Do I need to treat ureaplasma? Ureaplasma in women: symptoms and treatment

Many are interested in whether ureaplasma should be treated. This is a disease of an infectious nature that affects the genitourinary system. Pathology has a bacterial nature and arises as a result of the activity of ureaplasma, which refers to opportunistic microorganisms. That is, ureaplasma can exist in the human body, without causing any inconvenience.

Normal coexistence can continue until certain provoking factors arise, for example, a decrease in protective functions, artificial termination of pregnancy, unsuccessful use of intravaginal contraceptives, common common diseases, and normal menstruation.

What it is?

Ureaplasma is a special type of microbe, which in its size and properties takes place between viruses and protozoa. These bacteria easily penetrate into the cells of the genitourinary system and begin to multiply there.

Many are interested in whether ureaplasma should be treated in women, because it occurs most often without symptoms.

Ureaplasma refers to opportunistic microbes, as it can be found in approximately 60% of women who are clinically healthy. Her treatment in women is not required if it does not cause the appearance of unpleasant symptoms. Otherwise, therapy should begin immediately.

We will examine in more detail whether it is necessary to treat ureaplasma.

Development reasons

The cause of the development of the disease is the direct penetration into the body of a pathogenic agent - ureaplasma, which can quickly penetrate the integumentary epithelium, leukocytes. The microorganism can persist in the cells for a very long time.

The manifestation of infection can trigger the following factors:

1. Change in the hormonal background: abortion, childbirth, menstruation.
2. Any condition that can cause a decrease in immunity.
3. The probability of penetration of pathogenic flora into the body increases several times with frequent changes in sexual partners.
4. Manipulation of the urinary and genital organs6 removal from the uterus or the establishment of a spiral, surgical treatment of pathologies of the genital area in women (removal of cysts, warts, cauterization of erosion), manipulations on the urinary organs (cystography, cystoscopy, catheterization).
   

For a long time, pathology can occur in an asymptomatic form, and clinical manifestations occur only at a late stage, when irreversible consequences occur in the body. In this case, a woman may form adhesions in the pelvis, which can provoke an ectopic pregnancy, infertility.

Symptoms and treatment of ureaplasma in women will be described below.

Classification

Currently, it is customary to classify ureaplasmosis in women into:

1. Realisticum.
2. Parvum.

These two types of ureaplasmosis can be combined into a general group - ureaplasma special. It is necessary to identify what form the infection has, since it most often combines with other pathologies.

Is it necessary to treat ureaplasma parvum?

If a woman has this form of pathology, then her therapy is not required, since these microorganisms can normally be present in the flora of the genitourinary system. Medical therapy is necessary when the number of microorganisms exceeds the norm several times. Such a violation threatens the development of the inflammation process.

Is it necessary to treat ureaplasma with urealiticum? This is a unique representative of human microflora, occupying an intermediate position between viruses and bacteria. It has less pathogenic properties than parvum.

Symptomatology

Symptoms of pathology in women in some cases are detected by chance during the diagnosis of other diseases. In other circumstances, it is not difficult to recognize the symptoms of ureaplasma. The main ones are:

1. The appearance of painful sensations, which, as a rule, are localized in the lower abdomen, are of a cutting type. In such cases, the likelihood of developing complications in the uterus and appendages is high.
2. Vaginal discharge. The intensity of the allocation is usually scarce, color and odorless. If the infection started the process of inflammation, the discharge may acquire a yellowish or greenish color and a pungent odor.
3. Discomfort during sexual intercourse. Moreover, discomfort not only appears during sexual intercourse, but also persists after it.
4. Impaired urination. The urge to urinate when infected with ureaplasma increases, accompanied by burning, pain, pain.
5. Falseangina. In the case when the infection occurs during oral sex, there are signs that are characteristic of a sore throat: plaque appears on the tonsils, swallowing is difficult, and pain in the nasopharynx develops.

It is necessary to treat ureaplasma even if it does not cause pain and discomfort. Timely appeal to the gynecologist pisolite to avoid further infection, prevent the development of complications, among which chronic ureaplasmosis, which requires complex and lengthy therapy.

Whether ureaplasma should be treated, everyone should know.

Diagnostics

Diagnose an ailment in the following ways:

1. A serological method that can detect antibodies. Such a diagnostic method is prescribed in order to identify the causes of infertility, miscarriage, and inflammatory diseases after delivery.
2. Molecular biological method. Such a diagnostic method allows us to determine whether ureaplasma is present in the test sample. However, this method does not allow to obtain quantitative characteristics.
3. Cultural (bacteriological) method. Such diagnostics are based on the cultivation of microorganisms in an artificial nutrient medium. For research, you need to take a smear from the vaginal fornix or urethral mucosa. This research method allows to obtain quantitative characteristics, that is, to determine the amount of ureaplasmas necessary for the development of pathology. The bacteriological method is considered to be decisive in the diagnosis and determination of the necessary treatment regimen for the disease.

Pregnancy and pathology

Do I need to treat ureaplasma before pregnancy?

The first thing a woman planning a motherhood needs to do is to undergo an examination and take tests for the presence of ureaplasma. There is a similar need for several reasons at once. Firstly, if even a small amount of ureaplasmas is present in the female body, they will activate during pregnancy, as a result of which ureaplasmosis can be expected.

Secondly, the treatment of ureaplasmosis in early pregnancy is strictly prohibited, since the antibiotics used in the treatment of pathology can negatively affect the growth and proper development of the fetus. Accordingly, it is recommended to identify the presence of pathology in advance, before pregnancy occurs, and, if necessary, conduct therapy. Ureaplasmosis also poses a danger because during childbirth the disease can be transmitted through the birth canal to the baby. If a woman was infected during pregnancy, she should definitely consult a gynecologist and clarify the diagnosis.

In order to prevent infection of the child during childbirth, postpartum infection of the mother’s blood, reduce the likelihood of premature delivery, early miscarriage, a pregnant woman infected with ureaplasma should undergo therapy with antibacterial drugs after the twenty-second week of pregnancy. Select medication should be a specialist. In parallel with antibiotics, doctors recommend taking drugs that increase immunity to reduce the likelihood of relapse.

Do I need to treat ureaplasma, if there are no symptoms, the doctor will tell you.

Effects

Due to the fact that in the early stages ureaplasmosis is asymptomatic, a woman, as a rule, consult a doctor only when complications arose. Among them:

1. Vaginosis. It is a complication that causes pain and discomfort during intercourse.
2. Cystitis (an inflammatory process that affects the bladder), chronic urethritis (chronic inflammation of the urethra). They are the result of climbing infections.
3. Ascending pyelonephritis. It develops if the infection goes back to the kidneys.
4. Adnexitis. It is a process of inflammation that affects the uterine appendages (ligaments, fallopian tubes, ovaries).
5. Menstrual irregularities.
6. Oophorit. An inflammatory process that develops in the ovaries.
7. Secondary infertility, resulting from prolonged inflammation in the fallopian tubes, uterine neck. Even with adequate treatment of ureaplasma, there is a risk of obstruction of the fallopian tubes.

In addition, ureaplasma can damage the structure and membrane of the egg, as a result of which it becomes impossible to conceive a child.

Symptoms and treatment of ureaplasma in women are interrelated.

Therapy

Effective treatment of the disease is a long process that requires perseverance and patience from a woman. This is due to the inability to eliminate ureaplasmas with a short therapeutic course. It is also necessary that in the process of therapy a woman follows the recommendations of a specialist regarding lifestyle and diet.

Specialists recommend complex therapy to women infected with ureaplasmosis, which includes:

1. Sanitation of the vagina.
2. The use of immunostimulating drugs.
3. The use of antibacterial drugs.
4. Vitamin Therapy.
5. The use of enzymatic agents that have anti-inflammatory effects.
6. Local and oral administration of probiotics to restore normal microflora.
7. Physiotherapeutic procedures. Most often, gynecologists recommend a course of electrophoresis or magnetotherapy. Gynecological massage, mud therapy, intravenous laser irradiation of blood are also effective.
   

What drugs to treat ureaplasma?

Antibiotic therapy

Treatment of ureaplasmosis is possible only with the use of antibiotics. The most commonly used drugs are:

1. Macrolides, which include "Azithromycin", "Sumamed."
2. Tetracyclines, including Unidox, Doxycycline.
3. Fluoroquinolones. The most effective drug in this group is Avelox.

It is important to note that with mild inflammation, only one antibacterial agent is used. If the disease is complicated, then antibiotics are prescribed in tandem, for example, alternating tetracyclines and macrolides.

Probiotics for ureaplasmosis

In order to avoid the development of candidiasis, antibiotic therapy should be supplemented with the use of probiotics - drugs saturated with beneficial microorganisms that make up healthy microflora or contribute to its recovery.

The most effective modern probiotics are considered to be: "Biovestin", "Narine", "Linex", "Lactobacterin", "Bifidumbacterin", "Lactovit".

With ureaplasmosis in a subacute form, it is recommended to supplement the therapy with antibiotics intended for topical use: suppositories, douching, vaginal tablets.

Is it necessary to treat ureaplasma 10 to 4 degrees? Such a pathology means the physiological concentration of ureaplasma parasites in the human body, and this level indicates that the possibility of the development of inflammatory processes is not excluded.

This degree implies treatment. However, some doctors believe that therapy in this case is inappropriate, and if patients do not have negative symptoms, then it can be abandoned.

Prevention

Preventive measures to prevent the development of pathology are as follows:

1. It is necessary to use barrier contraception.
2. You should refrain from accidental sexual contact with different partners.
3. It is important to strictly observe the rules of intimate hygiene.
4. It is recommended to constantly maintain immunity with a healthy diet, vitamins, and hardening.
5. If ureaplasmosis is detected, both partners should undergo therapy.

It is important to remember that the disease in the initial stages of its development is asymptomatic, therefore, it is necessary to undergo preventive examinations by a gynecologist.

Now it became clear whether ureaplasma should be treated.