Case Records And Commentaries For Examination Of Mastership In Medicine In Obstetrics And Gynaecology
Abstract
This study was done in Kenyatta National Hospital,
Department of Obstetrics and Gynaecology over a period of
C:months (from September 1982 to February 1983). The
patients were recruited from both the Gynaecology Clinic
and the Infertility Clinic, both of which are situated at
Kenyatta National Hospital. The patients who presented
with complaints of infertility and had been investigated
were recruited. A total of 140 couples were recruited for
the study. Out of these 110 couples were completely analyse
while 30 couples dropped out. Of the 110 couples analysed,
49 couples had no aetiological factors identified while 61
couples had obvious aetiological factors of infertility.
All the patients were subjected to semen cervical mucus
contact t.e st; (SCMC). Those who had a high shaking
phenomenon were further subjected to Post CoitaL Test (PCT)
A combination of a poor post coital test and a high
shaking phenomenon were considered evidence of presence
of antibodies .. Of the total 110 patients 24 couples were
found to have positive antisperm anibodies. Out of the 24,
18 had no other cause of infertility. Hence their cause of
infertility could have been due to antisperm antibodies . It
is recommended that in patients with infertility, and no
obvious aetiological factor at least a post coital test
should be done. This should be incorporated in our routine
investigations. That way we might be able to pick more
patients with antisperm antibodies.
Citation
Master of Medicine (Obstetrics and Gynaecology)Publisher
University of Nairobi School of Medicine