Skip to content


    Exciting News for WebMD Members!

    We've been busy behind the scenes building new message boards for you. You'll have new and easier ways to find messages, connect with others, and share your stories.

    And, this will all be available on your smartphone or other mobile device!

    What Do You Need to Do?

    The message board you're used to will be closing in the coming weeks. While many of your boards will be making the move to our new home, your posts will not. Want to keep a discussion going? Save posts you want to continue (this includes your member profile story), so that you can re-post them in the new message boards.

    Keep an eye here and on your email inbox, we'll be back in touch soon to give you all the information you need!

    Yours in health,
    WebMD Message Boards Management

    Includes Expert Content
    Vaginal pain
    An_248383 posted:
    So after sex the other night my boyfriend came inside me w/o a condom. In the past when this has happened I have experienced an intense burning sensation. It doesn't happen when he doesn't come inside me. However, this past time it didn't hurt as bad but now i have intense constant vaginal pain. It feels like it's swollen down there and slightly red. Any suggestions??
    Jane Harrison Hohner, RN, RNP responded:
    Dear An: There is a very uncommon condition where the woman can be sensitive to one of the proteins in seminal fluid (the largest component of ejaculation material). Here is one of the more recent citations (from 164 publications) on this from the National Library of Medicine site:

    Postgrad Med. 2011 Jan;123(1):120-5.
    Human seminal plasma hypersensitivity: an under-recognized women's health issue.
    Bernstein JA.

    Department of Internal Medicine, University of Cincinnati College of Medicine, Division of Immunology/Allergy Section, Cincinnati, OH 45267-0563, USA.

    Human seminal plasma (HSP) hypersensitivity is defined as a spectrum of systemic and/or localized symptoms after exposure to specific protein components in seminal plasma. The major antigen is believed to be prostate-specific antigen, but other proteins are likely involved in this heterogenous disorder. There are no known risk factors for developing seminal plasma hypersensitivity, although women who develop systemic symptoms are more frequently atopic. Of interest, for both systemic and localized forms, symptoms can manifest after first time intercourse in up to 50% of cases. Diagnosis requires a careful history. The gold standard for diagnosing HSP is that symptoms are completely abated with the use of a condom prophylactic. Although women with HSP hypersensitivity often have difficulty conceiving due to their inability to have unprotected sexual intercourse, infertility has not been demonstrated to be related to HSP hypersensitivity. Patients with HSP hypersensitivity often elicit positive skin prick testing and/or serum-specific immunoglobulin E to whole seminal fluid or fractionated seminal plasma proteins. Treatment involves either avoidance with the use of condoms, an intravaginal graded challenge using dilutions of whole seminal fluid, or subcutaneous desensitization to relevant fractionated seminal plasma proteins obtained from the woman's sexual partner. In most cases, treatment using "265 1 of the above approaches has been very successful.

    An,_248383, I would urge you to see your GYN or local family planning clinic. They would be able to rule out irritation from other sources (eg yeast infections, lichen planus) and begin an assessment for "semen allergy" if indicated.


    Helpful Tips

    Be the first to post a Tip!

    Expert Blog

    Below the Belt: Women's Health - Jane Harrison-Hohner, RN, RNP

    From HPV to irregular periods to PMS to fibroids, Jane Harrison-Hohner, RN, is here to share her knowledge and insight...Read More

    Report Problems With Your Medications to the FDA

    FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.