PCT is an important multipurpose clinical test for fertility assessments with wealth of information. It excludes cervical hostility and provides useful information on State of cervix and nature of its secretions, Presence of cervical-vaginal infection which needs to be treated before any fertility test or treatment. In fact, this is the first fertility evaluation. These are the most favorable moments for fertilization as well. Prof Saad Rana’s 5 grades are useful for their comparisons and prediction of fertility potential. Grade-I has the best potential and grade-V the least. A PCT of grade-I and II correlates with good semen values on semen analysis.

Prof Saad Rana’s Grading of Postcoital Test: Sperms / HPF

PCT Grade Grade 4 Motile Sperm Immotile Sperm Inference
I
> 20
< 5
No cervical Hostility. High quality semen
II
> 10
< 5
No cervical Hostility. Good semen values
III
< 10
< 10
+ Cervical Hostility. Low semen values
IV
0
All
Cervical Hostility? Low semen values
V
0
0
Cervical Hostility? Low semen values