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Ureaplasma urealiticum what kind of disease how to treat. Ureaplasma urealiticum in women, what is it? Possibility of infection through oral sex

Ureaplasmosis is a rather dangerous disease, especially if it occurs in a pregnant woman.

If the disease is not treated, it can lead to infertility, pregnancy complications and even fetal death. In men, ureaplasma affects the prostate gland, leading to symptoms similar to those of prostatitis, and can also lead to infertility.

Ureaplasmosis is a disease caused by ureaplasma bacteria. These are prenuclear organisms with an unusual structure - their cell wall is covered with an additional membrane, which other bacteria do not have.

If a person is infected with ureaplasma, this does not mean that he will get ureaplasmosis, because microbes that are part of the normal microflora of the genital organs (and certain microbes are always present on the mucous membranes) prevent the proliferation of ureaplasma. When beneficial microflora dies for some reason, ureaplasma gets the opportunity to multiply and causes inflammation.

The “trigger mechanism” for the onset of the disease can be any factor that disrupts the normal microflora - taking antibiotics, treatment for other diseases of the genital mucosa, even the poor environmental situation in the city.

If found in tests?

If ureaplasma is detected in the tests, you need to contact a dermatovenerologist and start treatment. In addition, since the disease is sexually transmitted, it is necessary to be tested for other diseases transmitted in the same way.

You also need to inform your sexual partner about the disease and explain to him that he may also be infected with both ureaplasma and other diseases transmitted in this way.

Do not start the disease, because the body is not able to get rid of such diseases on its own, that is, you are guaranteed not to recover without treatment, but will only get infertility and other serious complications, regardless of your gender.

Diagnosis of the disease

The disease is diagnosed using several methods, which allows for highly accurate results. These are methods such as:

  • Immunofluorescent, based on the study of antibodies that are produced to a microbe that has entered the body. The method is indirect and can lead to errors, so it is used in combination with others.
  • The polymerase chain reaction method allows you to determine the DNA of the microbe itself. A more accurate and complex method compared to the first one.
  • Culture method is based on growing a culture of a microorganism on a nutrient medium in the laboratory. A smear is taken from the mucous membrane, which contains bacteria, then they are placed on a nutrient medium, where they multiply, and they can be seen with your own eyes under a microscope.

Indications for testing are the following symptoms:

  • Discharge from the urethra and signs of prostatitis in men;
  • Burning sensation when urinating and pain in the lower abdomen in women.

What can't you do?

When ureaplasma is detected absolutely not possible ignore the diagnosis, self-medicate, or use traditional medicine instead of adequate treatment. All this can lead to the disease being advanced, and the patient becoming infertile, but he will still have to be treated in a hospital, but longer and at greater expense.

You should also not have sex, especially unprotected sex, as this will lead to infection of your partner if he is not already infected. In addition, mechanical irritation of the genital organs will contribute to the development of the disease both during protected and unprotected sexual intercourse.

Disease prevention

Preventive measures are for the most part the same as for other diseases transmitted through sexual intercourse, but there are some specific features:

  • Do not have sex with casual partners, have a regular partner whom you trust;
  • Use condoms(although they do not provide a 100% guarantee of protection, being primarily a remedy against unwanted pregnancy);
  • Monitor the health of the genital organs (carefully maintain hygiene, consult a specialist at the first signs of illness);
  • After taking antibiotics, restore the microflora using special preparations;
  • For those living in areas with an unfavorable environmental situation, leave the city if possible, use purified water for drinking and cooking (this is necessary to maintain normal microflora and immunity);
  • For women, check regularly with a gynecologist;
  • If you are not sure about your sexual partner, get tested just in case, without waiting for symptoms to appear.

Treatment options

Treatment is carried out by taking antibacterial drugs. First of all, these are antibiotics. Most often, azithromycin is used at a dose of 1 g/day, or doxycycline, 2 times a day, 100 mg. The course lasts 7 days.

Fluoroquinolones are also used such as ciprofloxacin and others.

If treatment does not help, they begin to combine several drugs (the lack of progress in treatment is due to the fact that bacteria can adapt to antibiotics in turn, but they are not able to adapt to two or three drugs at once).

Interestingly, bacteria are gradually developing resistance to the aforementioned doxycycline, which is why it is used less and less.

Possibility of infection through oral sex

The question of the possibility of infection through oral sex remains open. Some sources say that infection is possible. In this case, the pathogen enters the oral cavity and affects the mucous membrane of the throat. The symptoms are similar to those of a sore throat. But the likelihood of infection is much less than during traditional sexual intercourse. Other experts dispute the possibility of developing the disease through this method of infection, although they acknowledge that ureoplasma is found in the mucous membrane of the throat in those who practice oral sex.

Disease in women

In women, ureaplasmosis often occurs for a long time without any symptoms. But when pregnancy occurs or the balance of the vaginal microflora is disturbed, ureaplasma begins to actively multiply and cause inflammation. The symptoms are not specific, so ureaplasmosis can be easily confused with other diseases of a similar nature.

This is a clear discharge from the vagina, which, as the disease progresses, begins to acquire an unpleasant putrid odor and become greenish. Pain occurs later in the lower abdomen, namely in the area of ​​the uterus, cutting in nature. This indicates that the disease has already reached the uterus.

Women experience a frequent urge to urinate, and the woman feels a burning sensation during each urination. During sexual intercourse, there is discomfort in the vagina, sometimes pain.

Diseases of both the reproductive and excretory systems may appear as a complication. These are cystitis, pyelonephritis, calpitis and other diseases. During pregnancy there is a very high chance miscarriage, polyhydramnios, other complications. The baby may also be born premature or with birth defects.

Course of the disease in men

In men, in most cases, ureaplasmosis occurs without any external manifestations, which is why men often portray this disease to their sexual partners against their will. If symptoms do appear, they are very mild at first. It can also be a burning sensation during urination, a small discharge from the urethra that has neither color nor odor.

If the disease is not treated at this stage, it can spread to the testicles and prostate gland. There are cramps and pains in the urethra that accompany urination or occur independently of it. Rarely, a complication such as inflammation of the epididymis occurs.

If the disease has spread to the prostate gland, patients may experience difficulty urinating, increased urgency, and pain in the perineum. If the disease is not treated at this stage, it leads to impotence and infertility.

The principles of treatment of ureaplasmosis in men and women are the same.

Conclusion

Thus, ureaplasmosis is a bacterial infection that is caused by opportunistic microorganisms ureaplasma. The infection affects the genitourinary system of both men and women, is transmitted sexually, and there is no evidence that there are other ways of transmitting the disease.

In representatives of both sexes, the disease may not manifest itself for a long time; this is especially common in men. A person can live his whole life without ever becoming ill with this disease, but still remain a carrier of the bacteria while pretending to be his sexual partners. A person gets sick only when the balance of the microflora of the mucous membranes of the genital organs is disturbed.

The disease begins as inflammation of the mucous membranes of the genital organs, can subsequently spread to the internal genital organs to the organs of the urinary system, leading to complications such as prostatitis, impotence, infertility in men, inflammatory processes in the uterus and urinary system in women. This disease poses a particular danger to pregnant women, who may experience pregnancy complications or miscarriage.

Treatment is carried out with antibacterial drugs; when diagnosing, it is best to use several methods, since diseases can be easily confused with other diseases.

New medical research technologies such as polymerase chain reaction and enzyme-linked immunosorbent assays have enabled the identification of many new microorganisms. Among them is ureaplasma (Ureaplasma urealyticum).

Many patients who have been diagnosed with ureaplasmosis are interested in the type of pathogen, asking questions about how dangerous ureaplasma is, what it is and how to quickly recover from the disease.

The bacterium lives on the genitals and urinary system of humans. Bacteriological studies reveal the activity of the microorganism in various inflammatory diseases: prostatitis, cystitis, colpitis, adnexitis, cervical erosion and other genitourinary diseases in men and women.

The microorganism penetrates into the cytoplasm of leukocytes, epithelium, sperm, disrupting their functions. Often ureaplasma is found together with other pathogenic microflora: chlamydia, gardnerella, trichomonas and others.

Symptoms of the disease may appear acutely or be indolent. There are no specific symptoms unique to ureaplasmosis. Symptoms of the disease caused by ureaplasma are easily confused with manifestations of other microbes. It is possible to determine specifically whether it is ureaplasma or, for example, chlamydia, using diagnostic studies.

Symptoms of male ureaplasmosis:

  • burning and stinging in the genitals during urination;
  • painful sensations in the area of ​​the head of the penis during sex;
  • nagging pain in the perineum and lower abdomen;
  • pain in the scrotum (testicles);
  • not excessive discharge from the genitals;
  • decreased sexual desire.

Symptoms of female ureaplasmosis:

  • there is pain, burning and stinging when urinating;
  • nagging pain in the lower abdomen may appear;
  • there is copious vaginal discharge;
  • a woman experiences discomfort during sex;
  • partial or complete lack of libido;
  • after sexual intercourse, blood may appear in the discharge;
  • Pregnancy does not occur for a long time.

Ureaplasma can cause harm to the body without symptoms. In this case, the disease enters the chronic stage, bypassing the acute stage.

How is ureaplasma transmitted, and what factors contribute to the development of diseases?

The main routes of transmission of Ureaplasma spp are considered to be unprotected sexual contact, and infection of infants from the mother in utero or during passage through the birth canal. Intrauterine infection is possible due to the presence of ureaplasma in the amniotic fluid. The infection enters through the skin, urethrogenital tract or digestive tract.

According to statistics, almost a third of female newborns have ureaplasma on their genitals. Among boys, this figure is much lower. As the body grows and develops, the infection disappears, especially in male children. Among schoolgirls, ureaplasma is detected in only 5 to 20 percent of those examined. For boys, this figure is practically reduced to zero. Unlike children, the percentage of adults suffering from ureaplasmosis is increasing, since the sexual route of infection is the most common.

Another way of transmitting a microorganism is through household. How ureaplasma is transmitted through household contact has not been studied, so this statement is controversial. But there are still prerequisites for the fact that not only sexual intercourse is the cause of infection in adults. For example, the microbe is able to remain active on damp household items for two days.

Frequently asked questions about methods of transmission of a microorganism:

  • Is it possible to become infected with ureaplasma through a kiss?
    Microbes live and multiply on the organs of the genitourinary system. They are not in the mouth. Therefore, a kiss cannot be a source of infection with ureaplasmosis. But if partners engage in oral sex, the microorganism, entering the oral cavity, can be transmitted to the partner through a kiss. And if he has ulcers on the mucous membranes, then ureaplasma can enter the bloodstream, and, accordingly, infection is possible.
  • Is ureaplasma transmitted through saliva?
    We have already found out how ureaplasma is transmitted through a kiss. Therefore, we can say that saliva itself does not contain a microbe, but it can temporarily appear in its composition during oral sex.

If an infection enters the body, this does not mean that the person will get sick.

To activate ureaplasma, special conditions are required, including:

  • reduced immunity;
  • frequent stress;
  • imbalance of the body's microflora;
  • the presence of other infections of the genitourinary system;
  • radioactive exposure;
  • poor nutrition and quality of life in general;
  • insufficient genital hygiene;
  • long-term use of antibiotics or hormonal drugs;
  • pregnancy, childbirth.

A decrease in the body's defenses is almost always accompanied by the development or exacerbation of diseases of bacterial etiology. But the illnesses themselves also reduce immunity: frequent colds, chronic diseases, etc. During pregnancy, a woman’s body undergoes restructuring, and this puts an additional burden on the immune system.

Poor nutrition, alcohol abuse, heavy physical activity and stress - all lead to exhaustion of the body, and therefore contribute to the development of ureaplasmosis. The most dangerous factor for the manifestation of the disease is promiscuity.

In addition to the many different pathogenic microorganisms that enter the mucous membranes of the genital organs, frequent changes of sexual partners disrupt the natural microflora present in the genitourinary area of ​​a woman, increasing the risk of developing inflammatory processes.

Types of ureaplasma in women and men

Ureaplasmas have recently begun to be identified as a separate type of microorganism. Previously, they were classified as a class of mycoplasma. Among the species are ureaplasma urealiticum, parvum and spices. Latin names: urealyticum, parvum, species. There are 14 types of microorganisms in total, but only three by type, differing in the composition of membrane proteins. Thanks to typing by type, it is possible to select an effective treatment for ureaplasmosis.

Type urealiticum.

It has a weakly expressed membrane, due to which it is easily introduced into the mucous membranes of the genital organs and urinary tract. This type of ureaplasma is capable of destroying immune cells, since the basis of the microorganism is immunoglobulin Iga. But the greatest danger of the urealyticum microbe is that it penetrates the cytoplasm of sperm and blood, destroying them.

A variety of parvum.

Spice type

Treatment varies depending on the type of microbe. The most commonly diagnosed diseases are those caused by ureaplasma urealyticum and parvum. Usually the second does not require treatment, it all depends on the number of microbes living on the mucous membranes.

If ureaplasma pravum exceeds the permissible limit several times, then inflammation develops and antibacterial therapy is administered to the bacteria. The urealiticum type requires rapid intervention, as it can cause complications. Based on the patient’s complaints, molecular PCR diagnostics are performed, and after detecting a type of microorganism, appropriate treatment is prescribed.

It is especially important to diagnose these types of ureaplasma in women while pregnant, as they disrupt the normal process of pregnancy.

Tests to identify spices are prescribed in the following cases:

  • pregnancy is planned;
  • there are pathologies from previous pregnancies;
  • during infertility treatment;
  • the presence of urogenital infections.

Ureaplasmosis is treated with antibacterial therapy. The antibiotics usually prescribed are tetracyclines or macrolides: Azithromycin, Doxycycline, Josamycin and others. As a supplement, a course of treatment with immunomodulators is prescribed: Dikaris, Taquitin, etc. While taking medications, sexual intercourse and drinking alcoholic beverages are prohibited. Pregnant women undergo therapy under the supervision of a physician.

Diseases caused by different types of ureaplasma in women and men:

  • women: damage to the fallopian tubes, adnexitis, endometriosis, cervicitis, vaginitis, ectopic pregnancy, infertility;
  • men: prostatitis, urethritis, infertility.

Ureaplasma infection: diagnosis and characteristics of the disease during pregnancy

Treatment of ureaplasmosis is possible only after diagnostic tests. As mentioned earlier, the disease has no distinctive symptoms, and, therefore, the pathogen that provokes the inflammatory process must be identified. It is advisable to undergo diagnostics before conceiving a child, since bacteria can infect the fetus.

Ureaplasma infection is detected using different methods:

  1. Enzyme-linked immunosorbent assay (ELISA). It can be used to differentiate the types of infection: Ureaplasma urealyticum and pravum. The method allows you to detect antibodies to the microbe and titer (quantity) of bacteria.
  2. Cultural method (bacterial inoculation). A longer method, but with increased accuracy. Allows you to identify the type of pathogen and its sensitivity to antibacterial substances.
  3. Polymerase chain reaction (PCR). Quite an expensive method. With its help, you can determine even a small amount of bacteria or viruses in the blood serum long before the clinical manifestations of the disease.
  4. Immunofluorescence (RNIF - indirect, RPIF - direct). One of the most inexpensive methods for identifying pathogenic microflora.

Delayed diagnosis before pregnancy or infection during pregnancy can cause various complications. This is especially dangerous in the 1st trimester, since antibacterial therapy cannot be carried out during this period. Antibiotics can harm the fetus by inhibiting its growth and causing developmental abnormalities.

Complications associated with pregnancy:

  • Ureaplasma urealyticum can lead to ectopic pregnancy, and in the early stages, cause miscarriage.
  • In the later stages, the subspecies Ureaplasma spensis contributes to premature birth.
  • Both during pregnancy and during childbirth, the baby can be infected with bacteria.
  • Ureaplasma infection can cause inflammatory processes in the uterus, which negatively affect the process of bearing a child.
  • Many doctors associate low baby weight after birth with the presence of Ureaplasma urealyticum. But it is too early to claim this as a fact, since research is ongoing.

The disease ureaplasmosis is caused by unicellular microorganisms - the pathogen is a gram-negative intracellular microbe. Ureaplasma urealyticum is because many women have it in their normal vaginal flora. This infection is transmitted both through sexual intercourse and during the birth of babies from an infected mother. In this case, it can enter the child’s genital tract and remain there without activity for the rest of his life. The body's basic defense factor is a physiological barrier that is provided by normal microflora. As soon as the balance is disturbed, the microbe begins to actively multiply, and the disease ureaplasmosis occurs.

Etiology

The disease is one of the most common sexually transmitted diseases. Today, medicine does not have evidence that ureaplasmosis is transmitted by contact, that is, infection through the use of the same toilet, household items or in the pool is not the cause of the disease. In adult women, ureaplasma urealyticum is detected in 60% of cases, in newborn girls - up to 30%, in men these microbes are detected much less frequently. Ureaplasma urealiticum is a transitional stage between viruses and bacteria. The microorganism got its name from its ability to break down urea. Thus, ureaplasmosis is a urinary infection, since ureaplasma urealyticum cannot exist without urea.

Ureaplasmosis. What is it and how does it manifest itself?

Ureaplasmosis does not have specific symptoms, like many other infections. The disease does not manifest itself immediately and may not bother you at all for a long time. The patient may not know that he is a carrier and continue to infect sexual partners. This is a common cause of ureaplasmosis. During pregnancy, the fetus becomes infected from a sick mother through the Threat also exists during childbirth when the newborn passes through the mother's reproductive tract. The incubation period for ureaplasmosis can last from 2 to 5 weeks and depends on the state of the immune system of the infected person. The main factors for the appearance of ureaplasmosis are the following: constant change of partners and early onset of sexual life, unprotected sexual intercourse, gynecological and venereal diseases, taking antibacterial and hormonal drugs, a general deterioration in a person’s quality of life and constant stress, radiation exposure and other factors that reduce human immunity. Ureaplasmosis is most common in the age group under 30 years.

Symptoms of ureaplasmosis

Women complain of the appearance of more transparent vaginal discharge, which is hardly distinguishable from normal. If the patient’s immunity is weakened, then ureaplasmosis rises higher along the genital tract and causes inflammation of the appendages or uterus. In some cases, ureaplasmosis is manifested by itching and burning during urination. Sometimes the temperature rises slightly. There may be discomfort in the prostate or groin area. But since the manifestations are insignificant or absent (that is, the patient does not seek medical help), ureaplasmosis in most cases becomes chronic and can become a rather serious complication for human health.

Diagnosis of the disease

For modern medicine, diagnosing ureaplasmosis is not too difficult. Typically, the doctor will select a specific combination of laboratory tests to obtain the most accurate results. The bacteriological method is very accurate. Materials from the urethra, cervix or vagina are placed for several days in a nutrient medium for the growth of ureaplasma urealyticum. This method allows you to determine the number of microbes, which is very important for choosing a course of treatment. If the level is less than 10*4 CFU, the patient is considered a carrier, and there is no need for treatment. If the indicator is more than 10*4 CFU, drug therapy is mandatory. The same method allows you to select the right antibiotic. This study lasts for 1 week. Faster research - This method allows you to detect DNA from ureaplasma urealyticum. This study lasts for 5 hours. If the result is positive, the following examinations are prescribed. Ureaplasma urealyticum parvum can be detected - the most common biovar of ureaplasma.

Treatment of ureaplasmosis

If you have a history of a diagnosis of ureaplasmosis, under no circumstances resort to additional sources, as is now customary. Even if you find constructive information in Wikipedia, various medical abstracts, and even in the Vidal reference book, do not use it without consulting a medical specialist. Do not self-medicate, since each patient has his own individual history of ureaplasmosis, his own clinical picture and his own anamnesis. Look at photos of advanced cases or inadequate treatment and seek medical help from experienced specialists.

Ureaplasmosis is a sexually transmitted infection. Its pathogens are called ureaplasma. Ureaplasmas are microscopic living organisms of the kingdom of bacteria that live on the mucous membranes of the genital organs of male and female human bodies. From a scientific point of view, this bacteria has the status of “opportunistic pathogens”, since despite the fact that they can cause several different diseases, they can also be found in the bodies of absolutely healthy people. These bacteria have a wide range of distribution, like any sexually transmitted diseases.

However, they cause the disease in a minority of cases of infection: many people are simply immune to it. If a person is unlucky and the disease develops in his body, then the symptoms will be:

Female inflammation of the uterus and adnexa.
Cystitis and its derivatives.
Fading pregnancy in women, early birth and miscarriages.
Male urethritis.

To identify ureaplasmosis, the same methods are used as for mycoplasmas: a polymer chain reaction aimed at “traces” of bacterial activity, or cultivation. People who regularly have unprotected sexual intercourse are most susceptible to infection by microorganisms. Approximately half of the female population is a carrier of ureoplasma and mycoplasma, men are somewhat less likely. There is a possibility of “household” infection, when using someone else’s underwear or wiping with someone else’s towel, but this probability is extremely low, since both types of bacteria do not survive in an aggressive external environment.

From the moment of infection with microorganisms to the first symptoms, it can take several days or a whole month, and possibly several. At a time when there are no symptoms yet, a person is considered a carrier. During this period, the infected person can transmit the infection to other people without realizing it. For a long time, the common case of the disease is when the disease does not manifest itself at all. This course of the disease is more typical for women than for men. Therefore, ladies can live with ureaplasma for several years, or even decades, and not know about it. Ureaplasma urealiticum in women is the most common pathogen that is “masked” and invisible.

Symptoms of the disease in men are barely noticeable translucent discharge from the urethra, burning pain when urinating and, with some bad luck, symptoms reminiscent of prostatitis. This is due to the fact that ureaplasma can harm the prostate parenchyma. Female ureaplasmosis is characterized by similar symptoms, only on top of this there is added pain in the lower abdomen, when bacteria enter the uterus, tubes and ovaries.

A rare case is the occurrence of sore throat and damage to the respiratory system by ureaplasma. This development of events will be signaled by symptoms of otolaryngological pathologies: pain in the throat, enlarged tonsils and discharge of pus.

Treatment is prescribed by a doctor to both sexual partners at once, since the body does not develop immunity against the ureaplasmic type of bacteria. Re-infection is possible.

Ureaplasmosis is a sexually transmitted disease that affects the genitourinary area. Currently, the term “ureaplasmosis” is not officially used; in modern medical literature, the term ureaplasma infection is used to refer to diseases and conditions associated with infection with ureaplasma.

Causes of ureaplasmosis

This pathology is caused by ureaplasma (Ureaplasma urealyticum), which in turn is divided into two subspecies 1) parvum and 2) T-960. But this information will probably be more useful to laboratory assistants and scientists, rather than to patients. I said this because these two forms are often written on tests, but the symptoms and treatment in both cases will be the same.

Ureaplasma urealiticum, view through an electron microscope

Ureaplasma was isolated for the first time in 1954 from the urethra. They belong to the Mycoplasmatales family, that is, uraplasmosis is the same as mycoplasmosis. Ureaplasma differs from other types of mycoplasma in that it breaks down uric acid into ammonia. It is transmitted sexually, but can be transmitted from mother to child through amniotic fluid (mainly to girls).

There is still no consensus on whether to consider ureaplasma a pathogenic microorganism, that is, harmful to the body, whether to classify it as a sexually transmitted infection, or whether to prescribe treatment when it is detected if there are no symptoms. And yet, by order of the Ministry of Health of the Russian Federation No. 315 of 2000, ureaplasmosis was excluded from the list of infections that were registered as sexually transmitted diseases, but according to the 2006 WHO classification of sexually transmitted infections, Ureaplasma urealyticum (ureaplasma urealyticum) refers to the causative agents of sexually transmitted infections.

Symptoms of ureaplasmosis

If we talk about the symptoms of ureaplasma infection, we must remember that ureaplasmosis is a hidden infection. In the monotype, it is asymptomatic, that is, there will be no discharge or pain. It is much worse if ureaplasmosis is combined with other sexually transmitted diseases. This is where many complications fall on the person, which I will describe below.

So remember, you will not diagnose yourself, and ureaplasmosis can only be detected in a clinic by taking the appropriate test. As I wrote earlier in my articles: Do not forget to be examined at least once a year for sexually transmitted diseases. Treatment is impossible without an accurate diagnosis.

Why is ureaplasmosis dangerous during pregnancy or conception? This is infertility because, like any urogenital mycoplasma, it “sits” on the sperm, interfering with its movement to the egg. Miscarriages, premature birth, intrauterine infection of the fetus, the same frequent complication, especially in combination with other infections. Therefore, do not forget to be thoroughly examined by a dermatovenerologist before a planned pregnancy.

Tests for the determination of ureaplasma

When you arrive at the clinic, you will be asked to take tests, which are taken with a brush only from the urethra in men or the cervix in women. Often a culture is prescribed, where, if a pathogen is present, it grows on a nutrient medium, because ureaplasma is not detected by ordinary microscopy of a smear.

Antibiotic sensitivity can also be determined. But my attitude towards this is ambiguous. Still, a pathogen in the body and outside it are a different state. And it is difficult to say 100% that ureaplasmosis will be well treated with one drug or another.

An excellent method and determination of pathogen DNA (PCR). It is good to find out whether this or that organ is affected or not; for this, an ultrasound scan of the uterus and appendages in women and the prostate gland in men is done. If we treat ureaplasmosis without taking this into account, we will not achieve the required concentration of the antibiotic in the diseased organ, since it is swollen and difficult to reach.

Treatment of ureaplasmosis

Ureaplasma urealiticum are opportunistic microorganisms, that is, they cause diseases under certain unfavorable conditions, in particular if there are other sexually transmitted diseases. When a patient is diagnosed with one ureaplasma, I begin treatment with immunomodulators (pyrogenal, immunal), physical therapy (magnetic therapy, inductothermy), and absorbable treatment (lidaza). In short, I prepare the body to take antibiotics and diagnose other sexually transmitted infections.

Very often, during treatment, such formidable diseases as gonorrhea and trichomoniasis, which have “climbed” deep into the body, “come out”.

Among the antibiotics that treat ureaplasmosis well, macrolides (chemomycin, josamycin) are used. Tetracyclines (Unidox) are also used, but resistance to them has now appeared. Almost all drugs can be freely purchased at a pharmacy, but only a doctor can prescribe the correct treatment after conducting an accurate diagnosis, which cannot be done independently in an apartment.

During treatment you will need to abstain from sexual intercourse and drinking alcohol. When taking tetracyclines, avoid the sun and solarium, since during this period the skin's sensitivity to ultraviolet radiation increases. While taking them, you should not drink or eat milk and dairy products, carbonated and mineral water.

Post-treatment monitoring is carried out one month after the last use of antibiotics. If there were complications, a follow-up examination in the form of ultrasound diagnostics is prescribed.

It is impossible to cure ureaplasmosis with folk remedies alone; you can simply start an infection. Folk remedies are prescribed with the main treatment - these are various herbal mixtures, such as yarrow, tricolor violet, lungwort. As you already understood, there is “nothing to do” without antibiotics.

Complications of ureaplasmosis

As I noted, in addition to the pathology of pregnancy, ureaplasmosis is dangerous due to such serious complications as prostatitis (inflammation of the prostate gland in men) and inflammation of the fallopian tubes and ovaries in women (salpingoophoritis), leading to infertility. Such complications arise very often, as observed from my practice, especially if ureaplasmosis is combined with other STIs. The bad thing is that these complications can occur without obvious complaints from the sick person. People simply don't ask for help. That is why it is useful to undergo preventive examinations and get tested for STDs at least once a year.

Prevention of ureaplasmosis

Prevention of ureaplasmosis is the same prevention as all STIs.

1. Avoiding casual sex
2. Active prevention from a doctor, after them (the sooner, the better).
3. Use of condoms and their correct application.
4. Antiseptic solutions (Miramistin, chlorhexidine) into the urethra in men, after sexual intercourse, as well as suppositories (Pharmatex, Terzhinan, Hexicon) in women.

Consultation with a doctor on ureaplasmosis

Question: Is it possible to become infected with ureaplasmosis from animals?
Answer: No. Ureaplasmosis is an anthroponosis (transmitted from person to person).

Question: After treatment, I was tested a month later. The test is negative, ultrasound of the prostate is normal. Can I consider myself cured?
Answer: Yes.

Question: If I have ureaplasmosis, are both sexual partners treated?
Answer: Yes.

Dermatovenerologist Mansurov A.S.