How is urethritis treated with ureaplasma

Question: urethritis and ureaplasmosis

Question:

Hello, my partner has been diagnosed with urethritis and has been treated. Then I passed the tests and I was diagnosed with bacterial vaginosis and ureaplasmosis. He passed 2 times PCR, but he does not have ureaplasmosis, so the urologist does not prescribe treatment for him, says that there is no need.

Question 1: What should I do, should he be cultured or is it possible that he is not sick? Or in any case, he needs preventive treatment? (And the treatment of urethritis and the treatment of prostatitis is not a prevention of the treatment of ureaplasmosis?)

Question 2: During treatment, is it possible to have sex, but only with a condom? Please help me figure it out, otherwise the gynecologist and the urologist tell us different information.

Answer:

Let's start with the fact that urethritis in men, according to statistics, in 10-15% of cases, ureaplasma or mycoplasma vyvyvaet. Gardenrells often do not cause urethritis on their own, but are accompanied by microorganisms such as ureaplasma and mycoplasma. Treatment of urethritis and prostatitis at the same time can be a prevention of ureaplasmosis and mycoplasmosis, since antibiotics can be used in the treatment, to which ureaplasma and mycoplasma can be sensitive, but this is not always the case. PCR is not the most reliable method for determining and detecting ureaplasma and mycoplasma, since these microorganisms, as a rule, are located in parts more distant from the external urethra, in particular in the prostate gland, the epididymis and the testicles themselves. And also in the bladder, ureters and kidneys. In men, due to anatomical features, it is more difficult to obtain material for research. Therefore, it is more expedient to take prostate juice for research and examine it by seeding for ureaplasmosis and mycoplasmosis. It is also possible for secondary flora with the obligatory determination of the sensitivity of the sown flora to antibiotics. In addition, it is necessary to donate the blood of a partner for immunoglobulins A, M and G. These are specific tests to detect the severity of the disease and immune memory for transferred ureaplasmosis or mycoplasmosis. Vertimo paslaugos internetu u. ger kain: vertim biuras Lingvobalt But that's not all. To obtain better quality material, sometimes a provocation should be done before this, that is, a drug is prescribed that exacerbates chronic sexual infections. Based on your situation, the absence of ureaplasma in the PCR study after the treatment of urethritis indicates the absence of acute changes in the urethra. If more than 1 month has passed, after treatment, it is still better for your partner to undergo a course of anti-inflammatory therapy, including antibiotics, together with you. Naturally, during treatment and for another month after, it is advisable to protect yourself with a condom.

How ureaplasma is treated in men: drugs, regimen and timing of treatment, consequences

Ureaplasmosis is a disease that has become quite common in recent times. Pathology is transmitted sexually. Neither men nor women are immune from this disease. At the same time, the pathogen rarely causes inflammatory processes in the body of a strong half. But despite this, it is extremely dangerous to ignore the problem. Therefore, let's figure out how ureaplasma is treated in men.

Description of the disease

What is such a pathology as ureaplasma in men, the symptoms and treatment of which require special attention?

We are talking about an infectious disease that is sexually transmitted. The disease is caused by a specific microorganism called Ureaplasma urealyticum. It does not have its own cell walls. This allows the pathogen to penetrate into human cells, in which it multiplies.

Thanks to this mechanism, the immune system has practically no effect on ureaplasmas. Many antibiotics are also powerless.

These pathogens are able to stay in the body of a man for a long time, without signaling their presence in any way. They live on the mucous membranes of the genital organs, urinary tract. At the same time, they do not provoke unpleasant symptoms. Therefore, doctors classify ureaplasma as a conditionally pathogenic flora.

Causes of pathology

The main route of transmission of ureaplasma is sexual. However, infection is possible during childbirth, from mother to child. At the same time, due to physiological characteristics, boys are much less likely to become infected than girls.

It is impossible to become infected with ureaplasmosis at home. After all, microorganisms live exclusively in human cells. Thus, it is the sexual path that is the main source, as a result of which ureaplasma is found in men.

Underlying causes of infection:

• sex life started at an early age;
• unprotected sex;
• random change of partners;
• Sexually transmitted diseases.

Predisposing factors

Very often, a man is a carrier of ureaplasma. At the same time, he does not have any unpleasant symptoms. The causative agent parasitizes in the body for a long time. In this case, the person does not even suspect that he has ureaplasma. And, accordingly, it infects its partners.

But in some cases, the pathogen begins to attack the body, causing inflammation in it. In this case, it is important to know how ureaplasma is treated in men and it is necessary to understand what provokes such symptoms.

The main factors that trigger the mechanism of the development of the disease are:

• recently transmitted viral diseases;
• nervous overload;
• unbalanced diet (lack of unsaturated fats and vitamins);
• bad habits (alcohol abuse, smoking);
• frequent stress;
• treatment with hormonal drugs, antibiotics;
• exposure to the body of ionizing radiation;
• hypothermia.

However, men who observe hygiene, lead an orderly sex life, do not experience ureplasmosis. After all, they do not have favorable conditions for the development and reproduction of the pathogen.

Characteristic symptoms

The disease is quite insidious. It can be asymptomatic, turning into a chronic form. Pathology can make itself felt 4-5 days after infection. But most often the disease manifests itself much later. As soon as immunity decreases under the influence of any factors, ureaplasma in men immediately begins to progress.

Symptoms and treatment of the disease, unfortunately, are simply ignored by most patients. This leads to serious complications. Doctors state that very often men seek help only when the disease is complicated by severe pathologies.

That is why it is important to understand what are the signs of ureaplasma in men:

• appearance of transparent selections;
• temperature increase;
• burning, itching;
• impaired urination;
• discomfort in the perineum and groin.

At the same time, the symptoms of the pathology often proceed latently or blurry. Accordingly, there is no timely treatment, and the disease quickly takes on a chronic stage.

Possible complications

Pathology is extremely dangerous for its complications. If you do not start fighting in a timely manner, then ureaplasma in men begins to progress in the body.

The consequences of such neglect often lead to inflammatory diseases of the urethra, prostate, and epididymis. Sometimes male infertility develops against the background of pathology. However, with proper treatment and the absence of other consequences, the reproductive function of the stronger sex is usually restored.

Doctors note that men may experience the following complications of ureaplasmosis:

Diagnostic methods

In order to choose the right therapy, the patient will be recommended a medical examination.

Diagnosis includes the following laboratory and instrumental measures:

If during the examination a ureaplasma infection is found in a man, then this is sufficient reason to assume the presence of a pathogen in the body of a sexual partner. That is why, in order to eliminate the risk of re-infection, both patients will need adequate treatment.

Ways to deal with the disease

How is ureaplasma treated in men? The key to successful treatment is the right choice of therapy tactics. That is why it is important to contact a competent specialist who will select the appropriate methods of dealing with pathology based on the examination of the body.

According to the results of the tests, a group of antibiotics that can affect microorganisms will be determined. Without such an examination, it is extremely difficult to identify the most effective drugs.

The treatment regimen for ureaplasma in men usually includes the following activities:

Use of antibiotics

The therapy is etiotropic in nature. In other words, the treatment is aimed at destroying the ureaplasma in the genitourinary system. Antibiotics do an excellent job of this. But we should not forget that only a competent specialist, after diagnosis, can choose the most effective drugs and explain how men treat ureaplasma. Therefore, it is extremely careless and wrong to self-medicate.

Therapy can be based on the following types of medicines:

Drugs that normalize microflora

It is important to remember that antibiotics can adversely affect the functioning of the digestive tract. That is why the doctor will prescribe appropriate medications that protect the patient from dysbacteriosis and ensure the normal functioning of the intestine.

What medications can be recommended if ureaplasma is diagnosed in men?

Treatment (drugs must be prescribed by a doctor) may include:

Use of immunomodulators

A special role in therapy is assigned to this group of drugs. They are aimed at restoring immunity.

Therapy for ureaplasmosis often includes drugs:

The patient may be recommended natural immunomodulators, such as:

• lemongrass,
• echinacea extract,
• rosehip syrup or decoction.

Purpose of vitamin complexes

To better restore the body and strengthen the defenses, multivitamin preparations are included in the therapy.

The most effective medicines are:

Additional recommendations

For the entire period of treatment of ureaplasma in men (on average, it is 7-14 days), it is recommended to adhere to the following rules:

And remember, ureaplasmosis is not an infection that you can fight on your own, using the advice of friends or acquaintances. This is a pathology that requires correct and adequate therapy prescribed by a doctor. Only in this case, you can count on a cure.

How ureaplasmosis is treated: pills, injections, vaginal suppositories

Ureaplasmosis is a bacterial infection often transmitted through unprotected sexual contact. The causative agent of the disease is the smallest bacteria Ureaplasma urealyticum. These types of microorganisms are unique because they do not contain a cell wall. This feature is largely responsible for the biological properties of the pathogen, including the absence of a Gram stain reaction and resistance to many antimicrobial agents, including beta-lactams.

The course of treatment for ureaplasmosis begins after diagnostic measures. Signs of the disease do not appear immediately, this phenomenon reflects how important it is to get tested for this bacterial infection. With the timely diagnosis of ureaplasma, treatment will begin faster, respectively, the patient will be able to avoid complications.

How does infection happen?

Before you start using drugs against ureaplasma, you need to find out the cause of the disease. The bacterial infection is very common and affects sexually active men and women. The main causes of ureaplasmosis:

• promiscuous intercourse;
• rapid decrease in the body's defenses;
• pregnancy;
• medical abortion;
• arbitrary miscarriage;
• chronic infectious diseases;
• hormonal imbalance that occurs during menstruation.

The disease can be transmitted to a child when passing through the birth canal of the mother. Infection occurs by airborne droplets in transport, crowded places. Unfortunately, there is no evidence of possible infection through household contacts, however, doctors do not exclude this cause of the formation of ureaplasmosis in women and men. There is an early, acute and chronic form of pathology. The course of treatment depends on the course of the disease, the presence or absence of concomitant diseases.

Clinical manifestations of pathology

For the treatment of ureaplasma, it is necessary to tell the doctor about the disturbing symptoms. You should not withhold important information, even if you are embarrassed to talk about the symptoms. Get over yourself. The doctor needs to get the whole picture of the disease in order to prescribe a treatment that can work in the shortest possible time. Clinical picture with ureaplasmosis:

• burning when urinating;
• abundant vaginal discharge with a yellowish tint, after intercourse bloody streaks predominate in the mucus;
• painful sensations appear in the lower abdomen;
• pain during urination and during sex;
• bad smell.

A cutting pain syndrome spreading to a significant part of the abdomen indicates the presence of an inflammatory process in the uterus and appendages, which was provoked by ureaplasmas. Vaginal discharge abnormal in consistency and quantity. Women often go to the toilet "in a small way", while experiencing discomfort. When the bladder is full, vaginal itching, burning sensation is felt. Patients note a clear relationship between the appearance of symptoms and critical days, stressful situations. Upon oral contact with an infected ureaplasma, signs characteristic of purulent tonsillitis appear. The throat begins to hurt, the sputum contains an admixture of pus, a cough appears, nasal congestion without the release of secretory mucus.

Attention! Lack of treatment will lead to complications and inability to conceive.

Pregnant women should take this pathology seriously. A bacterial infection can cause fetal fading, premature birth, spontaneous abortion. Ureaplasmosis leads to the formation of adhesions in the uterine cavity, ectopic pregnancy.

Diagnostic measures

For the treatment of ureaplasmosis, it is important to conduct an instrumental and laboratory study. A bacterial infection of the urogenital tract may look like other diseases, and pathologies can be distinguished by appropriate laboratory testing. Women will need to pass the following tests: urine, smear, to confirm ureaplasma, the doctor takes a sample of the endometrium or fluid from the Douglas space.

Serological studies, PCR analysis will help confirm the diagnosis. Proper collection and processing of samples is paramount for the detection of finicky microorganisms.

In men, urethral smears are taken to diagnose ureaplasmosis. The culture of the nasopharynx, throat and endotracheal secretions in newborn babies is a suitable way to confirm ureaplasmosis, especially if the baby's birth weight is less than 1500 g, and there are clinical, radiological, laboratory and other signs of pneumonia.

Drug therapy of the disease

A pathological condition is treated with medication. The tactics of therapy is based on the use of a sparing diet, antibacterial drugs, immunomodulators, probiotics and vitamins. Both partners treat the disease at the same time - one of the main rules. Consider how to treat ureaplasma.

List of antibacterial medicines

For the treatment of ureaplasma, first of all, the doctor prescribes antibacterial drugs. Medicines of this group are the most reliable method of therapy. From ureaplasmosis, antibiotics should be taken for both partners as prescribed by a doctor for 14 days. After two weeks of taking the tablets, a study is again carried out for the presence of microorganisms.

In more than 90% of cases, a bacterial infection is cured, re-infection does not occur. If, after a course of treatment with antibacterial tablets, the patient still has a disease, he is prescribed other drugs that have an antibacterial effect, to which Ureaplasma urealyticum is sensitive. Effective treatment of ureaplasmosis allows you to get rid of the disease in a short period of time.

What drugs should be used to treat the infection? Antibacterial drugs recommended for pathology: Doxycycline, Azithromycin, Ciprofloxacin and others.

Doxycycline (tetracycline group) is a semi-synthetic antibiotic that helps to overcome urogenital infections. The maximum concentration in the blood is observed 2 hours after the use of the medication. The drug is taken 1 time per day after meals. To prevent irritation of the esophagus, you should drink the capsules with plenty of water.

Azithromycin (belongs to macrolides) is a bacteriostatic drug that is resistant to acidic environments. Scheme of using the drug Azithromycin: for five days, 2 hours after breakfast, take 1000 mg, then take a break for 2 days. After, the medication is drunk on the eleventh day in the amount of 1000 mg, then again a break - 5 days. The last dose is taken on the 16th day. In the presence of allergies or side effects, Azithromycin is replaced with Midecamycin, Clarithromycin, Erythromycin, Josamycin.

Ciprofloxacin (belongs to fluoroquinols) - the effectiveness of the drug is several times higher against ureaplasma than that of macrolides. The medication is taken on an empty stomach. In the treatment of ureaplasma take 125-500 mg 1 time per day. The course of therapy is 5-15 days.

The choice of a group of drugs is influenced by the activity of the selected drug and the minimum concentration that can effectively affect the action of ureaplasma. Treatment should begin with the use of drugs belonging to the group of macrolides. If the tests after the course of treatment showed the presence of ureaplasma, other antibacterial drugs are prescribed for ureaplasma.

Immunomodulatory drugs: list

Immunomodulators are an obligatory part of treatment. Means for the correction of immunity are the standard sample in the treatment of the disease. How to treat ureaplasma? To prevent relapse, patients need to properly strengthen the body's defenses. In the presence of ureaplasmosis, treatment is accompanied by the use of the following immunomodulatory drugs:

• Cycloferon is a high-molecular inductor that promotes the formation of interferon. The medicine is taken daily at the same time to get the maximum therapeutic effect. Cycloferon is prescribed at a dosage of 250 mg. One course of treatment consists of 10 injections.
• Polyoxidonium is rapidly distributed throughout all organs and tissues. Treatment of ureaplasmosis with tablets increases the body's resistance to bacterial infection.

Especially high efficiency was demonstrated by Immunomax. The drug is indicated for the correction of weakened immunity. Intramuscular injections of the drug Immunomax are prescribed simultaneously with antibacterial medicines. The drug is taken in a course of 10 days.In 87% of the victims, during the diagnosis, 14 days after the end of treatment, a decrease in ureaplasmas was observed, and after 3 months of continuous therapy, microorganisms completely disappeared.

Restoring the microflora by using probiotics

Probiotics are live bacteria that restore the intestinal microflora after the use of antibacterial drugs. Medicines are prescribed to be taken orally or vaginally. Medicines not only help to populate the intestines with the right microorganisms, but also increase the body's defenses. How to treat ureaplasmosis with probiotics?

With this disease, the following tablets are prescribed for ureaplasma: Biovestin, Bifidumbacterin, Probiform. Also prescribed vaginal capsules. Consider how to take the drug in tablets, for example, Biovestin.

The daily dosage of Biovestin for adults is 12 ml of the drug. The drug does not cause side effects, has one contraindication - individual intolerance to milk protein. The use of medication for ureaplasmosis depends on the course of the disease. Usually the course of drug treatment is 2-4 weeks, in severe cases 2-3 months.

Bifidumbacterin is taken 2 (10 doses) sachets 3-4 times a day. The recommended course of treatment is 4 weeks. A month later, therapy should be repeated. The drug is well tolerated by adults and children, there are no reports of side effects. Bifidumbacterin is not prescribed for lactose deficiency and hypersensitivity to the components of the drug.

Remember! The use of any medication is contraindicated in patients who have not come to consult a doctor. Incorrect use of drugs can lead to unwanted side effects.

Use of suppositories: sanitation of the vagina

Sanitation of the vaginal microflora is carried out using vaginal suppositories, including antibacterial, antifungal or immunomodulatory agents. Vagilak belongs to immunomodulatory suppositories. Vagilak vaginal capsules contain bacteria that are beneficial for the vaginal microflora. The drug is able to slow down the growth of pathogenic microorganisms. For the treatment of ureaplasmosis, 1 capsule of the drug is prescribed at night. The use of the drug begins on the 5th day after antibiotic therapy. The duration of immunostimulating therapy is 10 days.

Suppositories with antimicrobial ingredients are used to reduce dangerous microorganisms. Usually drugs are used in which Chlorhexidine is present. Enough 1 candle per day. The duration of the course of treatment is 1-2 weeks.

If necessary, the doctor prescribes antifungal medicines. The best representative of this group of drugs is Diflucan. In the treatment of ureaplasma, Diflucan effectively inhibits the synthesis of styrenes in fungal cells. The daily dosage of the drug is calculated based on the severity of the pathology.

Genferon candles have proven themselves well. Suppositories have antiviral, immunomodulatory and antibacterial effects. It is better to use only one drug that has a local and systemic effect than, for example, first Chlorhexidine, and later Vagilak. Genferon is much more convenient in terms of use, the drug is allowed to be used during pregnancy. Suppositories are inserted into the vagina 1 piece twice a day. The duration of the course of treatment is 10 days. With a pronounced inflammatory process, the medication is taken intravaginally in the morning and 1 suppository rectally at night.

What should pregnant women do?

How to cure ureaplasma in women in position and is it necessary to carry out therapy? Treatment of the disease in pregnant women should be mandatory. Many doctors recommend starting therapy after childbirth. However, medications should be taken during gestation. Lack of treatment leads to miscarriage, premature birth, the spread of infection into the uterine cavity and, in the future, infection of the crumbs.

Therapeutic measures for pregnant women with ureaplasma should be started if there are obvious signs of the disease, confirmation of the presence of the pathology by diagnostic methods. Timely treatment will protect the child from the formation of the disease.

With ureaplasmosis, how to cure a pregnant woman? Scheme of therapy for a woman in position:

• Vilprafen is taken within 10-14 days. Drink the medicine should be 0.5 g three times a day. The drug is drunk between meals. Attending physicians recommend starting treatment with Vilprafen from 20-22 weeks. During this period, the fetus is formed, the drug will not harm the baby.
• After antibacterial treatment of ureaplasmosis, the use of medications used to increase the number of bifidobacteria and lactobacilli is prescribed.

A pregnant woman must take a course of vitamin therapy. During the period of treatment, tests should be taken 3 times.Re-diagnosis of the disease is necessary to exclude the possibility of re-infection, as well as to confirm that the symptoms began to disappear with ureaplasma, and the treatment helped.

Preventive measures

Ureaplasmas are almost always detected simultaneously with mycoplasmas and chlamydia. Therefore, the treatment is carried out with medicines to which all of the listed microorganisms are sensitive. To avoid re-infection, preventive measures should be taken. These include:

• abstinence from unprotected sex;
• examination by a gynecologist every six months;
• maintaining general immunity.

Women should follow the rules of intimate hygiene. To protect yourself, you should take a shower 2 times a day, treat pathologies such as thrush, vaginosis in a timely manner. It is important to lead a healthy lifestyle, go to the gym several times a week or go jogging.

Diet and lifestyle recommendations

It is recommended to lead a correct lifestyle. This is not the privilege of medical professionals, it is important for a woman's health. The right way of life is to stop smoking, drinking alcoholic beverages. Alcohol and spices can reduce the effectiveness of treatment, do not take risks.

With ureaplasma, it is allowed to consume yogurt and goat's milk. It is advisable to switch to lean meat, for example, chicken breast, turkey, young beef. Be sure the patient's diet should contain fish at least 2-3 times a week, liver, soups and homemade sauces. For the duration of therapy, it is recommended to abandon restaurants, cafes and various establishments where you can have a quick and tasty meal. Honey and nuts are allowed to be consumed daily. It is acceptable to use coffee, dark chocolate, however, in limited quantities.

Proper nutrition excludes the use of such products: pork fat, fatty, fried, smoked, homemade or purchased marinades, fast food, sweet, floury, salty. These products do not fight infection. The body needs strength and a balanced diet to be able to fight ureaplasma. Try to consume freshly squeezed juices, fruits and vegetables. Eat 4-5 times a day. The selected products should contain proteins, vitamins, carbohydrates, essential trace elements. If the doctor has not told you about dietary nutrition, ask him yourself. Diet is part of a comprehensive treatment, without which it will not be possible to achieve the desired result.