found 17% of the patients to have good postcoital tests before the rise in the BBT, at which time, however, the follicle was still too small. By the time the follicle reached maturity, the mucus quality regressed to poor. The problem was corrected in 88% of the patients by the human menopausal gonadotropin (hMG)-high-dose estrogen technique, and 53% achieved pregnancies. Twenty-two percent had a poor postcoital test just before the rise in the BBT. However, ultrasound data indicated that ovulation had already taken place, and the mucus had been of good quality a few days before, when the follicle was at the proper size. Thus, ultrasound may be useful in eliminating false positive and negative cervical factor diagnoses, and is also helpful in some new techniques for treating the cervical factor.
D001831:Body Temperature; D002582:Cervix Mucus; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000175:diagnosis*; D008991:Monitoring, Physiologic; D006080:Ovarian Follicle / Q000502:physiology; D010060:Ovulation; D014463:Ultrasonography