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An Instrument for the Sims-Huhner Test
AN INSTRUMENT FOR THE SIMS-HUHNER TEST JOHN A. KERNER,
M.D.,
F.A.C.S., SAN FRANCISCO, CALIF.
(Fmm the Departm ent of Obst etrics and Gynecology, [T niversit y of Ca lifornia M edical School)
A
NBW instrument for performing the Sims-Hulmer test has been devised. It has been noted that it is often difficult to get a good specimen of cervical mucus with a loop, a suction tube, or a smooth fo rceps. Difficulty is experienced because of the sometimes t enacious quality of t he cervical mueus and because of th e da nger of contamination from lower in the cervical canal. 'I'he instrument is made by modifying the eommon uterine packing forcepK. it iK most desirable that this instrument be of stainless steel, so that it will not chip. The end of the instrument is ground down for a distance of about 5 mm. Small cups, made to conform to the end of the blades and to approximate each other aeeuratPly, aTe welded in vlaee (Fig. 1). The cups have a volumP capacity of approximately 0.1 o·.r·.
Fig. 1.
The instrument is introduced into the cervical canal closed. It is opened at the desired level, introduced slightly deeper, then rotated slightly and closed. The instrument is then removed and wiped off so that there will be no contamination from below. The specimen from the cups is quite adequa t e f or study of the presene.e of spermat ozoa. The instrument has been used with grat ifying results in my office and a t the Inf ertility Clinic of the Depa rtment of Obstetrics and Gy necology of t he P niversit y of California.
909
M.D.,
F.A.C.S., SAN FRANCISCO, CALIF.
(Fmm the Departm ent of Obst etrics and Gynecology, [T niversit y of Ca lifornia M edical School)
A
NBW instrument for performing the Sims-Hulmer test has been devised. It has been noted that it is often difficult to get a good specimen of cervical mucus with a loop, a suction tube, or a smooth fo rceps. Difficulty is experienced because of the sometimes t enacious quality of t he cervical mueus and because of th e da nger of contamination from lower in the cervical canal. 'I'he instrument is made by modifying the eommon uterine packing forcepK. it iK most desirable that this instrument be of stainless steel, so that it will not chip. The end of the instrument is ground down for a distance of about 5 mm. Small cups, made to conform to the end of the blades and to approximate each other aeeuratPly, aTe welded in vlaee (Fig. 1). The cups have a volumP capacity of approximately 0.1 o·.r·.
Fig. 1.
The instrument is introduced into the cervical canal closed. It is opened at the desired level, introduced slightly deeper, then rotated slightly and closed. The instrument is then removed and wiped off so that there will be no contamination from below. The specimen from the cups is quite adequa t e f or study of the presene.e of spermat ozoa. The instrument has been used with grat ifying results in my office and a t the Inf ertility Clinic of the Depa rtment of Obstetrics and Gy necology of t he P niversit y of California.
909