Treatment of cervical factors
Seek specialist advice.
Cervical infection should be treated with doxycycline, given to both partners.
Persistent chronic cervicitis requires cryotherapy if antibiotic therapy fails.
Low cervical mucus pH associated with a low number of active sperm, sperm migration and viability, may be treated by a cervical douche with sodium bicarbonate 30 minutes before intercourse.
Poor mucus quality should be treated by:
- a small dose of oestrogen from day 7 until ovulation has been used but requires expert advice; or
- intrauterine insemination of sperm - to bypass the mucus
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