{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:12:27Z","timestamp":1777425147196,"version":"3.51.4"},"reference-count":21,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2014,7,16]],"date-time":"2014-07-16T00:00:00Z","timestamp":1405468800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Many fertility clinics have decided to abolish the post\u2010coital test. Yet, it is a significant factor in prognostic models that predict the spontaneous pregnancy rate within one year. The aim of this study was to evaluate (1) the long\u2010term outcome of infertile couples with a positive or a negative post\u2010coital test during their fertility work\u2010up and (2) the contribution of the different modes of conception.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Three fertility clinics in the Netherlands, of which two are secondary care training hospitals and is a one tertiary care academic training hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>2476 newly referred infertile couples, where a post\u2010coital test was performed in 1624 couples.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>After basic fertility work\u2010up, couples were treated according to the national treatment protocols.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Spontaneous and overall ongoing pregnancy rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The spontaneous and overall ongoing pregnancy rates after three years were 37.7 and 77.5% after a positive post\u2010coital test compared with 26.9 and 68.8% after a negative test (<jats:italic>p\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.001). Even in couples with severe male factor infertility (total motile sperm count &lt;3) (<jats:italic>p\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.005) and mild male factor infertility (total motile sperm count 3\u201320) (<jats:italic>p\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.001), there was a significantly higher spontaneous ongoing pregnancy rate, justifying expectant management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>After a follow\u2010up of three years a positive post\u2010coital test is still associated with a higher spontaneous and a higher overall ongoing pregnancy rate, even in couples with severe male factor infertility.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.12442","type":"journal-article","created":{"date-parts":[[2014,6,20]],"date-time":"2014-06-20T11:43:26Z","timestamp":1403264606000},"page":"913-920","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Long\u2010term ongoing pregnancy rate and mode of conception after a positive and negative post\u2010coital test"],"prefix":"10.1111","volume":"93","author":[{"given":"Marloes","family":"Hessel","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Jeroen Bosch Hospital s\u2010Hertogenbosch the Netherlands"},{"name":"Department of Obstetrics and Gynecology Radboud University Medical Center Nijmegen the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monique","family":"Brandes","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Jeroen Bosch Hospital s\u2010Hertogenbosch the Netherlands"},{"name":"Department of Obstetrics and Gynecology Radboud University Medical Center Nijmegen the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan Peter","family":"de Bruin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Jeroen Bosch Hospital s\u2010Hertogenbosch the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rob S.G.M.","family":"Bots","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology St. Elisabeth Hospital Tilburg the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan A.M.","family":"Kremer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Radboud University Medical Center Nijmegen the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Willianne L.D.M.","family":"Nelen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Radboud University Medical Center Nijmegen the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl J.C.M.","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Jeroen Bosch Hospital s\u2010Hertogenbosch the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,7,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmp013"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.317.7157.502"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(90)90969-E"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)44356-6"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/01674828409017453"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)56451-6"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/12.7.1582"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deh365"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deh821"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/15.9.1953"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2003.12.028"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dep341"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deh230"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deq349"},{"key":"e_1_2_8_16_1","unstructured":"NVOG guidelines. 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