Session 1: Primary investigation of the infertile coupleBack to Index
Pages: 1 2 3  5 6 Test
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
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.