While thinking, I come across this idea:
Could a hormonal imbalance (testosterone or anything else), modify semen composition, and in turn the amount of "allergenic" components, causing a decrease or increase in the strenght of the immune response because of the quantity of those allergenic components in the semen?
I don't know if immune system reacts to the entire semen or only a certain part of it.
Also as I said I don't know how the composition of semen is regulated, maybe hormones could play a central role in such a regulation of semen composition (I am thinking at percentage of components, or maybe the presence of some components). Do you have some information about this?
And maybe people suffering from POIS have some substances present in semen, which shouldn't be there, or them are there because them are genetically determined. But this could be a far idea. Also there could be a reaction only to usual semen components.
Also I am thinking that the endocrine system regulates the immune system (cortisol comes in my mind), so a change in hormone levels during orgasm could trigger or predispose to a immune reaction which would anyway happen but maybe more slow.
On the other side I am thinking if also immune system could do changes in the endocrine system. Maybe it attacks prostate or other glands, and makes them produce allergenic substances in the semen.
On thing also come in my mind: does the immune reaction to semen is happening, because semen is entering the blood stream, the lymphatic system and from there in the entire body, or it is only a local contact with sensitive cells found in the semen pathway which trigger the reaction. If it is locally, why you have systemic symptoms. Maybe antibodies released for semen are attacking other organs, or tissues causing the entire set of symptoms.
What you think?