Patient's question:
I have never used condoms with my husband, but later it was discovered that I have antisperm antibodies. The doctor then recommended using condoms for three months. Last night, we tried using them, but I have an allergy to rubber. When the ring of the condom touched my vaginal opening, it became extremely itchy, making it impossible to continue. My husband also found it uncomfortable, and his penis quickly started to peel. We took off the condom, but the itching around my vaginal opening persisted. It was very uncomfortable. Later, we switched to withdrawal (ejaculating outside the vagina). Then I used toothpaste to clean the area, which helped a lot. Is this method also effective in preventing the reproductive tract from coming into contact with sperm? Is it feasible?First follow-up question: What if my husband also practices withdrawal?
Doctor's answer:
Women with positive antisperm antibodies should use condoms for contraception for 3 to 6 months or undergo treatment with low-dose prednisone to reduce the level of antisperm antibodies.Individuals with positive antisperm antibodies often have other related issues, and some of these issues are closely associated with the positive result. For patients with extremely poor sperm quality, low sperm count, and a high proportion of abnormal sperm, even if chromosomal abnormalities are ruled out, it is necessary to perform an antisperm antibody test. This is because positive antisperm antibodies themselves can completely lead to such conditions, and positive antisperm antibodies may also be accompanied by other problems. For example, approximately 70% of individuals with positive antisperm antibodies are also infected with Ureaplasma urealyticum, which is one of the major causes of infertility. Clinical studies have found that in cases where pathogens, including Ureaplasma urealyticum, are present in semen, the concentration of antisperm antibodies in the semen tends to increase significantly.
Both antisperm antibodies and Ureaplasma urealyticum are "enemies" of sperm quality. In patients infected with Ureaplasma urealyticum, antisperm antibodies can be one of the triggers. If a patient with positive antisperm antibodies undergoes further testing for Ureaplasma urealyticum and the result is positive, both conditions should be treated simultaneously.