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Clinical Studies

A NEW TEST FOR HUMAN FEMALE OVULATION DIAGNOSIS

Abstract Material and Method Results References Conclusions

REPRINT Vol: 6 - No 1, 1994 Edizioni Universitarie Romane Saliva Fertility Tester

G. GALATI*, E.TRAPANI, M.YACOUB, M.R. TOCCACELI, G.M. GALATI, C. FIORELLI, F. BANDIERA, A. PAOLILLO III Clinica Ostetrica e Ginecologica, Università degli Studi di Roma "La Sapienza" (Direttore: Prof. L. Marzetti) *Professore Associato - Titolare insegnamento di Fisiopatologia della Riproduzione.

The Authors performed the saliva test on 328 women using the Saliva Tester. In 48 cases the test results revealed a fern-like crystallized structures as illustrated in "Figure 3"below. In 20 cases they performed a Transvaginal Ultrasonography (T.V.U.S.). In 16 cases (80%) they found an ovarian follicle greater than 2 cm.

To know the days of their menstrual cycle when fecundation is possible has always been a demand felt by women and this both in the case when they want to avoid it (1). Many methodologies exist that enable us to verify or not the presence of a mature ovarian follicle or its happened explosion. A very simple methodology was reached with observation and testing of the Saliva Tester; results that may be easily and directly realized by any woman, at any moment of the day, anywhere. The prospective advantages that descend as to the knowledge of the useful days for a fecundation are such that they led us to directly and correctly try this new test.

It has been considered the use of a mini-microscope, or saliva microscope, made up of a small cylindrical body or eyepiece where we note an optical part with an opposite small slide where a sample of saliva is placed. As soon as the sample of saliva has dried, the small eyepiece body is put into a cylindrical container that leads down to a lighting system. By focusing the lens, a fern-like characteristic crystallization is pointed out, in a very near correlation with the ovulation period (Figure 3). Out of the fertile days there are no fern-like crystallization structures seen, as pictures named "Figure 1" (during the non-fertile period) and "Figure 2" (during the intermediate period) indicate.

We have taken into consideration 328 women between 15 and 50 years old, not using OCP who were placed under our observation at the out-patients' departments of the Institute of Obstetrics and Gynecology of the University "La Sapienza" in Rome. No selective principle has been adopted. We have only invited the patient to leave a sample of saliva on the slide of the mini-microscope, and afterwards age, day of the cycle in which the patient was and length of her cycle were noted. 48 women, whose sample of saliva gave the fern-like characteristically stratification were invited to undergo an ultrasonography with transvaginal sound for the control of the ovarium and of the presence or not of the pertinent follicle. 20 women accepted our request, 28 women kindly refused.

ovulations

Results are reported by Tables 1,2 and 3. In Table 1 we see 48 women of 328 who, as far as anamnesis is concerned, are in the ovulation period; 40 of these women gave us the picture "Figure 3" type after test, 40 gave us the picture "Figure 2" and 248 the picture "Figure 1" type (Table 2). At the anamnesis, 36 women were in the intermediate period; in all 36 cases of this group, we have noted a picture "Figure 2" type. At the anamnesis, 244 women were in the non-fertile period and we have noted a picture "Figure 1" type in all the 244 cases. In the Table 3, are pointed out the 20 cases who, at the saliva test, showed a picture "Figure 3" type and have accepted to undergo sonographic control by means of transvaginal sound.

Table 1 -Number of women undergoing the saliva test, correlated to the supposed fertile or non-fertile period of the cycle.

Day of the cycle Non-fertile period Intermediate period Fertile period Total
No. of women undergoing test 244 36 48 328

Table 2 -Picture stressed by means of the saliva test.

Stressed picture Figure 1 Figure 2 Figure 3 Total
No. Cases 248 40 40 328

Table 3 -Echographic control of 20 women by means of picture Figure 3 type of the saliva test

Ovarium Echographic Control Follicle Absence Follicle ‹ 1 cm Follicle › 2 cm
No. Cases 0 4 16

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