How to treat ureaplasma?
Ureaplasma called bacteria Ureaplasma parvum and Ureaplasma urealyticum, which live on the mucous membrane of the genital organs, as well as the urinary tract.
Among the representatives of the bacterial flora, ureaplasmas have one of the smallest sizes (by these parameters they are similar to large viruses), and by the nature of their vital activity they can be attributed to parasites acting intracellularly.
How to treat ureaplasma? After all, these bacteria do not have DNA and cell wall and can be considered a transitional form from viruses to unicellular organisms. At first this bacterium was attributed to mycoplasma, but then it was allocated to a separate class due to its ability to break down urea.
Ureaplasma can be attributed to sexually transmitted infections, but on this account among scientists there is no consensus. On the one hand, Ureaplasma urealyticum really lives on the mucous membranes of the urogenital organs and is transmitted through sexual contact, on the other hand, its role in the occurrence of the inflammatory process is far from clear. Therefore, the majority of foreign experts attribute this bacterium to opportunistic and do not include ureaplasma infection in the list of generally recognized diseases.Other researchers provide reasonably strong evidence of the pathogenicity of ureaplasma.
Diagnosis and treatment of ureaplasma
This disease has no characteristic symptoms, and when clinically diagnosing and choosing a method of treatment, the doctor faces the following difficulties:
a large number of false-positive results;
the chronic course of the inflammatory process caused by ureaplasma, and the need for complex treatment;
in many women ureaplasma is part of the usual microflora. Whether it is necessary to treat ureaplasma, in each particular case only an experienced doctor can decide.
Ways of infection with ureaplasma
Ureaplasma infection most often occurs through sexual contact, but intrauterine infection of the fetus from a sick mother or infection during birth is also possible, and microorganisms can get into the baby’s genitals and remain inactive for a long time.
Features of the disease
Ureaplasmosis can occur in an acute form, and may become chronic. This disease is characterized by inflammation in any part of the urogenital system, especially the bladder, testicles, their appendages, urethra and prostate in men, vagina, appendages and uterus in women.Studies were conducted that confirmed the ability of ureaplasma to disrupt the sperm motility of the sperm or even completely destroy them. In advanced cases, inflammation of the joints and the development of rheumatoid arthritis are possible.
Those researchers who consider this pathogen an obligate pathogenic microorganism do not doubt the answer to the question of whether ureaplasma should be treated.
Other authors of scientific works are not so categorical, and the question of whether to treat ureaplasma cannot be answered unambiguously. They attribute ureaplasma to the conditionally pathogenic microflora of the urogenital tract and argue that it will cause an inflammatory process only in certain circumstances.
Pathogenesis of the disease
The incubation period lasts from three to four days to one month, and sometimes increases to six months. During this period, an infected person can already become a source of infection. Symptomatology is very often not expressed or weakly expressed, therefore an infected person does not pay attention to the signs of the disease.
In men, the symptoms of ureaplasmosis often manifest as non-gonococcal urethritis.There may be a small discharge from the urethra, which disappears and reappears. Pain and pain are not always present or are mild. Urethritis often takes a chronic form and leads to orchiepidymitis (inflammation of the testicle or its appendage). Depending on whether the disease is acute or chronic, the doctor chooses how to treat ureaplasma in men.
Ureaplasma is sensitive to antibiotics, which have a bacteriostatic effect, that is, affect protein synthesis from DNA. What antibiotics to treat ureaplasma? For this purpose, macrolide, fluoroquinolone (Ofloxocin), tetracycline antibiotics (Doxycycline) and some others are effective. Together with antibiotics, they use immunomodulators and drugs that neutralize the side effects of antibiotic therapy.
How to treat ureaplasma in women? The basic principles of treatment are the same as in the treatment of ureaplasmosis in men, but it is more difficult to identify the disease, since the symptoms do not appear clearly. Cervicitis may be observed, which is diagnosed with a smear, colpitis,pain in the lower abdomen and discharge, but all of these symptoms are often absent or are not very pronounced.
Does ureaplasma treat during pregnancy? This question is often asked by those women in whom the disease was identified during this period. In the first half of pregnancy, it should not be done categorically, because antibiotics in the early stages are very dangerous for the development of the fetus. In order to prevent infection of the child during childbirth, antibacterial and immune supportive therapy is prescribed after 22 weeks of pregnancy under the supervision of a physician.
To avoid such complications, it is very important to pass a full examination for latent infections to those women who are planning to conceive. With the help of modern diagnostic methods, the most accurate of which is PCR, the doctor will diagnose and explain how to treat ureaplasma. Ignore this disease is not worth it, because infertility is one of its unpleasant consequences.