Non-allergic rhinitis management and control

Rhinitis, or inflammation of the nose, can be caused by either allergic, non-allergic or infectious factors. Although nasal symptoms may be similar for all three of these conditions, their underlying mechanisms are different.

Infectious rhinitis refers to nasal symptoms resulting from a viral or bacterial upper respiratory infection. Infections can often be differentiated from allergic rhinitis in that symptoms are self-limiting after 7-14 days and often are accompanied by muscle aches and fever.

Allergy injections are not indicated for the treatment of non-allergic rhinitis. Non-allergic rhinitis can be severely troublesome for the patient but if treated properly is usually well controlled thereby allowing for an improved quality of life.

Seminal Plasma Hypersensitivity (SPH)

Allergic reactions to human seminal plasma (HSP) or male semen may present with either localized-vaginal reactions, systemic-allergic reactions (including anaphylaxis), or both. While HSP allergy is rare, it may be underreported because of the socially-sensitive nature of the problem or misdiagnosed as vulvovaginitis. This disorder occurs exclusively in women, most typically between the ages of 20 and 30 years of age. Signs and symptoms begin shortly after ejaculation, typically during or immediately following the completion of intercourse.

If you believe you are suffering from allergic reactions to seminal plasma, then the physicians at the Bernstein Allergy Group might have an alternative approach that could work for you. After a thorough clinical history and investigation into other possible causes including latex allergy, the diagnosis of HSP sensitivity will be made using skin prick tests to whole seminal plasma or allergen-containing fractions of HSP in our office. While most symptoms can be prevented by the use of condoms, for women who find condom use unacceptable or wish to conceive naturally, we suggest HSP desensitization using either intra-vaginal or subcutaneous protocols.

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11005 Montgomery Road, Cincinnati, OH 45249

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