Re: The case of irritating ejaculate...

From: Joanne Bulley (islesannie@yahoo.com)
Mon Nov 27 18:44:46 2000


Paul - my understanding of this phenomenon is that it is an allergic respone to his ejaculate and the treatment is for either one of them to wear a condom (male/female)

Joanne

At Mon, 27 Nov 2000, Paul Prior MD wrote: >
>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.
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>OB/GYN Try: http://www.ebates.com/index.jhtml?referrer=pprior
>

--
Joanne Bulley, MD, FACOG
Keene, NH, USA

Take time to smell the roses.





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