The diagnosis of sterility in the male and female

Huhner, Max

doi:10.1016/s0002-9378(24)90266-3

Cited by 10 publications

(2 citation statements)

References 3 publications

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“…In current clinical practice the only routine assessment of the interaction between spermatozoa and the female tract is the Sims-Hühner or post-coital test (see Hühner, 1924; Davajan, Nakamura & Kharma, 1970). Unfortunately, this test suffers from a lack of standardization and its interpretation and prognostic value have been questioned (Jette & Glass, 1972;Tredway et al, 1975;Asch, 1976Asch, , 1978Moghissi, 1976Moghissi, , 1977b.…”

Section: Introductionmentioning

confidence: 99%

Sperm transport in the human female reproductive tract in relation to semen analysis characteristics and time of ovulation

Templeton¹

1982

Reproduction

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Laparoscopic sperm recovery from the pouch of Douglas and tubal fimbriae was performed in 64 infertile couples. Spermatozoa were recovered from 16/35 couples investigated after AIH, and from 13/29 couples post coitum. The method of insemination had no effect on the result, which was positive in 45.3% of all couples, although AIH did result in significantly larger numbers of peritoneal spermatozoa. The number of peritoneal spermatozoa did not show any direct correlation with the number inseminated, but there were reductions along the tract of 5.83 (+/- 1.4 s.d.) orders of magnitude for total sperm count, and 5.52 (+/- 1.21 s.d.) for the number of motile spermatozoa. Only sperm motility had a significant influence on the success of sperm transport; spermatozoa were recovered from patients with sperm densities as low as 3.0 and 3.5 x 10(6)/ml, but with 56 and 44% motile spermatozoa. No influence of cycle day within the range +/- 4 days of ovulation on sperm transport was found. In 45 couples, routine semen analyses were apparently completely normal, but the incidence of sperm recovery was still only 49% (22/45), suggesting that a failure of sperm transport may have been a significant causative factor in their infertility.

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Section: Introductionmentioning

confidence: 99%

Sperm transport in the human female reproductive tract in relation to semen analysis characteristics and time of ovulation

Templeton¹

1982

Reproduction

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“…BOETTCHER [21] has recently presented cogent evidence which indicates that the sperm agglutinating activity in the sera of both pregnancy and virgin women may be due to a lipoprotein-steroid conjugate rather than immunoglobulins. At this point in time, it would seem that the relatively simple and easy to perform postcoital test [46,90] wfll provide the Information necessary to rule out immunological phenomena äs a factor in individuals with infertility of undetermined etiology.…”

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confidence: 99%