Ureaplasma In Women - Causes, Manifestations Of The Disease And Treatment Regimen

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Ureaplasma In Women - Causes, Manifestations Of The Disease And Treatment Regimen
Ureaplasma In Women - Causes, Manifestations Of The Disease And Treatment Regimen

Video: Ureaplasma In Women - Causes, Manifestations Of The Disease And Treatment Regimen

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Video: Ureaplasma Infection *what you need to consider* 2023, February
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Ureaplasma is a conditionally pathogenic bacterium that can cause the development of an inflammatory disease of the genital organs. Most often, ureaplasmosis is diagnosed in women, when, in the presence of inflammation, no other infection has been identified. The disease often proceeds in a latent form and is not always detected on time. But without treatment, the inflammation can spread and cause serious complications.

Content

  1. What is ureaplasma
  2. Reasons for the appearance
  3. Symptoms and diagnosis of the disease
  4. Drugs for treatment
  5. Is it necessary to treat ureaplasma
  6. Consequences of ureaplasmosis

What is ureaplasma

The causative agent of the disease is the smallest bacteria of the ureaplasma. They are conditionally pathogenic, that is, they cause inflammation only under certain conditions. These bacteria lack a cell wall and are more likely to be parasites, as they attach to cells, penetrate into them and destroy immunoglobulin. This leads to the development of the inflammatory process.

But not always, if there is ureaplasma in the microflora of the vagina, inflammation appears. These bacteria are present in the body of more than half of healthy women. These are indicators of the norm, since with strong immunity and the absence of another infection, ureaplasmas do not show activity. In many women, the bacteria may be active but do not cause inflammation.

Research by scientists has determined that there are more than a dozen types, but not all types of ureaplasma are dangerous to health. Only ureaplasma pervum and urealiticum T 960 can cause inflammation. According to this criterion, three types of ureaplasmosis in women are distinguished:

  • carriage - this means that bacteria are present in the vagina, but do not cause inflammation;
  • acute ureaplasmosis is rare, characterized by pronounced symptoms of urinary tract damage and general intoxication;
  • chronic ureaplasmosis in women is often found, when inflammation appears periodically in the presence of provoking factors.

Reasons for the appearance

This microorganism can enter a woman's body in different ways. In 90% of cases, infection occurs through sexual contact, sometimes the mother can infect the baby during childbirth. It is controversial whether a woman can infect a woman with ureaplasma. Theoretically, there is a household transmission route, for example, when using only linen, towels. But the risk is minimal.

Once the bacteria enters the body, it does not necessarily begin to multiply and cause inflammation. This requires certain conditions. Ureaplasma becomes a pathogenic bacterium and causes disease in such cases:

  • in case of hormonal imbalance, for example, during pregnancy or menopause;
  • decreased immunity;
  • the presence in the body of other infectious diseases, gonococci, chlamydia, herpes;
  • violation of the microflora of the vagina;
  • with prolonged use of antibiotics;
  • after abortion, surgery, invasive diagnostic procedures on the genitals;
  • with frequent change of sexual partners and unprotected sex;
  • with an early onset of sexual activity, because in girls the vaginal microflora is still imperfect.

Symptoms and diagnosis of the disease

The disease does not appear immediately after infection. The incubation period after bacteria enter the body before the first symptoms appear is 3-4 weeks. The disease is often asymptomatic for a long time. In most cases, infection occurs sexually, therefore, the manifestations of pathology concern the organs of the genitourinary system. A woman may notice such symptoms:

  • pain and burning sensation during urination, often it becomes more frequent or there are false urges;
  • discomfort during intercourse;
  • cutting pain in the lower abdomen;
  • yellowish transparent vaginal discharge with an unpleasant odor;
  • in the acute course of the disease, subfebrile temperature and intoxication of the body are observed.

In addition to urine tests, a bacterial culture of the contents of the vagina is necessarily carried out or a smear is examined by the PCR method. Sometimes an enzyme immunoassay is prescribed.

Drugs for treatment

Treatment of ureaplasmosis is necessary only when the number of microorganisms exceeds the norm and symptoms of the inflammatory process occur. It is recommended to conduct therapy for women planning pregnancy with infertility and chronic inflammation of the urinary organs.

To cure ureaplasma forever, it is necessary not only to eliminate the inflammatory process. It is very important to restore immunity and normalize the composition of the vaginal microflora. The treatment regimen should be chosen by the doctor after the examination. Prescription of antibiotics is not always required, sometimes local therapy with suppositories, ointments or vaginal sanitation is sufficient.

When choosing drug therapy, the doctor focuses on the form of the disease, its severity, and the presence of complications. The most effective drugs for the treatment of ureaplasmosis are:

  • among antibiotics "Doxycycline", "Josamycin", "Neomycin", "Azithromycin" are used more often;
  • candles "Genferon", "Gesikon", "Terzhinan";
  • means for restoring the microflora of the vagina "Lactobacterin", "Linex", "Bifikol";
  • local probiotics "Vagilak", "Bifidumbacterin";
  • adaptogens and tablets for increasing immunity "Wobenzym", "Lysozyme", "Methyluracil";
  • multivitamin complexes "Alphabet", "Biovitrum", "Multi Tabs".

Is it necessary to treat ureaplasma

Many doctors do not consider ureaplasma a dangerous disease, it is not even included in the ICD list. The bacteria can be present in the body of healthy women and even newborns. But in the normal state of microflora, they do not harm. The body is able to cope with them on its own, but this requires strong immunity.

But if symptoms of inflammation occur, the disease must be treated. Studies have shown that 40% of women with infertility have this microorganism. In addition, bacteria become more active during pregnancy and are more likely to cause inflammation. And if they are not yet dangerous for the fetus, then during childbirth the child can still become infected.

Consequences of ureaplasmosis

In the absence of timely treatment, serious complications may develop. Ureaplasmas, multiplying, spread throughout the genitourinary system. The consequences of this can be the following diseases:

  • inflammation of the cervix;
  • vaginitis;
  • adnexitis;
  • endometriosis;
  • adhesion formation;
  • infertility;
  • cystitis;
  • pyelonephritis.

Ureaplasma can lead to miscarriage, premature birth, and the development of placental insufficiency.

This disease is considered harmless, and due to the fact that it is often asymptomatic, many women do not go to the doctor on time. But you need to know that only timely treatment of ureaplasma will help maintain health and reproductive functions.

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