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  • Mycoplasmosis urogenital - Causes, symptoms and treatment. MF.

    Urogenital mycoplasmosis is a urinary tract disease caused by pathogens from the family Mycoplasmataceae. This family is divided into the genus Mycoplasma( mycoplasma) and Ureaplasma( ureaplasma).That is ureaplasmosis is the same mycoplasmosis, proceeding with the same clinical picture, treated the same way, but differs from other types of mycoplasmas in that it secrete an enzyme that breaks down uric acid. Mycoplasmas are poorly understood microorganisms, therefore, reading articles about this disease, different authors treat the information in different ways. I will try to explain to you my vision, from my medical experience.

    Mycoplasmas - the cause of mycoplasmosis

    These pathogens occupy an intermediate position between microbes and viruses, that is, they have features characteristic of both. In nature, there are many mycoplasmas that cause various diseases, but only Mycoplasma hominis( human mycoplasma), Mycoplasma genitalium( genital mycoplasma) and ureaplasma urealyticum( ureaplasma, splitting uric acid) parasitize in the genitourinary tract.

    Mycoplasma( mycoplasma) under the microscope

    Symptoms of mycoplasmosis

    Urogenital mycoplasmosis is a latent infection. In a monovision, it proceeds asymptomatically. If you notice any complaints in your body, such as: discharge, rezi when urinating, itching in the urethra, then one infection is not limited, and besides mycoplasmosis, it will be necessary to be examined for other infections of the urinary tract. With a banal examination, just a common man will not diagnose himself with "mycoplasmosis", but even a doctor. For this, special tests are taken, which I will discuss below. Do not forget to undergo tests for sexually transmitted diseases, even with complete well-being.

    Complications of mycoplasmosis

    Some doctors, when they find only mycoplasma or ureaplasma, do not prescribe treatment, others prescribe( as I said, this is a controversial disease).How should you act in this case? I believe that

    1) you need to carefully examine not only yourself, but your sexual partner for all urogenital infections.
    2) and to treat all the same it is necessary, especially, mycoplasmosis heals well.

    Why it is necessary to treat: having mycoplasma in my body, it is easier to "get" other sexually transmitted diseases, such as trichomoniasis, HIV and so on. So do not forget us, dermatovenerologists. Especially because:

    When examining women in labor with mycoplasma, hominis was found in the amniotic fluid. It is dangerous as in the conception of the child, so that it "sits" on the tail of the sperm, interfering with fertilization, hence the infertility. So during pregnancy: premature birth, miscarriage. Very often there is intrauterine infection of the baby( mycoplasmal pneumonia or penetration of the pathogen into the genital tracts when it passes through the birth canal during childbirth).

    Complications most of all happens at a combination of a mycoplasmosis with other "infections".So do not try fortune. Carefully be surveyed, before conception of the child, with your "second half".

    Diagnosis of urogenital mycoplasmosis

    The "gold standard" in the diagnosis of this infection is the seeding of , when the pathogen grows on a nutrient medium, and PCR is the detection of the pathogen DNA, but with good preparation of the laboratory technicians for the clinic where you applied. Mycoplasma is an intracellular parasite, and therefore the analysis from the urethra or cervix is ‚Äč‚Äčtaken with a special brush, so that your cells can also be diagnosed. The same can be taken for research and semen in men.

    Treatment of mycoplasmosis

    Various antibiotics are used for treatment: tetracyclines( doxycycline, tetracycline).But 10% of mycoplasmas are resistant to them and therefore macrolides( azithrox), clindomycin are also prescribed. Be sure to resort to immunomodulators( tsikloferon, derinat, polyoxidonium).With such complications as inflammation of the prostate gland in men and inflammation of the fallopian tubes in women - physiotherapy, resorption treatment( wobenzyme, lidase).When pregnancy is prescribed safe drugs, for example erythromycin. As I said, the disease is treated well, and if you fail, look for the cause( check for other infections, examine the partner).

    During treatment, you can not drink alcohol and have sex. The control is carried out in a month, after the last reception of antibiotics. If there were complications in the form of prostatitis or inflammation of the fallopian tubes and ovaries( salpingo-oophoritis), then an ultrasound of the diseased organ is done.

    Do not resort to the treatment of mycoplasmosis with folk remedies, since the main drugs are antibiotics that "cope" well with the infection, and "load" the body with herbs in this case, I think it should not. Infection does not cure - that's for sure, but cause stability - definitely. Treatment can be prescribed only by a doctor, carefully examining you.

    As mentioned above, due to complications such as prostatitis, salpingo-oophoritis "dance" other adversities( infertility, miscarriages, intrauterine infection of the fetus), so do not complicate life either to yourself or to your future offspring.

    Prevention of urogenital mycoplasmosis

    Prophylaxis of urogenital mycoplasmosis is the same as that of other sexually transmitted infections. This is both loyalty to your sexual partner, and condoms( but there are fewer guarantees).Neither all people know how to properly dress a condom + often leaves much to be desired for their quality. Mycoplasmas are very small and can penetrate through the micropores of latex.

    Horshoe if you within 3 hours after a casual sexual intercourse address to dermatovenerologist for active prophylaxis.

    Consultation of a dermatovenereologist for mycoplasmosis

    Question: I was treated for mycoplasmosis, but my partner is not. There were connections after the treatment. How to be?
    Answer: to consult a dermatovenerologist, to undergo examination for complications and again undergo treatment.

    Question: Which candles are better for the prevention of mycoplasmosis
    Answer: Widespread: "Betadin", "Geksikon".

    Question: How dangerous is the combination of mycoplasmosis and trichomoniasis?
    Answer: The higher the risk of complications and the difficulty of treating both infections.

    Question: After treatment, mycoplasmosis was again discovered, why can it be?
    Answer: either you did not follow the doctor's instructions accurately, either re-infected from a partner, or there is some other undetected infection that interferes with successful treatment.

    Doctor of dermatovenereology Mansurov AS