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Postcoital test after vaginal washing with NaHCO3
Clinical and Experimental Obstetrics & Gynecology
|January 1, 1985
Summary
Vaginal washing with Sodium Bicarbonate improved poor postcoital test results in 30% of patients. This simple treatment also led to three successful pregnancies, offering a useful option for fertility concerns.
Area of Science:
- Reproductive Medicine
- Gynecology
- Infertility Research
Background:
- Poor or negative postcoital tests (PCT) are a common cause of infertility.
- Assessing cervical mucus receptivity is crucial for understanding fertility.
- Previous treatments for poor PCT have varied success rates.
Purpose of the Study:
- To evaluate the efficacy of vaginal washing with Sodium Bicarbonate (NaHCO3) in improving PCT results.
- To determine if NaHCO3 treatment can enhance fertility and lead to conception.
Main Methods:
- Fifty-five patients with persistently poor or negative PCT were treated with vaginal washing using NaHCO3.
- Cervical pH levels were monitored post-treatment.
- Pregnancy rates were recorded for the treated group.
Main Results:
- Vaginal washing with NaHCO3 increased cervical pH, converting PCT to positive in approximately 30% of patients.
- Three pregnancies occurred in the cohort following the NaHCO3 treatment.
- The treatment was found to be well-tolerated and convenient for patients.
Conclusions:
- Sodium Bicarbonate vaginal washing is a potentially effective, simple, and patient-accepted method to improve poor postcoital test results.
- This intervention may offer a viable option for couples experiencing infertility due to cervical mucus hostility.
- Further research could explore optimal protocols and long-term outcomes of NaHCO3 treatment for infertility.