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General information about the study

The incubation period is 2-5 weeks. Symptoms of ureaplasma infection may be mild or absent altogether (typical for women). In men, ureaplasma parvum can cause inflammation of the urethra (non-gonococcal urethritis), bladder (cystitis), prostate (prostatitis), damage to the testicles (orchitis) and their appendages (epididymitis), disturbances in the composition of sperm (decreased motility and sperm count - which threatens infertility ), as well as reactive arthritis and urolithiasis. In women, ureaplasma parvum can cause inflammation of the vagina (vaginitis), cervix (cervicitis), and when immunity is weakened, inflammation of the uterus (endometritis) and its appendages (adnexitis), which can lead to ectopic pregnancy or infertility. In addition, ureaplasma parvum in pregnant women can cause miscarriages, inflammation of the membranes, the birth of children with low body weight, as well as the cause of the development of bronchopulmonary diseases (pneumonia, dysplasia), bacteremia and meningitis in newborns.

As a cause of inflammatory diseases of the genitourinary system, Ureaplasma parvum is considered if laboratory tests do not reveal other pathogenic microorganisms that can cause these diseases. Differentiating Ureaplasma parvum from another type of ureaplasma - U. urealyticum - can only be done using molecular genetic methods, including polymerase chain reaction. Determining the type of ureaplasma is important when choosing the optimal tactics for treating a patient.

What is research used for?

• To establish the cause of chronic inflammatory diseases of the genitourinary system.
• For the differential diagnosis of diseases caused by sexually transmitted infections and occurring with similar symptoms: chlamydia, gonorrhea, mycoplasma infection (along with other studies).
• To evaluate the effectiveness of antibiotic therapy.
• For preventive examination.

When is the study scheduled?

• If ureaplasma infection and ureaplasmosis are suspected, including after casual sexual intercourse and with symptoms of inflammation of the genitourinary system.
• When planning pregnancy (for both spouses).
• With infertility or miscarriage.
• With an ectopic pregnancy.
• If necessary, evaluate the effectiveness of antibiotic therapy (1 month after treatment).

Ureaplasma parvum (lat. Ureaplasma parvum) is a type of microorganisms related to conditionally pathogenic, that is, their identification cannot speak of a disease. The presence of ureaplasma parvum in analyzes is normal, but, nevertheless, this microorganism can cause a number of problems in women.

Danger of ureaplasma parvum

Let's see what the "pathogenicity" of parvum ureaplasma is and how it is dangerous. The presence of this opportunistic microorganism in the analyzes, first of all, is a dangerous complication in the form of an inflammatory process in the genitourinary system - ureaplasmosis.

Ureaplasmosis is an infectious inflammatory disease that affects the pelvic organs and the genitourinary system. Ureaplasmosis can manifest itself with a weakened immune system, as well as with inflammatory diseases of the pelvic organs. Also, in the absence of the necessary treatment, ureaplasma parvum can cause the following consequences in women:

• various inflammatory diseases of the pelvic region (such as cervicitis, colpitis, urethritis);
• difficulties in conceiving a child;
• ectopic pregnancy;

When planning a pregnancy for women, it is very important to know about ureaplasma parvum and get tested in advance.

Sources of infection

It is possible to become infected with ureaplasma parvum both sexually and from mother to fetus; household infection is considered unlikely. In men, this microorganism is much less common than in women, so infection occurs in the second way more often. In men, self-healing is also possible, but if parvum ureaplasma is found in one of the partners, it is necessary to treat the second partner.

Symptoms of the disease

In women with parvum ureaplasma in most cases, there are no symptoms, however, ureaplasmosis is often accompanied by the following complaints:

• pain when urinating;
• uncharacteristic odor / color of discharge;
• lower abdominal pain.

In men, the symptoms of parvum ureaplasma are similar:

• itching or burning in the urethra;
• a small amount of mucous discharge;
• uncharacteristic properties of urine (such as color, odor, transparency);
• cramps when urinating.

Since the presence of this microorganism is difficult to judge by symptoms, there are a number of studies in modern medicine that can help identify it.

Methods for the detection of ureaplasma parvum

To identify ureaplasma parvum in women, doctors use two methods:

1. PCR method (polymerase chain reaction). This method can detect the DNA of the ureaplasma parvum.
2. Sowing method on ureaplasma parvum.

The first method is more suitable for accurate and quantitative determination, while the second is more suitable for determining antibiotic susceptibility. The second method also has the disadvantage that it is performed much slower than the PCR method. It is generally recommended to perform detection by PCR, and then, if necessary, use the inoculation method to select antibiotics.

Indications for examination for ureaplasma parvum are:

Treatment of ureaplasma parvum

Having visited any doctor, you will leave the office with a whole heap of appointments - for drugs, for taking tests, for conducting research. It is not always possible to understand what it is all about, even if the doctor's handwriting is legible. The same applies to research results and analyzes.

What is ureaplasma parvum DNA?

To make it absolutely clear, we are talking about the presence in your body of "ureaplasma parvum", since its DNA has already been found.

Is it deadly? Not, many doctors consider the presence of this microorganism a variant of the norm, it is found on every fourth woman. But there is little pleasant in such a carrier, because ureaplasma can be the cause of chronic inflammatory processes, and in the male body it can do many misfortunes. A few words about transmission routes:

• During sexual intercourse... The microorganism feels great on the surface of sperm and vaginal epithelium;
• During... The baby receives everything from the mother, including undesirable factors;
• When, by passing through the birth canal. There is already a purely mechanical infection.

You don't really want to reward your child with such an interesting disease from the first days of life, so it's better to get medical treatment.

When is it checked at all?

Usually they send for analysis:

1. In family and child planning centers. Both parents to detect and prevent the spread of the disease;
2. Already during pregnancy, in order to know what problems to deal with;
3. In the presence of chronic inflammatory diseases of the internal or external genital organs, to find out the cause of the patient's pathological condition;
4. If you suspect a sexually transmitted disease. To determine what exactly the patient is infected with.

You should not refuse to pass the test, especially when it comes to family planning. The test results will not be sent anywhere, only the attending physician will know them.

This is not AIDS or syphilis, there is no epidemiological threat. And no one will force you to undergo treatment. But if we are talking not just about carriage, but about a chronic inflammatory process, you will insist on treatment yourself in order to get rid of unpleasant sensations.

Do not forget about the possibility of infection of a sexual partner, no one will say thanks for this. The first unpleasant symptoms can cause rupture and accusations of treason.

Pathogenic effects of ureaplasma parvum on the body

Carrier has already been mentioned, when can we talk about it? In the absence of symptoms of the inflammatory process and in the presence of a positive analysis for ureaplasma .

These two points should be combined, most often this happens in women. The patient is already infected with a microorganism, but at the same time does not feel any consequences of its effect on the body. At the same time, she can lead an active sex life, without protection, plan to have a child.

With a partner, and even more so with a baby, one cannot hope for a simple carrier. But after all, at the beginning of the material it was said that every fourth woman has a bacterium in the body, it must be conditionally pathogenic.

It has not yet been proven as a result of research, but in scientific and medical circles there is an opinion that ureaplasma is able to enhance the effect of pathogenic bacteria on the body:

1. Prolongs the course of the disease;
2. Promotes the manifestation of more pronounced clinical symptoms;
3. Complicates treatment. Standard drugs sometimes become ineffective;
4. Creates an atypical picture of the disorder, thereby complicating the diagnosis.

Gender differences

Differences in the course of the disease, depending on gender, were repeatedly mentioned.

As you can see, women can have the same sad consequences, but the likelihood of their occurrence is much lower. And in general, the organism of the fairer sex is easier to cope with such a neighborhood, it is more familiar. Men can develop urolithiasis and even arthritis. It would seem that these two states are not connected at all. Chronic inflammation, by the way, causes not only unpleasant sensations, it also leads to sexual dysfunction.

To treat or not to treat?

With the help of PCR, doctors can establish a specific type of ureaplasma and even pick up the treatment. But to accept therapy or refuse it, the choice remains with the patient, no one can force.

Is it worth treating the disease:

1. Most patients believe that since there are no unpleasant sensations and visible disturbances, it means that there is no need to be treated;
2. Doctors sometimes fuel this desire in patients, claiming the prevalence of the bacteria and the difficulty of finding an adequate treatment;
3. It is worth remembering that we will not be young and healthy forever. Sooner or later, the immune system will begin to give the first failures;
4. Background disorders of immunity can be associated with serious infectious diseases, too, no one is immune from them;
5. And in such a "favorable" environment, a conditionally pathogenic microorganism will lose half of its name and become simply pathogenic;
6. But then you will have to fight not one disease, but several at once;
7. In addition, long-term effects on the body, the bacteria will do its damage. For many years it will multiply on the mucous membrane, do you think without prejudice to the latter?

However, excessive diligence will not lead to anything good either. The complete destruction of the natural microflora of the vagina will not have a positive effect on health.

When in the list of analyzes there is a separate line "ureaplasma parvum dna - found" that it means it is better to ask your doctor right away. He will refer you for additional tests, if needed, and prescribe medication.

Video about ureaplasma

Parvum, how to most quickly cure ureaplasma parvum - about this in this article.

Inflammation caused by ureplasma parvum is diagnosed only if other pathogenic microorganisms were not found in laboratory diagnostics, as well as ureaplasma urealiticum.

A very important point is the diagnosis and identification of just one of the strains, since this is the main criterion when choosing a therapeutic tactics.

Ureaplasma is a more pathogenic strain than urealiticum and can cause more serious complications. Therefore, there are some differences in the duration of treatment with this type of ureaplasma.

In the treatment of ureaplasma parvum, the same basic principle is used as in the treatment of any other urogenital infections.

The main treatment is to prescribe tetracycline antibiotics, taking into account individual characteristics, namely:
1. Allergic reactions;
2. Sensitivity of ureaplasma to the selected antibiotic;
3. Anamnesis of the disease;
4. Concomitant chronic diseases;
5. Specific human conditions (pregnancy, breastfeeding and others);
6. Severe somatic conditions.

Medication therapy will last on average for 2 - 2.5 weeks. During treatment, it is required to control the peripheral blood composition, since antibiotics of the tetracycline series tend to change the number of platelets (cause thrombocytopenia) and leukocytes (leukocytopenia).

Do not prescribe therapy in the preoperative period! (Increases bleeding tendency).

The main drug of choice is Doxycycline (Unidox Solutab)... Dosage: 100 mg 2 times a day. After 7 - 8 days of therapy, it is necessary to again make laboratory diagnostics to assess the effectiveness of the prescribed treatment.
If the therapy is not effective, the antibiotic should be replaced!

In case of allergy to tetracycline drugs, choose from the macrolide group.

During the period of treatment of ureaplasma parvum, it is necessary to use additional methods of treatment:
1. General strengthening therapy;
2. Immunomodulation (as often, parvum is diagnosed in a chronic form);
3. The use of antibiotics negatively affects the state of the intestinal microflora, therefore probiotics should be prescribed.

When identifying and combating diseases of the urogenital tract, a mandatory examination of the sexual partner should be followed, followed by preventive or curative therapy.

During the treatment of ureaplasma parvum shouldn't do:
1. Live sexually throughout the course;
2. Avoid hypothermia;
3. Stick to a high-calorie diet;
4. Stay in the open sun, as well as visit the solarium;
5. Refrain from visiting common areas: baths, saunas, etc.

Of great importance is the observation of the treated patients after the end of the course of treatment for ureaplasma parvum for 2 to 3 months.