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Re: The case of irritating ejaculate... From: Paul Prior MD (pprior@clover.net) Mon Nov 27 18:51:47 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: thrombocytopenia" Previous message: Joanne Bulley: "Re: The case of irritating ejaculate..." In reply to: Robert J Woolley: "Re: The case of irritating ejaculate..." Next in thread: Karen Lee: "Re: The case of irritating ejaculate..." On Mon, 27 Nov 2000 18:58:00 -0600, Robert J Woolley <wooll005@tc.umn.edu> wrote: > >> 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! Interesting idea. I have asked her to return after a episode of intercourse where he did ejaculate so I can see if there appears to be any adverse reaction, maybe I'll bring this idea up at that visit with her.... After 10 years of having to do withdraw during intercourse, he might just take you up on that prostatectomy idea <G> -- 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 Next message: Efrain Ramirez: "Re: thrombocytopenia" Previous message: Joanne Bulley: "Re: The case of irritating ejaculate..." In reply to: Robert J Woolley: "Re: The case of irritating ejaculate..." Next in thread: Karen Lee: "Re: The case of irritating ejaculate..."

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