cervical infertility examination, cervical infertility diagnosis
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- Introduction To Cervical Infertility-Symptoms-Treatment-Care-Diet
Cervical infertility test
1. Cervical mucus examination
Cervical mucus examination includes the character examination of cervical mucus and the compatibility test between sperm and cervical mucus. The character examination of cervical mucus is to observe the secretion, transparency, viscosity and extensibility of cervical mucus, which can reflect the ovulation function of ovary. If continuous observation is combined with basal body temperature in menstrual cycle, the accuracy is higher.
STEP 2 Vaginal examination
Vaginal examination can be used to observe the position, shape, external mouth size, secretion volume, character, cervical erosion, neoplasm, etc. Attention should be paid to whether there is cervical lifting pain and tenderness beside uterus, and bacteriological examination of cervical mucus should be done at the same time. If necessary, scraping or colposcopy should be done.
3. Post-coital test (PCT)
Cervical infertility test post-coitus test (PCT) during the predicted ovulation period can judge whether the compatibility relationship between sperm and cervical mucus is normal. Abstinence for 3-7 days, within 2-8 hours after sexual intercourse, expose cervix with vaginal speculum, take vaginal posterior fornix fluid first, and check whether there are motile sperm. If there are sperm, it shows that sexual intercourse is successful.
Then suck the cervical mucus smear deep in the cervical canal for microscopic examination, and more than 20 motile sperm are normal in each high power field of vision, which shows that sperm has good compatibility with cervical mucus. If less than 5 hints are incompatible, this may be the cause of infertility. Although there are still many deficiencies in the examination time and judgment standard of the test, PCT is still an important method commonly used in clinical examination of cervical infertility.
4. Radiographic examination
Cervical infertility examination radiography can show the length and shape of cervical canal very well, and can clearly diagnose the neoplasm, congenital malformation stenosis, adhesion and uterine flexion in cervical canal. The length and proportion of cervical canal and uterine body can also be measured by angiography, especially for patients with genital dysplasia and cervical canal stenosis who fail probe examination, and angiography examination is often successful.
STEP 5 Probe examination
Cervical infertility examination probe is simple and practical, which can detect the direction, length and ratio of cervical canal to cervix, whether there is stenosis, adhesion and the tightness of cervical internal orifice. For those suspected of abnormality, further angiography should be considered. Through hysterosalpingography examination can not only find uterine and fallopian tube lesions, but also cervical duct angiography is very beneficial to study infertility treatment.
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