Thousands of patients have hundreds of gynecologists ask this question every day: "Doctor, why I have ureaplasma? It's his fault ?! Or maybe I '...
Ureaplasmas (Ureaplasma spp., Ureaplasma urealyticum, Ureaplasma parvum) and mycoplasma (Mycoplasma hominis, Mycoplasma genitalium) are very small organisms that live in the human urogenital system. Disputes about their pathogenicity (ability to cause disease) do not stop for a couple of decades. The number of "sad cowboy stories" about the failed or absurd attempts to treat the hundreds of thousands. I must say that the medical community is not in vain so exaggerates the subject. Indeed, data obtained by researchers to date, largely contradictory. While we will use domestic recommendations.
Where did ureaplasma?
Infection occurs primarily through sexual contact. We prove the transmission of infection from mother to fetus during pregnancy and during labor. Kotaktno-household transmission is considered unproven. However, human curiosity has no borders, and around the world published the results of several studies, which have been the objects of public toilets toilet seats. An experienced reader realizes that, say, a public toilet in Israel differs from the average Russian toilet. Nevertheless, results are disappointing. Despite the visible sheen and a pleasant smell, the researchers found on toilet seats and mycoplasma and ureaplasma. And in the women's restrooms, they are much more common.
The authors concluded that genital mycoplasma They survive on the toilet seat, which can lead to infection of domestic when visiting public restrooms. Let's look at the problem more broadly and will be considered "public" does not belong to you all toilets. The good news - ureaplasmas can not catch at the swimming pool, ponds and through the linen.
Ureaplasmas and semen
Numerous studies prove conclusively that ureaplazmennogo infection leads to the deterioration of semen - sperm becomes less, and they are worse than running around. I think the wonderful ability ureaplasmas "hugging" the sperm neck and ride. Of course, this sperm is much less likely to reach the egg. In addition, ureaplasmas release substances that make sperm thicker.
Of all the family is recognized as absolutely pathogenic Mycoplasma genitalium. By the way, it is not as common. This whimsical "lady" not grow on nutrient media, so the diagnosis is used PCR or other molecular-biological methods (NASBA, real-time PCR).
Signs that you need to be tested for M. genitalium:
• Inflammatory processes in the lower urinary tract.
• Complications (inflammatory diseases of the pelvic organs, infertility and so on.) That are possible when infected with M. genitalium.
• Your sexual partner Identification of M. genitalium.
• change of sexual partners without the use of barrier methods of protection (condom).
• When planning and during pregnancy.
Signs that you need to be treated for M. genitalium:
• confirmation of infection M.genitalium any location.
• The presence of M. genitalium from a sexual partner.
• If the possibility of carrying out tests for M. genitalium is not, and clinical manifestations of inflammatory diseases of the lower genital tract is.
Others mycoplasma (U. urealyticum, U. parvum, M. hominis) - recognized as opportunistic. What does it mean? These pathogens can be detected in perfectly healthy people and do not cause the time any disease. Moreover, they can leave alone the human body without any treatment.
Signs that should be tested for these kinds of mycoplasmas:
• clinical and laboratory signs of inflammation of the urogenital tract, in the absence of pathogenic microorganisms;
• burdened obstetric and gynecological history (miscarriage, infertility, perinatal losses and other.);
• complicated course of this pregnancy, suggesting a possible infection of the fetus.
Signs that need to be treated (if other than mycoplasmas and other pathogens have been identified)
• clinical and laboratory signs of inflammation of the urogenital system;
• Upcoming operational or other invasive diagnostic and treatment manipulations in the urinary organs (abortion insertion of an IUD, treatment of cervical pathology, the study of tubal patency, etc.);
• burdened obstetric and gynecological history (miscarriage, infertility, perinatal losses and other.);
• complicated course of this pregnancy, suggests the possibility of infection of the fetus.
The treatment should be administered in the presence of clinical manifestations of the inflammatory process, and in the event that U. urealyticum and M. hominis detected in an amount of more than 10x4 CFU / ml in the culture titer study.
Here not all so easy. Challenged and the need of quantification (because it is the number of the pathogen in vitro, but not in the genital tract), and the need to determine the sensitivity to antibiotics (in a lab dish and in vivo sensitivity may be different), and somehow it is not clear what to do if one partner asymptomatic carriage, and another - "eternal" inflammation. And so on to infinity.
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