Can ureaplasma pass by itself without treatment. Ureaplasmosis: the essence of the disease and its treatment in women. Frequently asked questions about the methods of transmission of the microorganism

What do you need to know about this disease in order to protect yourself and prevent the infection of your loved ones?

Why is he so special that it is worth talking about?

The international classification has identified the following forms of this disease:

Manifest amebiasis, in which clinical symptoms can be observed.
Asymptomatic amebiasis.

Manifest amebiasis has several manifestations:

Intestinal.
Extraintestinal. This includes genitourinary, cerebral, pulmonary, hepatic.
Cutaneous.

The main type of manifest amebiasis is intestinal, and the rest are derivatives from it. This happens when the disease is severely neglected, a lot of pathogens multiply. They penetrate the intestinal walls and are carried by the blood throughout the body. Amoebas are deposited in different organs, contributing to the occurrence of amoebic abscesses.

Transmission routes

The disease is transmitted in the same way as any other intestinal infection. This happens through:

Contaminated water.
Infected food.
Dirty hands.

In summer, you can get infected by swallowing cysts of amoebas while swimming in open water.

Disease development

The development of the disease occurs gradually, since it is not living amoebas that penetrate into a person, but cysts. It will take them some time to develop: there are no favorable conditions for cysts in the external environment, so many types of bacteria fall into a state of sleep, having previously covered with a hard shell. Precisely because cysts are dormant, they can pass through the aggressive environment that is present in the stomach and small intestine.

As soon as the environment changes for the better for them, and the large intestine has the most acceptable climate for them, the cysts "wake up". Then they are embedded in its walls. Lucky for those who have increased stomach acidity, lucky in this matter - amoebas do not survive in such an environment. Although you shouldn't be especially happy - there are highly pathogenic amoebae, the cysts of which are not even afraid of hydrochloric acid.

Intestinal amoebas can have the following life forms:

Great vegetative.
Small vegetative.
Cyst.

The size of large forms is about 30-60 microns, and cysts are from 8-9 to 23-24 microns.

Intestinal amebiasis - what is it?

So, if intestinal amoebas are “habitual tenants,” when do they become dangerous and start causing harm? This happens when the host's body is weakened, which is facilitated by stress, acute respiratory viral infections, acute respiratory infections and other similar effects on the immune system.

Distinctive features of amoebiasis

A distinctive symptom of the disease is stool and localization of pain. So, the stool will have the consistency and color of raspberry jam. As for the pain, it, unlike the defeat of the dysentery amoeba, will be localized not in the left side of the abdomen. The stomach in the right side will hurt, since with this type of disease, other parts of the large intestine are affected - higher.

Ulcers form on the intestinal mucosa. Then abscesses may appear in their place. In addition, other organs may be affected. Damage to the lungs and liver may occur.

Signs

Various symptoms will help diagnose the intestinal form of amebiasis:

Heat.
Blood in stool.
Weakness.
High fatigue.
Headaches.

These symptoms are already a reason to call an ambulance. If amoebas are spread throughout the body, they may additionally manifest themselves:

Jaundice.
Pain in the liver.

Liver pain and jaundice may appear, for example, with cholangitis, therefore, to clarify the diagnosis, some symptoms are not enough, you will need to do an ultrasound.

But you will not have to observe nausea among the symptoms, since it is not characteristic of this disease.

The same symptomatology depends on the stage of the course of the disease. So in an acute form, all the signs are very pronounced and bother a person constantly. The chronic course occurs less brightly - the temperature is normal, the pains that occur in the abdomen do not have precise localization. Periodically, the patient is not worried about pronounced flatulence.

To treat or not to treat?

Attention: "Of course, this does not threaten a lethal outcome, but self-treatment of the disease can have dire consequences, in particular, contribute to its transition into a chronic form."

In addition, it is very difficult for a layman to identify the symptoms of amebiasis, since they are similar to the symptoms of many other diseases.

If the disease is acute, and the necessary treatment is not provided, it is possible that amoebas, penetrating into the intestinal walls, contribute to the appearance of ulcers. If they occur at the site of large vessels, bleeding may open. And this is already a threat to the patient's life. Immediate surgery will be required. You will need to contact surgeons even when the amebiasis has passed into the extraintestinal form.

How to overcome the disease?

Treatment in medical institutions begins with diagnostics, for which samples of feces, urine, and blood are taken for analysis. Further, the process of treatment in the hospital is supervised by a doctor. Most often, a specialist prescribes an appointment:

Metronidazole, which must be taken for at least a week. If a patient is diagnosed with a severe case of the course of the disease, then metronidazole treatment continues for 14-15 days. Furamid is no less effective.
Saline solutions. This is necessary to restore water balance.
Antispasmodics.
Enzyme preparations to stop colitis syndrome. This is Panzinorm, Digestal.
Antibiotics Necessary in the course of treatment to change the microbial biocenosis in the intestine.

If the disease is diagnosed in a chronic form in the stage of remission, then Chinamine, Ambilgar, Dihydroemitin, Emetin are also used for treatment.

But treatment will not be complete without certain dietary restrictions. Such patients are recommended table number 4 and are prohibited:

Baking, bread.
Any kind of sweets.
Soda.
Salty, spicy.
Fruits.
Vegetables.

Then the return to habitual food should be slow. This process should take at least two weeks.

It's worth reading

Ureaplasma in men: treatment regimen, effective drugs

Competent and timely treatment of ureaplasma in men avoids a number of complications and unpleasant consequences. Initially, ureaplasma was considered a type of mycoplasma. But then scientists found out that ureaplasma can break down urea, so it was taken out in a separate form. There is no need to be treated from ureaplasma in its normal state. It is present in about 70% of all men who are sexually active. If the microflora of the genitourinary system is normal, the ureaplasma does not carry any threat. If immunity falls, the microflora is disturbed, this can lead to infections.

Symptoms and consequences of ureaplasma

It is necessary to be treated from ureaplasma if it began to negatively affect the health of a man. Alas, in order to treat ureaplasmosis, patients sometimes turn to specialists late. This is largely due to the fact that ureaplasmosis is often asymptomatic and does not make itself felt in any way until complications arise in the form of chlamydia or other infectious diseases.

It is possible to pay attention to the fact that ureaplasma threatens men's health by several characteristic signs or symptoms:

when urinating, pain is observed;
urination is often accompanied by a strong burning sensation;
pain occurs in the genital area;
pain can also be observed in the lower abdomen;
discharge appears from the urethra.

If ureaplasmosis is detected or suspected, treatment should be started without fail. Otherwise, ureaplasma, which is called parvum or urealiticum, can lead to quite serious consequences in the form of:

prostatitis;
nonspecific urethritis;
inflammation of the egg appendages;
infertility.

In order to maximize the effective treatment of ureaplasma in men, a woman should also undergo therapy if she is the only permanent sexual partner. It is especially important to undergo joint treatment if the couple is planning a pregnancy.

With ureaplasma in men, treatment is prescribed only by a doctor on an individual basis. It is important to understand that antibacterial agents and antibiotics play a major role in treatment. Each organism reacts in its own way to certain medications. Therefore, some medicines are great for one, but are completely useless for other men.

In order for the treatment regimen to be drawn up correctly, you must first pass the appropriate tests and undergo examinations. This will help determine how a man's body reacts to certain substances, as well as which medications will be most effective in his particular case.

Medicines against ureaplasma

How to treat ureaplasma in men? Currently, the disease is treated with an antibiotic of certain groups. Such treatment in men as a means of therapy is optimal, since it allows you to cope with microorganisms as effectively as possible.

It is difficult to say what the most effective medicines are called, since the question is largely individual. After the man undergoes the necessary examinations and tests, the doctor will be able to determine which specific medications are best to treat him.

The most effective from ureaplasma are:

tetracycline antibacterial drugs;
azalides;
macrolides;
nitroimidazoles.

As practice shows, having diagnosed ureaplasmosis in men, correctly prescribed and performed treatment gives the desired result. It can take a long time to heal, although antibiotics are usually taken no more than 10 days.

Often, urologists in the treatment of male ureaplasmosis use one of several types of drugs and individually prescribe a therapy regimen.

Doxycycline. This is a tetracycline drug that should be taken 1 tablet twice a day. The estimated duration of treatment is 2 weeks.
Josamycin. It belongs to the group of macrolides and azalides. Take it 1-2 grams throughout the day. You need to use the drug between meals. The duration of treatment is 10 days.
Erythromycin. Another representative of macrolides and azalides. The dosage regimen provides 2 tablets four times a day. The treatment lasts a week (7 days).
Azithromycin. Azalides and macrolides. The drug is taken only once a day (daily dose - 250 mg of the drug). The course of treatment usually lasts about 6 days.
Metronidazole. Nitroimidazole group. Depending on the nature of the disease, men are recommended to take the drug three times a day, and the duration of the course is 7 days.

It will be ideal if the sexual partner of a man who has encountered ureaplasmosis also undergoes a similar course of antibiotics. 2 weeks after completion of therapy, you need to undergo a control examination.

But there are cases when the treatment of ureaplasmosis in men does not give the desired result.

The patient did not follow the doctor's instructions. Often, the doctor himself prescribes the frequency and amount of drugs taken. If such instructions have not been given, then you need to rely on the manufacturer's manual. But men tend to violate recommendations, forgetting to take pills on time or completely abandoning treatment;
Incomplete course of taking medications. The doctor tells in detail how to treat ureaplasmosis in men, but they still do not follow these tips. One of the most common reasons for the lack of effect of treatment is insufficient long-term use of drugs. In simple terms, instead of the prescribed 5-10 days of taking medications, a man drinks them for several days. Feeling relieved, it misleads him that the problem has been solved, and throws the medication;
Re-infection. If a man is infected from a woman with whom he constantly lives, or closely communicates with infected people, then re-infection is quite possible if the carrier of ureaplasma has not been treated. This is why couples are encouraged to do therapy together.

Just do not rush to your soul mate with accusations of treason if she is the carrier of ureaplasma. The fact is that this microorganism spreads not only sexually, and therefore the fact of infection is not proof of infidelity.

Often, with ureaplasmosis, treatment is carried out at home. Therefore, all responsibility for the result falls on the patient himself. The doctor's task is to correctly prescribe therapy for ureaplasma. It is also recommended for a man to periodically visit a doctor during the entire period of treatment at home to confirm the effectiveness of the chosen treatment regimen.

Antioxidants The easiest way to get them is from green tea, which doctors recommend to patients to drink in order to avoid diseases such as urethritis or prostatitis. The substances contained in tea protect against inflammation and help to strengthen the immune system. Some people prefer to just drink 2 cups of green tea a day. But there is an alternative - these are certified extracts that need to be taken up to 500 mg during the day;
Genital care. Since with ureaplasma, we are mainly talking about the threat of the genitourinary system of men, personal hygiene here plays an important role. The doctor may prescribe a special antibacterial ointment that can suppress the activity of ureaplasma. In parallel with this, it is imperative to follow the rules of hygiene and maintain a minimum level of humidity in the genital area. To do this, you should wipe your genitals dry after water procedures and wear only natural fabrics underwear. This will allow the area to breathe. Moisture is a favorable condition for the growth and reproduction of ureaplasma;
Immunity and ureaplasma. The stronger your immune system is, the less chances for ureaplasma to lead to any unpleasant consequences. Immunity is considered the main tool in the fight against ureaplasma and ureaplasmosis. For this purpose, doctors usually prescribe vitamin complexes and simple medicines to raise the protective functions of the body;
Fight against dysbiosis with ureaplasma. Ureaplasmosis, which becomes chronic, often leads to dysbiosis. Antibiotics prescribed by a doctor also kill not only pathogenic, but also beneficial microflora. In order not to provoke complications against the background of dysbiosis, it is very important to take probiotics, yogurt and other means to maintain normal microflora;
Individual appointments. How to cure ureaplasmosis in one case or another depends on the individual characteristics of the course of the disease. Therefore, specific nuances of the disease play a role here, in which doctors prescribe medications for concomitant problems or choose drugs whose substances do not cause allergic reactions, for example.

Ureaplasma can be safe with strong immunity in men. But if the ureaplasma is activated, it threatens with ureaplasmosis and serious complications. Therefore, ureaplasma requires increased attention from men.

Can ureaplasma pass on its own, or does it always need treatment? Unfortunately, there is no definite answer to this question, because today this infection has not been sufficiently studied. But if we rely on medical practice and medical experience, then we can say the following:

It's just that an infection that has entered the body through sexual contact settles on the mucous membranes of the urethra, on the walls of the vagina, uterus, and prostate gland. A decrease in immunity, high physical activity, stress, hypothermia, a cold or inflammatory disease and other negative circumstances will instantly refute the statement that the ureaplasma passed on its own.

Is ureaplasma curable?
"Is ureaplasma completely cured?", "Is it necessary to treat ureaplasmosis?" and in general "Can ureaplasmosis be cured?" Discussions on these issues ...

Reviews and comments

PCR showed a negative result for ureaplasma, and three years later it was positive. The partner is the same. Does this mean that the partner brought this ureaplasma after the betrayal?

Previously, two subspecies of Ureaplasma urealyticum were distinguished: (1) parvum and (2) T-960. Today, these subspecies are regarded as two independent species: Ureaplasma parvum and Ureaplasma urealyticum, respectively.

Ureaplasmosis - is caused by microorganisms that are close in size to large viruses and have neither DNA nor a cell membrane. They are sometimes considered as a kind of transitional step from viruses to unicellular ones. Transmission of infection occurs, as a rule, sexually, but there may be intrauterine infection from a sick mother, and in addition, microbes can penetrate into the genital tract of the child during childbirth and persist there all his life, for the time being in a dormant state.

Ureaplasmas can provoke inflammation of any part of the genitourinary tract - the bladder, urethra, prostate, testes and their appendages, and in women - the vagina, uterus and appendages. In addition, with some studies, it was possible to find out that ureaplasmas can be fixed on spermatozoa and disrupt their motor activity, and in some cases simply destroy sperm. After all, germs can cause joint inflammation, especially in rheumatoid arthritis. The authors, who classify ureaplasmas as obligate pathogens, believe that they cause urethritis, prostatitis, postpartum endometritis, cervicitis, pyelonephritis, infertility, various pathologies of pregnancy (chorioamnionitis) and fetus (pulmonary pathology). Other scientists believe that ureaplasmas are part of the opportunistic flora of the urogenital tract and can be the cause of infectious and inflammatory diseases of the genitourinary organs only under specific conditions (in particular, with insufficient immunity) or with appropriate microbial associations.

Ureaplasmosis can develop in both acute and chronic form. As with many infections, the disease does not have the typical symptoms of this pathogen. The clinical manifestations of ureaplasmosis depend on the infected organ. At the same time, by modern methods, the pathogen is often determined in perfectly healthy women who do not present any complaints, and often in combination with other infections.

Today there are a number of objective difficulties in solving the problem of ureaplasmosis:
1. Ureaplasmosis, indeed, is a disease that is prone to chronic occurrence.
2. In the diagnosis of ureaplasmosis, false positive responses are often encountered, which leads to overdiagnosis and false responses during treatment control.
3. Chronic ureaplasmosis requires complex treatment.
4. Ureaplasma is a conditionally pathogenic microorganism (for some women, this is the normal flora of the vagina). "To treat or not to treat ureaplasma" can only be decided by a qualified doctor.

Ureaplasma treatment

Treatment of ureaplasma includes complex procedures depending on the location of the inflammatory process. In general, antibacterial agents are used that are aimed at destroying the infection; immunomodulators that activate the body's defenses; drugs that reduce the risk of side effects when taking antibiotics. The specific treatment regimen for ureaplasma can be determined only by a specialist who has all the information about the patient (examination, history, analyzes). As with the problem of the pathogenicity of ureaplasmas, the question of the need to eliminate these pathogens from the urogenital tract also remains open. As a rule, doctors propose to take measures to eliminate these microorganisms if a person has an infectious and inflammatory process in the place of their existence (urethritis, prostatitis, cervicitis, vaginitis), as well as in case of infertility, miscarriage, inflammatory diseases of the pelvic organs, chorioamnionitis, postpartum febrile conditions with the existence of ureaplasmas in the genitourinary tract.

Etiotropic treatment of ureaplasma infection is based on the appointment of antibacterial drugs of various groups. The activity of drugs against any infection is determined by the minimum inhibitory concentration in in vitro studies. Minimum inhibitory concentrations are usually correlated with clinical outcomes. It would seem that the optimal drugs should be antibiotics with the lowest minimum inhibitory concentration, but the severity of such parameters as bioavailability, the ability to create large interstitial and intracellular concentrations, tolerance and compliance of treatment should not be disregarded.

Ureaplasmas are resistant to beta-lactam antibiotics (penicillins and cephalosporins), due to the fact that they do not have a cell wall, and sulfonamides, since these microorganisms do not produce acid. In the treatment of ureaplasma infection, those antibacterial agents that affect protein synthesis from DNA, that is, those that have a bacteriostatic effect, can be effective. These are drugs of the tetracycline series, macrolides, fluoroquinolones, aminoglycosides, in the general smear it can be increased slightly or not at all. To determine the pathogen, more accurate inspection methods are used - PCR and bacterial inoculation.

Quite often (up to 75-80% of cases), the simultaneous detection of ureaplasmas, mycoplasmas and anaerobic microflora (gardnerella, mobiluncus) is noted. The optimum pH for the reproduction of mycoplasmas is 6.5 - 8. In the vagina, the pH is 3.8 - 4.4. The acidic reaction is supported by lactic acid formed by lactobacilli from the glycogen of the cells of the mucous membrane of the genital tract. Normally, 90 - 95% of microorganisms are lactobacilli, others account for 5 - l0%, respectively (diphtheroids, streptococci, Escherichia coli, staphylococci, gardnerella). As a result of various adverse effects: the use of antibiotics, hormone therapy, radiation exposure, deterioration of living conditions and the formation of immunodeficiency, as well as mental stress, a state of dysbiosis occurs and the amount of opportunistic microflora increases.

It is extremely important to inform your sexual partners about the disease, even if they are not worried about anything, and to convince them to undergo examination and treatment. Since the asymptomatic development of the disease does not reduce the risk of complications.

Diagnostic methods for ureplasm

Culture study on selective media. Such examination allows within 3 days to determine the culture of the pathogen and to separate the ureaplasma from other mycoplasmas. Materials for research are scrapings from the urogenital tract and the patient's urine. The method makes it possible to determine the sensitivity of the isolated pathogens to various antibiotics, which is extremely important given the fairly frequent antibiotic resistance today. The specificity of the method is 100%. This method is used for the simultaneous detection of Mycoplasma hominis and Ureaplasma urealyticum.
Detection of DNA pathogens by PCR. The examination allows you to detect the pathogen in a scraping from the urogenital tract within a day and determine its species.
Serological tests. They can detect the presence of antigens and specific antibodies to them in the blood. They can be useful in case of recurrent course of the disease, in the formation of complications and infertility.

Transmission routes

Ureaplasma infection can be from the mother during childbirth. They are detected on the genitals and in the nasopharynx of newborns.

Adults become infected through sexual intercourse. Domestic infection is unlikely.

Ureaplasmas are found on the genitals of approximately every third newborn girl. For boys, this indicator is much lower.

Often in children infected) during childbirth, over time, self-healing from ureaplasma occurs. As a rule, this often occurs in boys.

Therefore, in schoolgirls who are not sexually active, ureaplasmas are detected only in 5-22% of cases.

In people who are sexually active, the prevalence of ureaplasma increases, which is associated with infection during sexual intercourse.

Carriers of ureaplasma are usually women. They are rare in men. In men, self-healing is possible.

Ureaplasma is sometimes transmitted by household contact and sexually, with the latter being the most common. A vertical route of transmission is also possible, which can occur as a result of an ascending infection from the vagina and cervical canal. Intrauterine route of infection - in the presence of ureaplasma in the amniotic fluid, the fetus becomes infected through the digestive tract, skin, eyes, urogenital tract. For men, ureaplasmosis is an exclusively genital infection.

The incubation period is on average 2-3 weeks.

Data on the infection of the urogenital tract with ureaplasmas among the sexually active population vary from 10 to 80%. Ureaplasmas are usually found in people who are sexually active, and quite often these microorganisms are detected in people who have three or more sexual partners.

New technologies in medical research, such as polymerase chain reaction and enzyme immunoassay, have identified many new microorganisms. Among them is ureaplasma (Ureaplasma urealyticum).

Many patients who are 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 in the human urinary system. Bacteriological studies reveal the activity of the microorganism in various inflammatory diseases: prostatitis, cystitis, colpitis, adnexitis, cervical erosion and other diseases of the genitourinary sphere in men and women.

The microorganism invades 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 can be acute or sluggish. There are no specific symptoms characteristic exclusively of ureaplasmosis. The symptoms of the disease caused by ureaplasma can be easily confused with the manifestations of other microbes. It is possible to determine specifically what 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 head of the penis during sex;
pulling pains in the perineum and lower abdomen;
pain in the scrotum (testicles);
not abundant discharge from the genital organ;
decreased sexual desire.

Symptoms of female ureaplasmosis:

there is pain, burning and stinging when urinating;
pulling pains in the lower abdomen may appear;
there is abundant discharge from the vagina;
a woman experiences discomfort during sex;
partial or complete lack of libido;
after intercourse, an admixture of blood may appear in the discharge;
pregnancy does not occur for a long time.

Ureaplasma can harm the body asymptomatically. In this case, the disease goes into a chronic stage, bypassing the acute one.

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

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

According to statistics, in almost a third of female newborns, ureaplasma is found on the genitals... This figure is much lower among boys. In the process of growth and development of the body, the infection disappears, especially in male children. Among schoolgirls, ureaplasma is detected only in 5 - 20 percent of the surveyed. For boys, this indicator 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 household... How ureaplasma is transmitted by the household route has not been studied, therefore this statement is controversial. But still there are prerequisites for the fact that not only sexual intercourse is the cause of infection in adults. For example, a microbe is able to maintain its activity on wet household items for two days.

Frequently asked questions about the methods of transmission of the microorganism:

Can ureaplasma be infected 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 are engaged in oral sex, then the microorganism, getting into the oral cavity, can be transmitted to the partner by kissing. And if he has sores on the mucous membranes, then the 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 has entered the body, this does not mean that a person will get sick.

To activate ureaplasma, special conditions are required, including:

reduced immunity;
frequent stress;
violation of the balance of the microflora of the body;
the presence of other infections of the genitourinary system;
radiation exposure;
poor nutrition and quality of life in general;
insufficient hygiene of the genitals;
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 with bacterial etiology. But the ailments themselves reduce immunity: frequent colds, chronic diseases, etc. During pregnancy, the woman's body is rebuilt, and this is an additional load on the immune system.

Malnutrition, alcohol abuse, heavy physical exertion and stress - all lead to depletion of the body, which means it contributes to the development of ureaplasmosis. The most dangerous factor for the manifestation of the disease is promiscuous sex.

In addition to many different pathogenic microorganisms that get on the mucous membranes of the genital organs, the frequent change of sexual partners disrupts the natural microflora present in the urogenital area of \u200b\u200ba woman, increasing the risk of developing inflammatory processes.

Types of ureaplasma in women and men

Ureaplasmas have recently begun to be isolated as a separate type of microorganisms. Previously, they were classified as mycoplasma (mycoplasma). Among the species, ureaplasma urealiticum, parvum and spices are distinguished. Latin names: urealyticum, parvum, species. In total, there are 14 types of microorganisms, but only three types, differing in the composition of membrane proteins. Thanks to typing by type, you can choose an effective treatment for ureaplasmosis.

Type urealiticum.

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

A variety of parvum.

Specialty type

Treatment varies depending on the type of microbes. Most often, diseases caused by ureaplasma are diagnosed with urealiticum and parvum. Usually the second does not require treatment, it all depends on the number of microbes living on the mucous membranes.

If the ureaplasma pravum exceeds the permissible norm several times, then inflammation develops and antibiotic therapy is carried out against the bacteria. The type of urealiticum requires quick intervention, as it can cause complications. Based on the patient's complaints, molecular diagnostics of PCR is carried out, and after the detection of a type of microorganism, appropriate treatment is prescribed.

It is especially important to diagnose these types of ureaplasma in women while carrying a child, since they disrupt the normal process of pregnancy.

Analyzes for the identification of specialties are prescribed in the following cases:

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

Ureaplasmosis is treated with antibiotic therapy. Usually antibiotics are prescribed tetracyclines or macrolides: Azithromycin, Doxycycline, Josamycin and others. As a supplement, a course of treatment with immunomodulators is prescribed: Dikaris, Takvitin, etc. While taking medications, sexual intercourse and the use of 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 features of the disease during pregnancy

Treatment of ureaplasmosis is possible only after diagnostic tests. As mentioned earlier, the disease does not have 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 by different methods:

Immunoassay (ELISA)... With its help, you can differentiate the types of infection: Ureaplasma urealyticum and pravum. The method allows you to detect antibodies to the microbe and the titer (number) of bacteria.
Culture method (bacterial inoculation)... Longer method, but more accurate. Allows you to identify the type of pathogen and its sensitivity to antibacterial substances.
Polymerase chain reaction (PCR)... Quite an expensive method. With its help, it is possible to determine even a small amount of bacteria or viruses in the serum long before the clinical manifestations of the disease.
Immunofluorescence (RNIF - indirect, RPIF - direct)... One of the most inexpensive methods for detecting pathogenic microflora.

Failure to diagnose before pregnancy or getting an infection while carrying a baby can cause various complications. This is especially dangerous in the 1st trimester, since antibiotic therapy cannot be carried out during this period. Antibiotics can harm the fetus by inhibiting growth and causing developmental abnormalities.

Complications associated with pregnancy:

Ureaplasma urealyticum can lead to an ectopic pregnancy, and in the early stages - provoke a miscarriage.
In the later stages, the subspecies of ureaplasma spensis contributes to premature birth.
Both during pregnancy and during childbirth, the baby can be infected with bacteria.
Ureaplasma infection can cause inflammation in the uterus, which negatively affects the process of carrying a child.
Many doctors associate low birth weight after birth with the presence of Ureaplasma urealyticum. But it is still too early to assert this as a fact, as research continues.

People who have already received test results several times, took medications prescribed by a specialist are interested in ways to permanently cure ureaplasma, and after a while these microorganisms were again found in the biomaterial.

Ureaplasma in women is part of the vaginal microflora, therefore doctors call it conditionally pathogenic. When immunity decreases, a person takes antibiotics or antibacterial drugs for a long time, becomes infected with an STI, and an inflammatory process develops.

That is why it is not the ureaplasma itself that is dangerous, but the disease that this conditionally pathogenic microbe causes, and then treatment is necessary. If microorganisms are "dormant" in the body, which does not manifest itself with unpleasant symptoms, then it is not always necessary to take medications.

Ways of transmission

When a woman who trusts her sexual partner takes tests, she is extremely surprised if she sees that ureaplasma is present in the body. She begins to think that the man is cheating, that he infected her. Especially pregnant women begin to panic, in whom a smear "for cleanliness" gave similar results. But you need to listen carefully and be treated according to a doctor-defined scheme.

Sometimes ureaplasmosis is really the result of infection in one way or another:

sexual;
household;
from mother to child during the birth process.

The risk of infection increases in those who have predisposing factors:

At the same time, it is important to understand that it will not be possible to completely cure for the simple reason that the microorganism is already present in the body, this is part of the microflora. The disease can worsen if a person has a cold, a viral disease, that is, immunity has decreased.

Therefore, one of the secrets of how to get rid of ureaplasma is to try not to get sick, to observe the regime of work and rest, not to worry about various reasons.

Such an answer to the question whether it is possible to cure ureaplasmosis does not at all mean that it is impossible to cleanse ureaplasma once and for all, then it is not worth getting rid of the inflammatory process even with poor analyzes. To think that "it will pass by itself" is wrong. Because if the disease is started, it will entail complications.

Complications in women and men

Those who are not treated, after a certain time of disease progression, may find complications in the reproductive system. This applies not only to girls, women, but also to men. Because the question of how to cure ureaplasma is usually asked by the fair sex, while some guys naively believe that these are all female problems and will not affect them in any way, health will not deteriorate. However, this is not the case.

If you do not recover from ureaplasmosis, then the woman will have complications:

inflammation in the cervix - cervicitis;
inflammatory process in the mucous cells of the vagina - vaginitis;
diseases in the pelvic organs;
inflammatory process in the uterus - endometritis;
inflammation in the appendages, ovaries of the uterine organ - adnexitis;
reproductive problems - inability to get pregnant.

Men with advanced ureaplasmosis in the future may suffer from:

inflammation of the prostate gland, or;
problems with urination;
urethritis - a pathological process in the urethra;
epididymitis - inflammation in the epididymis.

Incorrect treatment regimens

Sometimes patients cannot be completely cured, because the doctor diagnoses the full range of pathologies, but instead of starting with the treatment of ureaplasmosis, he prescribes drugs for other diseases, which leads to an advanced form of inflammation.

The whole point, perhaps, is that the symptoms are similar to other inflammatory processes. This is fatigue, abdominal pain, urinary disorders.

The insidiousness of the disease is sometimes that the course is asymptomatic. But with an exacerbation in men there are:

pain when urinating;
scanty discharge from the urethra in the morning;
slight pain in the groin area.

Aggravation in women is manifested:

constant urge to urinate;
pain when emptying the bladder;
mucous secretions;
pain in the lower abdomen.

Correct diagnosis and complex therapy

Material must be taken from women from the urethra, from the fornix of the vagina and from the cervical canal. And in men - scraping from the urethra.

In order to understand that the patients have got rid of the disease, the analysis must be passed also after, but at least 2 weeks after the end of therapy.

Pathology can be cured if you build a competent complex scheme with the necessary drugs for oral administration, vitamin therapy, and other methods of strengthening immunity. Sometimes doctors prescribe vaginal suppositories and suppositories designed to restore the vaginal microflora.

The disease is curable if all instructions are followed. Complete the entire prescribed course from beginning to end, without missing anything, without independently replacing some drugs with others. At the same time, you cannot drink alcohol, have sex, even with barrier contraceptives.