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Allergy to coitus.

W R Jones1

  • 1Department of Obstetrics and Gynaecology, Flinders Medical Centre, Adelaide, Bedford Park, South Australia.

The Australian & New Zealand Journal of Obstetrics & Gynaecology
|May 1, 1991
PubMed
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Hypersensitivity reactions to semen, ranging from mild local allergy to life-threatening systemic responses, are caused by seminal plasma glycoproteins. Diagnosis involves skin testing, and management includes condom use or antihistamines.

Area of Science:

  • Reproductive Immunology
  • Allergy and Immunology
  • Dermatology

Background:

  • Acute systemic hypersensitivity reactions to semen are rare but potentially fatal.
  • Chronic or recurrent local reactions are more common and often misdiagnosed.
  • The causative antigens are glycoprotein(s) found in seminal plasma.

Purpose of the Study:

  • To review the clinical presentation and management of hypersensitivity reactions to semen.
  • To highlight the diagnostic approaches and preventive strategies for coital allergy.

Main Methods:

  • Review of existing literature on semen allergy.
  • Discussion of diagnostic methods including skin testing.
  • Evaluation of therapeutic interventions such as condom use, antihistamines, and desensitization.
Keywords:
Allergic ReactionAntibodiesAntigen-antibody ReactionsBarrier MethodsBiologyCoitus--complicationsCondomContraceptionContraceptive MethodsDiseasesFamily PlanningImmunityImmunologic FactorsPhysiologyReproductionSigns And SymptomsVaginal AbnormalitiesVaginitis

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Main Results:

  • Seminal plasma glycoproteins are identified as the allergens.
  • Allergic vulvovaginitis can be triggered by exogenous allergens during sexual activity.
  • Skin testing is indicated for suspected cases of coital allergy.

Conclusions:

  • Condom use is effective in preventing symptoms of coital allergy.
  • Precoital antihistamines can help manage local reactions.
  • Desensitization therapy shows variable success for acute systemic hypersensitivity.