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The case of irritating ejaculate...From: Paul Prior MD (pprior@clover.net)Mon Nov 27 17:47:35 2000
And no, I'm not talking about the Florida elections... But since the board has been slow recently: I have a 30+ yo patient who is in early pregnancy. She states that with her current partner (they have been together for ~10 years) she gets significant vaginal irritation (itching, burning primarily) after intercourse if he ejaculates inside the vagina. This does not occur if he withdraws before ejaculation (which she states he usually does). She states it has been this way since they have been together. She is asking whether he could have "some infection" that could be causing this. Her GC/Chlam cultures (as part of pregnancy evaluation) were negative. Anyone have any thoughts? I considered getting a semen from him to send for analysis looking for WBCs, but unsure where else to proceed here. AFAIK, mycoplasma, ureoplasma etc. are asymptomatic. Interestingly, she also relates getting e. coli sepsis after a previous HSG.
-- Paul Prior MD Get rebates from online purchases - up to 30% cash back. Coshocton, OH Includes: Disney,Borders,Wine.com,800.com,Dell,petstore Solo Practice uBid,more.com,JCrew,800-flowers,Avon, WWF & hundreds more. OB/GYN Try: http://www.ebates.com/index.jhtml?referrer=pprior
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