Is ureaplasmosis treated in women. Treatment of ureaplasma: how to treat and how to quickly cure? Mycoplasmosis and ureaplasmosis are the same

Ureaplasma in women is capable of not manifesting itself for many years, being part of the normal microflora of the vagina. And only as a result of exposure to some adverse factors causes inflammation of the genital organs and urinary system. Its treatment is impossible without antibiotics, and for a long time. And antibiotics are known to cause serious disorders in the body. For this reason, the question arises: is it necessary to get rid of this bacterium at all if it does not cause any concern?

• abnormal discharge from the vagina;
• pain and pulling sensation in the lower abdomen;
• itching and burning of the vagina and external genitalia.

This may indicate not only that there is a ureaplasma disease, but also about others. Such as gardnerella, thrush, chlamydia, mycoplasma. An accurate diagnosis allows you to put a smear from the vagina on the microflora, as well as some other studies.

Causes

Ureaplasma parvum, like the second variety, is sexually transmitted. There is no reliable information about the contact-household method. In addition, there is a vertical transmission path. What does it mean?

If a woman has a positive test for the presence of this microorganism, then transmission from her to her child during pregnancy and childbirth is possible.

1. Various types of ailments and conditions in which immunity is weakened.
2. Hormonal fluctuations, including menstruation. It provokes ureaplasma and pregnancy.
3. Frequent promiscuity, change of sexual partners.
4. Various types of manipulations performed on the organs of the genitourinary system, in the treatment, diagnosis, abortion, etc.
5. And also to provoke the growth of ureaplasma is capable of a state of general overwork, beriberi, severe stress.

To treat or not to treat?

Most often, the presence of ureaplasma in the body is detected when a woman comes to see a doctor with complaints of any gynecological or urological problems. However, it can also be detected in a healthy patient. The attitude of doctors in our country to this microorganism is twofold. Some offer to treat her, even if she does not manifest herself in any way. Others attribute it to the conditionally pathogenic flora and postpone the cure until the need arises.

In many other countries, it is believed that there is no need to treat ureaplasma in women at all.

Therefore, until now it is impossible to give an exact answer whether it is worth treating ureaplasma, or it is high time to accept it as a permissible deviation from the norm. On the one hand, the penetration of the microorganism occurs sexually, which means that it is possible to infect a partner. On the other hand, if the partner is permanent, both have and are not at all worried about ureaplasma, is it necessary to treat it?

There is even a myth (or is it true?) that the need to treat ureaplasma is nothing more than a commercial medical move, an attempt to make money. Like it or not, specialists will have to figure it out in the future.
It should be said that it is imperative to treat ureaplasmosis, a condition in which there are too many pathogens and they have a negative impact on human health. But whether it is necessary to treat ureaplasma, the doctor determines in each case based on the situation and characteristics of the body.

Situations when treatment is needed

There are circumstances when ureaplasma is treated without fail, at least in our country:

1. Preparations are underway for any complex surgical intervention in the body.
2. Infertility has been diagnosed or there are problems with bearing a fetus.
3. Abortions or miscarriages often occur.
4. There are serious chronic diseases of the female genital area.
5. Preparing for a planned pregnancy.
6. There are failures and violations of the menstrual cycle.

It is generally accepted that if the analysis revealed the presence of a bacterium in an amount of less than 10 to the 4th degree, then nothing can be done with it, since it is long and difficult to treat ureaplasma. If the indicator is higher, you will have to take action.
It happens that this microorganism is adjacent to others, for example, chlamydia. In this case, you need to determine whether the "companion" is being treated on its own, or you will have to get rid of it along with ureaplasma. Such situations occur in women who are sexually promiscuous and neglect barrier contraceptives. Very often different types of STDs (sexually transmitted diseases) are combined with each other.
Most STDs also affect urinary tract diseases. In this case, both the treatment of ureaplasma and associated pathologies are also shown.

How is the treatment carried out

Before treating ureaplasma in women, the doctor must determine at what stage the disease is. Acute - that is, ureaplasmosis, or chronic, when the pathogen simply lives in the body.
How to cure ureaplasmosis? This requires "provocation", that is, methods in which microorganisms leave the cells and find themselves in the intercellular space. In this state, they are vulnerable and can be destroyed with antibiotics. The course of antibiotic therapy is often long. How long to take drugs and which ones the doctor decides in each case.

Antibiotics should be combined with probiotics to avoid disturbing the microflora.

In addition, therapy is aimed at relieving symptoms. Anti-inflammatory, immunomodulating drugs, vitamin complexes, physiotherapy and other methods are prescribed.
If ureaplasma DNA is found, that is, the presence, it is important to determine the places of its localization. Treatment depends on them. So, if microorganisms are concentrated in the vagina, antibacterial suppositories may be enough. And if on the cervix - the means will be different.

Alternative methods are capable of alleviating the manifestations of ureaplasmosis - for example, douching with anti-inflammatory herbs.
It is important to prevent secondary infection. That is why therapy is assigned to both partners. In addition, it is necessary to avoid sexual intercourse until complete healing. All treatment should be under the close supervision of a physician.

What to do during pregnancy and its planning

The compatibility of ureaplasma and pregnancy deserves special attention. More precisely, incompatibility. Planning for pregnancy is the period in which it is necessary to get rid of ureaplasma. And there are several reasons for this:

• During childbearing, the level of sex hormones increases. Their growth leads to the growth of ureaplasma, and pregnancy is at risk.
• Ureaplasma can cause such unpleasant consequences as miscarriage, miscarriage, endometriosis and other pathologies. The risk of getting an ectopic pregnancy is also high.
• Antibiotics should not be taken during pregnancy, especially in the early stages. At the same time, ureaplasmosis has the maximum effect on the fetus.
• During childbirth, the microorganism infects the baby.

If it happened, the woman has ureaplasma, and suddenly the pregnancy arose unplanned, then a course of antibiotics is prescribed after 22 weeks of gestation. Together with this, measures are taken to increase the body's defenses. However, any intervention is dangerous for the embryo, so we can say with confidence that it is better to avoid the joint flow of ureaplasma and pregnancy.

Prevention

Prevention is important both to prevent infection and to ensure that the bacterium already in the body does not bother its owner for as long as possible, so that it does not have to resort to treatment.

You can prevent infection in the same way as you can avoid any other STDs. That is, avoid casual sexual intercourse, use barrier contraception, and best of all, have a sexual life with only one proven partner.

It is important to maintain good overall health and lead a healthy lifestyle. Everyone knows what it is. Adequate sleep, a balanced diet rich in vitamins and minerals, moderate physical activity, fresh air, no bad habits, avoidance of stress. All this will help maintain the body's defenses and increase immunity. This means that not only ureaplasma, but also many other diseases will not be terrible.

A healthy lifestyle will help curb the growth of pathogenic microflora.

In addition, when treated with antibiotics, these measures will support the body and reduce the risk of unwanted consequences. And let only a photo of this microorganism taken under a microscope remind of the once existing ureaplasma!

Ureaplasmosis is one of the most common bacterial sexually transmitted diseases. Due to anatomical features, the disease is more often diagnosed in the fair sex, men suffer from it 2 times less often. If ureaplasma is diagnosed, treatment must be started immediately, because in the absence of therapy, pathology can lead to the development of severe complications, up to damage to the urinary system and infertility.

Before being interested in how to treat ureaplasmosis, you need to figure out what the disease is and why it appears. If you do not find out what is the primary source of the disease and do not eliminate it, the therapy will give a short-term effect, after which the disease will again make itself felt.

Ureaplasmas urealiticum are tiny microorganisms that are localized in the mucous tissues of the genital organs and in the area of ​​the urinary canal (in rare cases, ureaplasmosis of the throat occurs). The human body is an ideal environment for the life and reproduction of the pathogen.

Numerous clinical studies have confirmed that harmful organisms enter the body exclusively during sexual contact; When the number of microbes becomes excessive, the person begins to show specific symptoms of the disease.

The most common symptom of a lesion is an inflammatory process in various parts of the genitourinary system.

In the absence of treatment against the background of the disease, comorbidities, such as chlamydia, may develop. If a woman is diagnosed with ureaplasma, treatment is selected taking into account the type of pathology, as well as the presence of concomitant diseases. As medical practice shows, the disease is often accompanied by urethritis, colpitis, salpingitis.

In international medicine, the following types of ureaplasmosis are distinguished:

• early. At this stage, the symptoms of the disease are mild and practically do not cause discomfort, especially if the disease passes in a sluggish form. The situation is different in the acute form of diseases, when the signs of the disease are more pronounced;
• chronic. The disease passes into the chronic stage 2-3 months after the pathogen enters the body (in the absence of treatment). For the chronic form of pathology, the manifestation of symptoms is unusual.

As medical practice shows, the disease often becomes chronic or worsens due to the negative effects of stress.

Due to the fact that the disease is often asymptomatic, many women do not know about it, pathology is detected only in the course of third-party studies. In the stronger sex, the disease manifests itself much earlier, so men seek professional help at an early stage of the disease.

Symptoms

Due to the fact that the symptoms of ureaplasma are similar to other infectious diseases (for example, gardnerellosis), many men and women often confuse it with other diseases.

The first signs of damage make themselves felt no earlier than 2-4 weeks after infection, more often they are found in men. In the fair sex, the pathology can be subtle or hidden, which is why it is often found in a neglected state.

Signs of the disease in men:

• the appearance of pain when emptying the bladder;
• cloudy discharge during urination;
• pain in the scrotum;
• itching and burning sensation.

In women, the disease manifests itself in a similar way:

• the appearance of slight discharge from the vagina, having a transparent hue (more often in the morning);
• frequent urge to go to the toilet;
• burning during urination;
• the occurrence of sharp pain in the lower abdomen (with inflammation in the uterus);
• pain during intercourse.

If most of these symptoms appear, you should immediately consult a doctor. Given the symptoms and individual characteristics of the body, the doctor will tell you how to treat ureaplasma in a particular case.

In medical practice, there were also cases when the disease went away on its own, without drug therapy. But such an outcome can only be expected if ureaplasmosis occurs in a mild form.

The danger of ureaplasma lies in the fact that the disease can again make itself felt when the immune system is weakened. Therefore, the patient will have to constantly monitor the state of the immune system.

It is possible to establish what provoked the onset of the pathology on your own, since the disease occurs due to the following reasons:

1. Conducting a promiscuous sexual life. In 85% of cases, the disease is the result of unprotected intercourse.
2. Decreased immune defenses.
3. Inflammatory process in the genitourinary system due to unprotected intercourse.
4. Too early onset of sexual activity.
5. Ignoring the rules of intimate hygiene.
6. In rare cases, the disease can be transmitted by household means (visiting baths, saunas and swimming pools).

Long-term use of antibacterial drugs or hormonal agents can also provoke latent ureaplasmosis.

Doctors warn that ureaplasmosis is present in almost all people who are promiscuous. If pathogenic bacteria are present in the body in a small amount, the symptoms of the disease will be completely absent and will make themselves felt only with an increase in ureaplasma.

Treatment Methods

If the doctor assumes the presence of ureaplasmosis, the patient is prescribed a test. A venereologist can choose a competent treatment regimen only after identifying the overall clinical picture.

You need to start taking medications to get rid of ureaplasmosis and mycoplasmosis immediately, otherwise the lesion will become chronic.

Which tablets from ureaplasma will be prescribed depends on the individual characteristics of the patient and the presence of concomitant diseases. When choosing drugs, the physician must take into account the predisposition to allergic reactions and the presence of intolerance to certain components.

To get rid of ureaplasmosis, most doctors prescribe several drugs at once. If therapy is carried out only with antibiotics, there is an increased likelihood of relapse.

The following drugs for ureaplasma are most often prescribed:

• antifungal agents;
• antibiotics;
• immunomodulators;
• anti-inflammatory drugs for topical use;
• antiprotozoal drugs;
• multivitamins to strengthen the immune system.

During the course of treatment, the patient must adhere to medical recommendations, as well as refrain from sexual intercourse. Another important condition is that the sexual partner will also have to take drugs from ureaplasma.

Only if these rules are observed, you can count on getting rid of the disease and the absence of complications.

In most cases, the course of therapy lasts for 2 weeks. Treatment can be delayed only if the disease has passed into the chronic stage or due to third-party ailments in the patient.

Despite the fact that many antibiotics for ureaplasma are sold without a prescription, it is absolutely impossible to prescribe them to yourself, since such therapy can lead to the development of undesirable consequences.

If the disease is detected at an early stage, the doctor may prescribe only one antibiotic for treatment. Josamycin-based agents have proven themselves best for the treatment of pathology. Depending on the general condition, the patient may be prescribed Trichopolum, Unidox Solutab or Vilpfaren. It must be remembered that ureaplasmosis is very sensitive to Azithromycin and Clarithromycin. If the patient takes these drugs, the effectiveness of therapy may be reduced to 85%.

If the prescribed treatment regimen does not bring positive results, the doctor prescribes funds that give a 100% guarantee of the patient's recovery. It should be borne in mind that such drugs are very active and often lead to side effects, so it is recommended to take them only in extreme cases.

The list of the most effective drugs for ureaplasma includes:

1. Doxycycline. The patient is prescribed to take one tablet in the morning and evening. The duration of the course of treatment is 7 days.
2. Minoleksin. Reception is carried out on one capsule twice a day. The therapy lasts for 7 days.
3. Sumamed. The medication is taken once a day, one hour before meals. A single dose of the drug is 4 tablets.
4. Azithromycin (0.5 g.). To get rid of ureaplasmosis, you need to take 1 tablet in the morning and evening.

In order for the therapy to be as effective as possible, the patient may also be prescribed the use of vaginal and rectal suppositories (in rare cases, injections are prescribed):

1. Genferon. The drug has a pronounced antiviral and antimicrobial effect, which has a positive effect on the state of the immune system. Candles are recommended to use for 10 days.
2. Terzhinan. The product has an antimicrobial and antiseptic effect, contributes to the restoration of microflora. Candles with this name are inserted into the vagina once a day, the duration of therapy is 10 days.
3. Panavir. Candles of complex action, which are often prescribed as an addition to the main therapy. You need to use candles for 5 days, one piece in the morning and in the evening.

As ancillary drugs, patients are also often prescribed Cycloferon and Acyclovir. These antiviral agents are effective, as they find pathogens and destroy them, which has a positive effect.

How to cure ureaplasma, the venereologist will say. The list of drugs is selected individually for each patient, just like the dosage and duration of treatment. To evaluate the effectiveness of therapy, 2-3 weeks after the start of the course, the patient needs to be re-tested.

If ureaplasmosis is diagnosed during pregnancy, the lesion can lead to various pathologies and adversely affect the condition of the fetus. But since ureaplasmosis, like any other infectious disease, is treated only with antibiotics, and taking them is completely harmful to the child, therapy is often postponed until 20-22 weeks of pregnancy. By this time, most of the internal organs of the baby will be formed, so the risk to the unborn child will be minimal.

If ureaplasmosis is still found in a woman in position, gynecologists do not advise to carry out harsh treatment, but to use more gentle means. Douching, the use of baths based on herbal decoctions, as well as regular washing with antiseptic agents will help to cope with the pathology.

Similar methods are used as adjuvant therapy to such medicines:

1. Lactusan.
2. Colibacterin.

In large cities of Russia, the price of these drugs varies between 250-570 rubles, which makes them affordable for most of the population. These funds are also allowed to be used only after the approval of the doctor. To minimize the risk of side effects for yourself and for the baby, therapy should be carried out strictly following medical recommendations.

If the baby is breastfeeding, taking antibiotics during this period is highly undesirable, since the active components of antibiotics, along with mother's milk, can be transmitted to the baby.

During lactation, doctors also prescribe gentle drugs. But if the disease progresses and antibiotics are needed, the woman will have to stop breastfeeding and transfer the baby to formula milk.

Folk methods of treatment

Modern medicine allows the use of folk methods to combat this disease. But venereologists warn patients that if home therapy is carried out using folk recipes, treatment may take several months. Also in such cases, the risk of relapse cannot be ruled out.

Folk healers advise patients to eat 4 cloves of garlic a day for a month. Garlic has antiviral and antimicrobial effects, so it will help to overcome pathogenic bacteria. The consumption of an infusion based on the spool will help to cope with the infection.

In specialized forums, such methods of treatment have the greatest number of positive reviews. More than 65% of patients who have tried them claim that they managed to get rid of the disease and at the same time they did not resort to the help of modern pharmaceuticals.

After the patient manages to get rid of the disease, it is necessary to monitor their health and strengthen the immune system, otherwise the pathology may remind itself again.

As a preventive measure, doctors advise following these recommendations:

• at least 2 times a year it is required to drink a course of multivitamins;
• take drugs to maintain liver health;
• it is required to observe the regime of the day, and do not forget to fully rest and eat.

And, of course, the most important criterion is the rejection of promiscuity.

Despite the fact that today it is not difficult to get rid of ureaplasmosis, at the first signs of pathology, you must immediately go to a venereologist. In the absence of timely treatment, the disease will progress and become chronic, which will negatively affect the quality of later life.

Andrey Viktorovich Zhuravlev

Candidate of Medical Sciences, doctor of the highest category

Ureaplasma - the causative agent of ureaplasmosis

Ureaplasmosis is an inflammatory disease of the genitourinary system.

Previously, the process was referred to as sexually transmitted infections.

The disease is caused by ureaplasma (Ureaplasma urealyticum) - a single-celled organism.

If at least one of the results is positive (above 10 to the 4th degree), the therapy of the disease will have to be repeated.

If a woman has been diagnosed with ureaplasmosis, then her partner also needs to be diagnosed and treated before planning a pregnancy.

It is important to remember that other sexually transmitted infections can also join ureaplasmosis. They must all be cured by the time pregnancy occurs in order for the fetus to develop properly and be born at term.

How soon after the treatment of the disease should I take tests?

After the patient has drunk all the drugs, the control period begins. It lasts about 3 months.

The most accurate way to find out if the pathogen has remained on the mucous membranes is the cultural method (inoculation of biological material on nutrient media).

The material is a scraping from the urethra or vagina. In women, it is taken a couple of days before the onset of menstruation.

This method can be used no earlier than 2-3 weeks from the last day of treatment. You need to repeat the analysis at least 2 times.

You can also use PCR (polymerase chain reaction). The method determines the presence of ureaplasma DNA in a mucosal smear. The analysis should be repeated at least 2-3 times (for women - three menstrual cycles).

When can I have sex after ureplasmosis treatment?

Ureaplasmosis is sexually transmitted. Therefore, if one partner is diagnosed with it, then the second one must also be tested. Very often two partners have to be treated.

At the time of treatment, sexual intercourse is prohibited to avoid reinfection - re-infection. It is also necessary to exclude sex during the control period (2-3 months). This is a fairly long period, and not everyone will agree with such recommendations.

Because ureaplasma does not penetrate through a condom, then (after the permission of the doctor) sexual intercourse using a barrier method of contraception is acceptable. During intercourse, a man should be very careful not to damage the condom.

Oral-genital contact is best avoided altogether.

Is it possible to have sex during ureaplasmosis?

Because the disease is transmitted by contact, then having sex, you can infect your partner.

It is believed that ureaplasmosis is not transmitted through a condom, therefore, in extreme cases, you can use a barrier method of contraception.

But still there is a certain risk, because. the condom may break or slip during intercourse.

You can masturbate with ureaplasmosis.

The bacterium lives only on the mucous membranes, and will not multiply on human skin.

What is the result?

Ureplasmosis is an infectious disease. The process is transmitted from one person to another through sexual contact. To avoid the spread of infection, ureaplasmosis must be treated. If one of the partners has ureaplasmosis, the other should also be examined.

Drugs, their dosage and method of application for the treatment of ureaplasmosis are selected by the doctor individually for each patient. Do not self-medicate!

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

Ureaplasma in women is part of the vaginal microflora, so 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 opportunistic microbe causes, and then treatment is necessary. If microorganisms “doze” in the body, which is not manifested by unpleasant symptoms, then it is not always necessary to take medication.

Ways of transmission of infection

When a woman who trusts her sexual partner takes tests, she is extremely surprised if she sees that ureaplasma is present in the body. It begins to seem to her that the man is cheating, that it was he who infected her. Pregnant women begin to panic especially, in whom a “clean” smear gave similar results. But you need to listen carefully and be treated according to the scheme prescribed by the doctor.

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, it is part of the microflora. The disease can worsen if a person has had 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, and not to worry about various reasons.

Such an answer to the question of whether ureaplasmosis can be cured does not mean at all that it is impossible to get rid of ureaplasma once and for all, then even with poor analyzes, you should not get rid of the inflammatory process. Thinking 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 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 women's problems and will not affect them in any way, their health will not worsen. However, all this is not so.

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;
• problems with reproductive function - the inability to become 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.

Wrong treatment regimens

Sometimes patients cannot be completely cured, because the doctor diagnoses a 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. These are fatigue, abdominal pain, urinary incontinence.

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.

Exacerbation in women is manifested:

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

Accurate diagnosis and complex therapy

Material for it is necessary to take 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 patients got rid of the disease, the analysis must also be passed after, but at least 2 weeks after the end of therapy.

Pathology is cured if you build a competent complex scheme with the necessary drugs for oral administration in a particular case, vitamin therapy, and other ways to strengthen 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 one drug with another. At the same time, you can not drink alcohol, have sex, even with barrier contraceptives.