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Oral Sex activity, a Knife Fight and then Sperm Still Impregnated Daughter

Account of a girl impregnated after oral sexual activity shows sperms' survival skills.

Feb. three, 2010— -- A strange tale of oral sexual practice, a knife fight and the most unlikely of pregnancies recently brought to calorie-free by the blogosphere has doctors touting the triumphant persistence of sperm.

In 1988, a 15-year-old girl living in the small-scale southern African nation of Kingdom of lesotho came to local doctors with all the symptoms of a woman in labor. But the doctors were apace puzzled because, upon examination, she didn't have a vagina.

"Inspection of the vulva showed no vagina, simply a shallow skin dimple," and then doctors delivered a healthy baby boy via Caesarean, the authors wrote in a case report published in the British Journal of Obstetrics and Gynaecology.

Her nativity defect -- called Mullerian agenesis or Mayer-Rokitansky-Küster-Hauser syndrome -- didn't necessarily surprise doctors, only her pregnancy did. Fifty-fifty the 15-year-old girl could not believe she was pregnant.

All the same by looking at her records the hospital staff realized the immature adult female was in the hospital 278 days before with a knife wound to her stomach. The average pregnancy lasts 280 days. Afterward interviews, they gathered that "Just earlier she was stabbed in the abdomen she had practiced fellatio with her new beau and was defenseless in the human activity by her former lover. The fight with knives ensued."

The girl arrived at the hospital with an empty stomach -- and therefore with footling tum acid around -- and doctors found 2 holes from a stab wound that opened her breadbasket upwardly to her abdominal crenel. The case report said doctors done her breadbasket out with a salt solution and stitched her upward.

"A plausible caption for this pregnancy is that spermatozoa gained access to the reproductive organs via the injured gastrointestinal tract," the authors wrote.

Infertility experts note the story, which resurfaced on a Discovery mag blog, is not but a testament to Murphy'due south Police simply 1 to arguably nature'southward well-nigh impressive swimmers: sperm.

How Could Sperm Survive Those Conditions?

"Hither'southward an unbelievable set of coincidences," said Dr. Richard Paulson, head of the University of Southern California Fertility Programme in Los Angeles. "Simply it's totally plausible."

Although doctors know that sperm needs a depression acrid (high pH) environment to survive, and would likely die eventually in the low pH of tum acid, doctors as well said that sperm comes in a protective fluid: ejaculate, a nourishing medium meant to protect the sperm.

Also, "out of hundreds of millions of sperm if you knock out 90 percent of them, you're however going to have tens of millions of sperm," said Dr. Peter Schlegel, chairman of urology at New York Presbyterian Hospital/Weill Cornell Medical Eye in New York.

Paulson agreed.

"Sperm are pretty hardy," said Paulson, who pointed out that sperm must make it out of the acidic surround of the vagina before reaching more friendly territory at the neck and in the uterus. One time in the intestinal wall, Paulson estimated that the sperm could survive for days.

"It'due south a long style from the tum into the lower abdomen, it's a heck of a trip, but they made it," said Paulson. "Y'all just need sperm somewhere in the expanse of an egg."

Paulson said in the early days of fertility treatments in the 1980s, doctors injected sperm in the lower abdomen hoping for the coincidental encounter with an egg. The procedure, called DIPI or direct intraperitoneal insemination, has largely been replaced by more than effective methods.

The Lengths Sperm Can Travel

Schlegel pointed out that although fertilization typically takes place in the fallopian tubes, doctors know that sperm tin can normally swim up and out of the reproductive organs into the intestinal cavity.

"The sperm are naturally in that location at times, and eggs are naturally there," said Schlegel. "Eggs are released from the ovary, and they sort of dance around before they get taken up by the fallopian tube."

Sperm Can Swim Far in the Female Trunk

So information technology seems, Schlegel ended, that the sperm could also exist taken up past the fallopian tube, as could a fertilized egg.

But some doctors are however suspicious of, or at least bewildered by the tale. The girl's birth defect is well known and by historic period xv, doctors say most girls would have been doubling over in pain with an abdomen filled with menstrual fluid that cannot escape.

The menstrual fluid of several periods would make it fifty-fifty more unlikely for a pregnancy to occur.

"She'd have hurting all the time and would have a stomach total of blood all the time, and would have to be operated on, or she would eventually die," said Dr. Sherman J. Silber, director of the infertility middle of Saint Louis at St. Luke's Infirmary in Missouri.

Dr. Howard A. Zacur, a reproductive endocrinologist at Johns Hopkins, likewise had doubts. "The case report hither suffers from the fact that an private with a completely obstructed vaginal outlet would have been expected to have blood accumulation in the vagina, and/or uterus," he wrote in an electronic mail.

The authors of the report guessed a pregnancy could only be possible if the daughter had ovulated once or at almost twice before her pregnancy.

Any the true story of the woman, and her at present grown son, Silber said it could transport a message to ordinary couples planning pregnancy.

Why Doubt the Longevity of Sperm?

"This story is a crazy story, and there'southward no mode to make sense of it," said Silber. "But the data on sperm is that normally it's quite good in an alkaline environment for two or three days -- that'due south why the average couple wastes a lot of energy when they're trying to become pregnant."

Silber said he sees many couples who buy into the idea that they should time sex to coincide with the woman's ovulation. But Silber said the remarkable survivability of sperm ways most couples don't have to alter their normal sex lives at all.

"The boilerplate American married couple tends to have sex two or iii days a week," said Silber, writer of "How to Get Significant."

If sperm can survive for 2 or iii days, that means the average sex activity life of an American married couple results in living sperm swimming around the woman's torso every single day of the calendar week.

"The practice to check when you ovulate and not to have sexual activity until yous're ovulating is stupid," Silber said.

Silber said because ovulation calendars and methods to detect ovulation are somewhat inaccurate, couples could miss ovulation and have sex too tardily.

"Twelve hours after ovulation, the eggs aren't good any more. You desire to have the sperm in that location ready and waiting for when you ovulated," said Silber. "Information technology'south absolutely true that sperm tin final a long time."

Chase Amointair