The value of the postcoital test according to etiology and outcome on infertility.

Post coital test (PCT) has been analysed in 150 women divided into 3 groups of 50 patients consulting for infertility. In group I, women achieved pregnancy whereas in group II, women were not pregnant during the same period of observation and had a sterility of non-tubal origin. Group II included women with infertility due to tubal factor. The results of the PCT were not significantly different in group I and in group III. More than 50% of the women had a good PCT (more than 7 motile sperms/hpf). In women of group II, 75% had an inconclusive test (less that 5 sperms/hpf) or negative tests, significantly different from the % observed in group I (44%). Inconclusive PCT in group II were due to anovulatory cycles in 50% of the cases and to cervical infection in 25% of the cases. Status post-cauterization of the cervix, anatomical or immunological problems and sexual dysfunctions accounted for the remaining cases. Prognostic significance of the PCT is discussed according to these results.