Ureaplasma In Men: Symptoms, Causes And Treatment

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Ureaplasma In Men: Symptoms, Causes And Treatment
Ureaplasma In Men: Symptoms, Causes And Treatment

Ureaplasma in men can, under certain conditions, lead to chronic disease. Very often, ureaplasmosis proceeds without symptoms, so treatment begins at a later date, when complications already appear.


  • 1 Characterization of bacteria
  • 2 Signs defining the disease
  • 3 Confirmation of the diagnosis
  • 4 Treatment measures

Characterization of bacteria

There are two main types of ureaplasma in men and women - parvum and urealiticum. They affect the mucous surface of the genitourinary organs, causing pyelonephritis, cystitis, urethritis. Affects the prostate gland and can lead to infertility.

Ureaplasma belongs to the conditionally pathogenic sphere. This is due to the fact that for a long time bacteria can inhabit the body of a healthy man without causing any pathological processes. Under the influence of adverse factors, the reproduction of ureaplasma goes out of control.

The causes of the disease can be in the following factors:

  • decreased immunity;
  • hormonal changes;
  • surgical interventions;
  • frequent change of sexual partners.

The main cause of ureaplasma in men is unprotected sexual contact with a sick partner. Infection by airborne droplets and by household contact is not excluded.

Signs defining the disease

The manifestation of symptoms can be felt long after the infection enters the body. It all depends on the state of health of the person. On average, the incubation period lasts from two weeks to a month. During this time, ureaplasma is actively multiplying, causing latent infectious disorders. The patient, unaware of the problem, infects his sexual partner with bacteria.


There are common symptoms of ureaplasma in men:

  • discharge from the urethra (most often mucous, transparent, but may have a yellowish tint), especially in the morning;
  • pain in the groin, lower back may appear;
  • sensation of itching, burning and cramps during urination;
  • the appearance of discomfort during sexual intercourse;
  • for a long time the body temperature can stay at around 37-37.5 degrees.

If ureaplasmosis in men is not recognized in time and treatment is not started, complications may arise:

  • urethritis is a disease in which the epithelium of the urethra becomes inflamed. Cutting and burning are disturbing during and after urination, itching, pain during intercourse, discharge with an unpleasant odor;
  • prostatitis. Urination becomes frequent and painful. Pain of varying intensity joins in the groin, lower abdomen, lower back. An erection is impaired, the condition threatens with problems in the intimate sphere;
  • epididymitis. The appendages increase, swell, redden, pain and an increase in body temperature join. Discharge with impurities of pus may be observed.

Confirmation of the diagnosis

Diagnosis of the disease in a man is based on the study of various biomaterials: blood from a vein and scraping from the urethra.

Cultural and PCR methods are most effective in detecting ureaplasma. The ELISA and RIF methods are slightly less accurate (about 60%):

  • cultural method. The bacteriological culture is highly reliable. Biomaterial is taken from the urethra, in some cases sperm can be donated. The material is kept for three days in special conditions, only then can the disease be confirmed or refuted;
  • PCR diagnostics (polymerase chain reaction) gives an accurate result at any stage of ureaplasma development. Within 5 hours after the delivery of the analysis, you can find out the answer;
  • ELISA (enzyme immunoassay). Blood for the presence of antibodies to pathogens is taken from a vein. The main condition is the absence of any medications in the blood. For this purpose, any drugs are canceled a week before the test;
  • RIF (immunofluorescence reaction). Biomaterial for research is taken from the urethra. In a laboratory, using special equipment, the material taken is stained with a special reagent. Under a microscope, a specialist notices that the ureaplasmas are stained in a certain color. The reliability of the result is 50-60%.

Healing activities

Treatment of ureaplasma in men involves taking antibiotics. Most often, doctors prescribe Azithromycin or Doxycycline. In combination with immunomodulators (Polyoxidonium, Immunal, Viferon) and vitamin-mineral complexes (Vitrum, Supradin, Complivit), it is possible to achieve a speedy recovery.

The treatment regimen for the disease should be based on the following principles:

  • both partners should be treated, since the main route of transmission is sexual;
  • for the duration of treatment, you need to refuse sexual intercourse, even with the use of a condom;
  • to combat male ureaplasma, antibiotics are selected that act at the intracellular level;
  • local antiseptics help increase the effect of antibiotics and maintain their activity after the end of the intake;
  • dieting will stop the spread of the infection.

Ureaplasmosis in men can be cured with antibacterial drugs of various types.

Ureaplasma parvum in men dies under the influence of antibiotics of the fluoroquinol group:

  • Ofloxacin. The daily dose is 200-600 mg. It all depends on the severity of the disease. Duration of admission is 7-10 days. The 400 mg dosage can be taken as a single dose. A dosage of 600 mg is recommended to be divided into two doses per day. The effect becomes noticeable already on the third day;
  • Moxifloxacin has antimicrobial, antibacterial action. The drug is taken at 400 mg once a day for one or two weeks;

Avelox. Bacteria are destroyed by this antibiotic with minimal release of toxic substances. The drug is absorbed almost completely and begins to act quickly. The duration of treatment is most often 7-10 days. The tablets are drunk once at any time of the day

During the treatment of ureaplasma in men, macrolides are highly effective. They penetrate into the cell and quickly cope with the disease:

  • Azithromycin is prescribed in a five-day course. One tablet (1 g) 1.5-2 hours before meals. Another pill is taken a week later;
  • Josamycin. A feature of the drug is that it has a minimal negative effect on the intestinal microflora. Take the drug three times a day, 500 mg at regular intervals;
  • Rovamycin. The daily dosage of the antibacterial drug is 3 million IU up to three times a day. The standard course of treatment is 5-7 days.

Treatment of ureaplasmosis in men may be accompanied by the use of tetracycline antibiotics:

  • Doxycycline. It is almost completely absorbed by the body, so the efficiency is high. The scheme can be designed for taking the drug once, or the dosage is divided in half. Capsules should be taken with plenty of water to prevent irritation of the walls of the digestive system. Should be taken from 10 to 14 days. On the first day of treatment, the regimen involves taking 200 mg of the drug. In the following days, the dosage can be reduced to 100 mg, it all depends on the severity of the disease;
  • Tetracycline. Two treatment regimens can be prescribed. Take either 0.25-0.5 g up to four times a day, or 0.5-1 g every 12 hours. They can be prescribed alone or in combination with other antibiotics.

Hepatoprotectors (Essentiale, Carsil) cleanse the liver from toxins accumulated from drugs and waste products of bacteria. Such drugs as Bifiform, Linex, Acipol help to prevent the development of dysbiosis.

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