Could this be a seminal case? The recent issue of BMJ Case Reports included a story that may someday eventually change warnings about antibiotics. And it involved semen.
If this connection semen’s a bit weird to you, here’s what happened. Nazaret Gómez Caballero, Susana Almenara, Antonia Tévar Terol, and José Francisco Horga de la Parte from the Hospital General Universitari d’Alacant in Alicante, Spain described the unusual case of a 31-year-old woman. She had shown up at their hospital’s emergency department, suffering from hives, difficulty breathing, wheezing, and profuse vomiting. The doctors subsequently diagnosed her as having a significant allergic reaction, otherwise known as moderate anaphylaxis. Indeed, giving her the usual treatments for anaphylaxis, including epinephrine, methylprednisolone and nebulised salbutamol, eventually calmed her symptoms down.
So far, nothing in this case may sound out of the ordinary. After all, allergic reactions and anaphylaxis are certainly not rare things to see in an emergency department. Ah, but what was unusual was the possible cause of the allergic reaction.
The clues came from the oral history provided by the woman. Her symptoms had appeared soon after she had performed oral sex on a 32-year-old male with no barrier protection, that is, no condom and no dental dam.
Could this then have been a SPA? Not a resort at a mineral spring but seminal plasma allergy (SPA). A SPA, otherwise known as human seminal plasma hypersensitivity (HSP), is essentially an allergy to particular proteins in semen. A publication in the Mount Sinai Journal of Medicine indicated that up to 40,000 women in the U.S. may have HSP but did not include any estimates for men. Such estimates are, of course, very rough as many cases of HSP may go undiagnosed or be mistaken for other allergies or conditions such as vaginal infections.
However, other clues suggested that this wasn’t a case of SPA. The patient had never experienced such a reaction when engaging in such activities previously. (Although, new allergies can develop at nearly any age.) Moreover, there was one other time that she had developed a similar case of hives: as a child after taking amoxicillin, a common antibiotic that’s a member of the penicillin class. This led to her being labeled as allergic to penicillin.
Combine this history then with an ear-y connection. For five days, her sexual partner had been taking a combination of ibuprofen and an antibiotic called Augmentin, which is a combination of amoxicillin and clavulanic acid, for an ear infection. In fact, he had just taken doses of these medications about four hours before they had “gotten busy.”
Was it possible then that the Augmentin had made its way to her partner’s semen in high enough concentrations to cause an allergic reaction? Studies have shown that certain oral antibiotics can make it to the prostate gland, which does help produce semen. That is the basis for using oral antibiotics like Cipro or Bactrim to treat prostate infections. So, yes, such a scenario is possible. However, there is a dearth of studies on the concentrations of oral antibiotics that end up appearing in semen. Therefore, don’t draw any premature conclusions about ejaculations and antibiotics. One case report is not the same as a real study. It is unclear what your risk of an allergic reaction may be if your partner has indeed been taking penicillin antibiotics and you have a penicillin allergy.
So, if you have a penicillin allergy, should you ask your potential partner about the medications that he is taking before having sex? Why not? You probably already have a list of questions that you should be asking such as “do you have any sexually transmitted diseases”, “what protection should we use”, and “what is your name?” What’s one more question, especially if your allergies are severe. After all, open communication before, during, and after sex is important. Make sure that there is bilateral sharing of all information that may affect your health. Don’t be ashamed about mentioning any symptoms that you may be having. If your partner makes you feel uncomfortable in any way about sharing the fact that you are uncomfortable, then maybe the person is not the partner for you.
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Could this be an influential case? The current problem of BMJ Case Reports consisted of a story that might sooner or later ultimately alter cautions about prescription antibiotics. And it included semen.
If this connection semen’s a bit unusual to you, here’s what took place. Nazaret Gómez Caballero, Susana Almenara, Antonia Tévar Terol, and José Francisco Horga de la Parte from the Medical facility General Universitari d’Alacant in Alicante, Spain explained the uncommon case of a 31- year-old lady. She had actually appeared at their health center’s emergency situation department, struggling with hives, problem breathing, wheezing, and extreme throwing up. The physicians consequently detected her as having a considerable allergy, otherwise referred to as moderate anaphylaxis. Certainly, providing her the typical treatments for anaphylaxis, consisting of epinephrine, methylprednisolone and nebulised salbutamol, ultimately soothed her signs down.
Up until now, absolutely nothing in this case might sound out of the regular. After all, allergies and anaphylaxis are definitely not uncommon things to see in an emergency situation department. Ah, however what was uncommon was the possible reason for the allergy.
The hints originated from the narrative history supplied by the lady. Her signs had actually appeared not long after she had actually carried out foreplay on a 32- year-old male without any barrier security, that is, no prophylactic and no oral dam.
Could this then have been a HEALTH CLUB? Not a resort at a mineral spring however critical plasma allergic reaction (HEALTH SPA). A DAY SPA, otherwise referred to as human critical plasma hypersensitivity (HSP), is basically an allergic reaction to specific proteins in semen. A publication in the Mount Sinai Journal of Medication showed that approximately 40,000 ladies in the U.S. might have HSP however did not consist of any price quotes for males. Such price quotes are, obviously, really rough as lots of cases of HSP might go undiagnosed or be misinterpreted for other allergic reactions or conditions such as vaginal infections.