Normally, mucus in the cervix (the lower part of the uterus that opens into the vagina) thickens and can not be broken until just prior to release an egg (ovulation). Then, just before ovulation, the mucus becomes clear and elastic (due to increased estrogen levels). As a result, sperm can move through the mucus into the uterus to the fallopian tubes, where fertilization can occur.
If the mucus did not change at ovulation (usually due to an infection), pregnancy is unlikely, pregnancy is also not possible if the mucus contains sperm antibodies, which kill sperm before they can reach the egg.
Diagnosis
Postcoital test, performed between 2 and 8 hours after intercourse, including cervical mucus study and ascertain whether the sperm can survive in the mucus. The tests are scheduled in the middle of the menstrual cycle, when estrogen levels are very high and the woman is ovulating. Examples of mucus taken with forceps or syringe.
Thickening and elasticity of mucus and the number of sperm in mucus ascertained. Results are not normally included mucus is too thick, there are no sperm, and sperm are mixed because of mucus and clumps containing sperm antibodies. Even so, the result is not normal is not always indicate that there is a problem in the mucus or that pregnancy could occur, sperm can not attend simply because they are not stored in the vagina during sexual intercourse, and mucus may be too thick simply because the test does not show the corresponding time the menstrual cycle.
TREATMENT
Treatment can include intrauterine insemination, where semen is put directly into the uterus to cut mucus. Drugs to thin the mucus, such as guaifenesin, may be used. Even so, there is no evidence that any treatment increases the chance of pregnancy.
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