Ureaplasmosis is an infectious disease caused by the bacterium ureaplasma. The main route of transmission is sexual. The causative agent lives on the mucous membranes of the genital organs. To diagnose infection, culture on a nutrient medium and the method of polymerase chain reaction (PCR) are used. Ureaplasmosis occurs in both men and women.
In men, the disease is manifested by slight light or clear discharge from the urethra (urethra), pain and burning sensation during urination. With the defeat of the parenchyma of the prostate gland in men, a clinic of prostatitis develops. In women, the infection also manifests itself as a light transparent discharge from the genital tract. Inflammation of the ovaries, fallopian tubes or uterus, caused by bacteria, provokes pain in the lower abdomen. With the spread of the inflammatory process in men to the testes and seminal vesicles, infertility occurs. In women, ureaplasmosis contributes to the occurrence of endometritis, cystitis, colpitis and pyelonephritis, while painful sensations appear during intercourse.
Treatment of ureaplasmosis is carried out by all partners, without exception. Antibiotics are prescribed, the course of treatment is usually at least 2 weeks. At the same time, courses of immunomodulatory therapy (immunostimulants) are prescribed. Local treatment is carried out in the form of drug installations into the urethra. Additionally, physiotherapeutic treatment is prescribed, with prostatitis, a man is given a massage of the prostate gland.
Before starting therapy, the sensitivity of bacteria to antibiotics is determined and its selection is carried out. Ureaplasma has a high sensitivity to macrolides, tetracycline antibiotics, antiprotozoal and antifungal drugs.
Of the immunomodulators, the patient is prescribed thymalin, lysozyme, takvitin, decaris and methyluracil, pantocrine and eleutherococcus extract are also used. In addition, at the end of the course of therapy, the patient is prescribed vitamins C and group B, biologics (bifidumbacterin, lactobacterin). To stimulate and restore liver function after a course of antibiotics, hepatoprotectors are used.
The diet for ureaplasmosis should contain a sufficient amount of lactic acid products, should be fortified, it is necessary to exclude spicy, fried, fatty, smoked, salty foods from the diet and, of course, alcohol.
After the course of treatment, a control study by the PCR method is carried out. This should be done no earlier than 2-3 weeks after the end of the course of treatment. Less commonly, the bacteriological culture method is used 1 week after the course. Remember, if only one partner is treated, it is very easy to re-infection.