J Clin Obstet Gynecol Infertil | Volume 5, Issue 1 | Research Article | Open Access
Hemant Deshpande, Madhukar Shinde, Gurkiran Kaur, Pratap Pharande* and Chandrakant Madkar
Department of Obstetrics and Gynecology, Dr. D.Y. Patil Medical College and Research Centre, India
*Correspondance to: Pratap Pharande
Fulltext PDFBackground: Saliva undergoes changes in terms of various physical and biochemical properties in accordance with menstrual cycle. Aim: To assess salivary secretion for the prediction of ovulation by comparing it with cervical ferning and Transvaginal Sonography (TVS) ovulation monitoring. Methods: This is an observational study conducted from July 2018 to September 2020 in 100 healthy ovulating females. Informed consent was taken from the patient. During the study visits salivary ferning, cervical mucus and TVS were recorded. Based on comparative findings, sensitivity, specificity, and positive predictive value, negative predictive values were determined for salivary ferning. Results: Thirty nine percent of the women were in the age group of 26 to 30 years of age. Day 12 to 14 was fertile period indicated by good ferning (+2). Slight ferning indicating beginning or ending of fertile period was observed on day 10 (79%) and day 14 (54%). On day 8, salivary ferning and cervical ferning was absent in 59% women while slight salivary ferning was observed in 41% women without cervical ferning. On day 16, it was seen that 81% women had absence of both salivary and cervical ferning pattern. The sensitivity of diagnosing fertile period by salivary ferning was increased from day 8 to day 16 of cycle while the specificity was decreased from day 8 to day 16 of cycle. Conclusion: The findings indicated a strong correlation between the presence of salivary ferning and ovulation, thus validating its use.
Infertility; Ovulation; Salivary ferning; Cervical ferning; Menstrual cycle; Dysmenorrhea
Deshpande H, Shinde M, Kaur G, Pharande P, Madkar C. Assessment of Salivary Secretion for the Prediction of Ovulation by Comparing It with Cervical Ferning and TVS Ovulation Monitoring. J Clin Obstet Gynecol Infertil. 2021; 5(1): 1049..