The utility of a home urinary LH immunoassay in timing the postcoital test

Abstract

Objective: To evaluate whether a urinary LH immunoassay improves timing of the postcoital test compared to traditional timing methods in normally ovulating women.

Methods: Subjects included 37 infertile couples evaluated in a tertiary care setting. A randomized, prospective trial was performed of two methods of postcoital test timing: urinary LH assay or the traditional timing by cycle-averaging and/or review of basal body temperature graphs.

Results: Similar serum estradiol, progesterone, LH, number of motile sperm per high-power field, cervical mucus scores, and postcoital test scores were identified in both groups.

Conclusion: Urinary LH immunoassays do not appear to improve timing of the postcoital test as compared with traditional timing methods.