In Summary
  • The couple had been romancing when Oscar noticed blood on Rachel’s breasts.
  • I examined Rachel but could not feel any lumps in her breasts.
  • There was however some blood stained discharge from the left nipple. The breast was also a bit painful.
  • I sent her for tests including scans of the breast. Fortunately, there was no sign of cancer.

“So at the end of the day, you should examine your wife’s breasts and she should examine your testicles”. That was my summary advice to Oscar and Rachel the last time I met them at the Sexology Clinic. I can confidently send this same message to all couples having noted the tribulations that befell Oscar and Rachel.

Oscar was a 38-year-old lawyer running his private law firm in the city. Rachel, 35, was a pharmacist working for the government. The couple had been married for eight years, and they did not have children.

“We have attempted to have a baby all these years with no success,” Rachel explained when I saw them for the first time in the clinic. She had been brought to the clinic, not because of the infertility problem, but because she was discharging blood from her nipples.

Incidentally, the couple had been romancing when Oscar noticed blood on Rachel’s breasts “It was a very strange experience, my mouth was all bloody, I got so scared,” Oscar explained.

NO CANCER

I examined Rachel but could not feel any lumps in her breasts. There was however some blood stained discharge from the left nipple. The breast was also a bit painful. I sent her for tests including scans of the breast. Fortunately, there was no sign of cancer, which is what we fear most when one has a bloody discharge from the nipples. I gave Rachel antibiotics to be taken for five days and asked her to come for review after a week.

Rachel came for the review accompanied by Oscar. As they walked into the consultation room, I could tell they were more relaxed and happier than when I met them the first time. Oscar was rather talkative, making jokes and punctuating them with staccato laughter.

“I repeated my usual examination last night and checked my mouth in the mirror again and I can assure you the problem is sorted out,” he said and burst out laughing. Rachel smiled shyly.

“Maybe you should also help us with the infertility problem,” Rachel said staring into the horizon. I could tell she was disturbed.

I once again examined both of them with the intention of identifying the cause of the infertility. The only abnormality I could put a finger to was that Oscar’s testicles were smaller than normal.

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