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Re: The case of irritating ejaculate...From: Robert J Woolley (wooll005@tc.umn.edu)Mon Nov 27 17:57:13 2000
> 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. I don't think infection is the category to persue. Allergic phenomena, I should think. It would be interesting to do an experiment such as, in the office, inserting a syringe of either his semen or some placebo you make up, and see if she reacts consistent with her description. If not, it could be a psychosomatic reaction, perhaps triggered by some sort of real reaction early in their relationship, now perpetuated by a self-fulfilling prophecy. If she does react when not knowing what was injected, then try pre-treating her with, e.g., prednisone or an antihistamine before intercourse a few times and see if that fixes it. Or give him a prostatectomy so that he has retrograde ejaculation. Yeah, that's the ticket!
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