Pregnancy testing It has been suggested that EPF could be used as a marker for a very
early pregnancy test, and as a way to monitor the viability of ongoing pregnancies in livestock. although current test methods have not proved sufficiently accurate for the requirements of livestock management. In humans, modern
pregnancy tests detect
human chorionic gonadotropin (hCG). hCG is not present until after implantation, which occurs six to twelve days after fertilization. In contrast, EPF is present within hours of fertilization. While several other pre-implantation signals have been identified, EPF is believed to be the earliest possible marker of pregnancy. The accuracy of EPF as a pregnancy test in humans has been found to be high by several studies.
Birth control research EPF may also be used to determine whether pregnancy prevention mechanism of
birth control methods act before or after fertilization. A 1982 study evaluating EPF levels in women with
IUDs concluded that post-fertilization mechanisms contribute significantly to the effectiveness of these devices. However, more recent evidence, such as tubal flushing studies indicates that IUDs work by inhibiting fertilization, acting earlier in the reproductive process than previously thought. For groups that define
pregnancy as beginning with fertilization, birth control methods that have postfertilization mechanisms are regarded as
abortifacient. There is currently contention over whether
hormonal contraception methods have post-fertilization methods, specifically the most popular hormonal method: the
combined oral contraceptive pill (COCP). The group Pharmacists for Life has called for a large-scale clinical trial to evaluate EPF in women taking COCPs; this would be the most conclusive evidence available to determine whether COCPs have postfertilization mechanisms.
Infertility and early pregnancy loss EPF is useful when investigating
embryo loss prior to implantation. One study in healthy human women seeking pregnancy detected fourteen pregnancies with EPF. Of these, six were
lost within ten days of
ovulation (43% rate of early conceptus loss). Use of EPF has been proposed to distinguish infertility caused by failure to conceive versus infertility caused by failure to implant. EPF has also been proposed as a marker of viable pregnancy, more useful in distinguishing ectopic or other nonviable pregnancies than other chemical markers such as hCG and
progesterone.
As a tumour marker Although almost exclusively associated with pregnancy, EPF-like activity has also been detected in tumors of germ cell origin and in other types of tumors. Its utility as a tumour marker, to evaluate the success of surgical treatment, has been suggested. == References ==