אשה עם אלרגיה לנוזל זרע

שתפו:

23 באוקטובר 2018

שאלה:

מעוברת (באמצע החודש החמישי) פנתה אלי בבקשה שאאמר שמותר לבעלה לשמש עמה בקונדום, כי היא פיתחה אלרגיה לנוזל זרע (אחרי שתי לידות רגילות) הגורמת לה להתכווצויות המסכנות אותה בהפלה.
על קצה המזלג ובתמצית שבתמצית:
א – עיינתי ולא מצאתי כי אלרגיה לנוזל זרע – תופעה לא מצויה כשלעצמה, ובוודאי אחרי הריונות רגילים קודמים (אם כי אני מודה כי מתברר כי הדבר אפשרי) – עלולה לגרום להתכווצויות ולהפלה.  האם ידוע לך אחרת?  אם לא, הייתי ממליץ לה להיבדק על ידי רופא שני ולקבל חוות דעת נוספת לפני שתפעל.
ב – לעצם העניין, דעתי נוטה לאיסור, אלא שאם אכן מדובר בחולה ובסכנה לעובר, יש מקום לשקול את התועלת שבקונדום מול איסור השחתת הזרע, שהוא סניף של בל תשחית (וההשחתה כאן היא בעיקר לא של הזרע שממילא לא יביא להריון, אלא של הנאת הזוג ברגע של מגע אינטימי, ואולי השחתה זו ניתנת למזעור באמצעות קונדום דק מתאים בן-ימינו (איני מתמצא בזה, אך אני מבין שיש כאלה), ואולי יש מקום לסברת האחיעזר (אם אני זוכר נכון) ואחרים שאין בל תשחית במקרה שיש תועלת מהשימוש בקונדום השקול כנגד ההשחתה.

תשובה:

א.  לא מדובר באלרגיה אלא ברמת ההשפעה של חומר הקרוי פרוסטהגלנדין, שיש לו תכונות של גרימת התכווצות של שרירי הרחם.
ב. השפעת הפרוסטהגלנדין שבנוזלי הזרע, יכולה לזרז לידה בחודש התשיעי.
ג. יש נשים רגישות יותר להשפעה זו, והן בסכנה של הפלה או לידה מוקדמת אחרי קיום יחסים.
ד. נמצא גורם גנטי המנבא איזו אישה עלולה להפיל עקב קיום יחסים, כתוצאה מהשפעת הפרוסטהגלנדין הזה.
ה. פרופ' שימל וחבריו פרסמו על הנושא מאמר קצר באסיא פט-צ. אין לי את המאמר בפורמט דיגיטלי, אך אני מצרף את תוכן חוברת אסיא (פט-צ) בה נמצא המאמר:
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