Session 1: Primary investigation of the infertile couple

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4. Comments on the counseling of the couple

Re 1) Measuring the body temperature in the morning is recommended by DSOG (Danish Society for Obstetrics and Gynecology) as a way to teach women more about their menstrual cycle. For anovulatory women and women with a menstrual cycle of more than 35 days this makes no sense. The diagnostic certainty is very low.

Re 2) HSG can reveal obstructions, fibroma uteri, etc. Many clinics consider this examination fundamental prior to referral to hospital. It is important to note that 30% of the HSG results can be incorrect.

Re 3) The serum progesterone analysis can be made at the same time as 1) and will demonstrate whether there has been an ovulation. Values of more than 20 nmol/l is a certain evidence of ovulation.

Re 4) - see male infertility. Often a result from a sperm count states a lot of figures. In general, a sperm specimen is normal if it contains more than 15 mill. motile sperm cells per ml and more than 40% have a normal appearance. If antibodies are detected, the patient often has a problem.

Re 5) If women in more than one menstrual cycle have increased values of serum LH and serum FSH (more than 10 IU/l) their chances of conceiving are very reduced at any kind of infertility treatment.

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