The William Beaumont Hospital in Royal Oak, Minnesota welcomes a 27-year-old man who is visibly in good shape. The reason for his consultation confuses Andrew Shanholtzer, the intern who takes care of him: each time he ejaculates, whether during sexual intercourse or following a solitary masturbation, it is as if taken by a dazzling flu! His eyes sting, he sneezes, coughs and his arms are covered with red patches. His lymph nodes are also swollen. The patient tells that because of this he has stopped all sexual activity and refuses to engage in a romantic relationship. According to him, it all started around the age of 18, following an epididymitis. With each ejaculation, the symptoms become stronger.
A rare auto-allergy
In distress, the doctors at William Beaumont Hospital appear to be the young man’s last hope. He previously consulted three urologists, an ENT specialist, an infectious disease specialist and an allergist; none might find the origin of his problem. The allergist diagnosed him with hay fever, melon allergy and poison ivy sensitivity, or poison ivy in English. Nothing that seems to explain why her own orgasms put him in such a state.
His blood tests show a very high IgE level, a sign that it is indeed an allergic problem. As for the testicles, nothing to report. His ultrasound didn’t reveal anything abnormal, neither did his spermogram, and his testosterone levels are average. Doctor Shanholtzer and his colleagues see in the case of this young man a rare disease, but which has been gaining visibility for twenty years: the syndrome of post-orgasmic illness. In other words, he is allergic to his own semen! The clinical description of this amazing allergy matches the patient’s symptoms: a flu-like syndrome that appears almost immediately following 90% of ejaculations and…
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