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Michael Carroll, Reader / Associate Professor in Reproductive Science, Manchester Metropolitan University

Semen allergies may be surprisingly common – here’s what you need to know

Yuriy Maksymiv/Shutterstock

Imagine itching, burning, swelling, or even struggling to breathe just moments after sex. For a small but growing number of women, that’s not an awkward anecdote – it’s a medical condition. It’s called seminal plasma hypersensitivity (SPH) – an allergy to semen.

This rare but underdiagnosed allergy isn’t triggered by sperm cells, but by proteins in the seminal plasma — the fluid that carries sperm. First documented in 1967, when a woman was hospitalised after a “violent allergic reaction” to sex, SPH is now recognised as a type 1 hypersensitivity, the same category as hay fever, peanut allergy and cat dander.

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