Re: The case of irritating ejaculate...

From: Efrain Ramirez (eramirez@icepr.com)
Mon Nov 27 19:55:07 2000


Allergic to his semen - previous allegic reaction to other one? --

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.
>
>--
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>

--
"Do not take life too seriously. You will never get out of it alive."

Marianne Williamson





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