Mycoplasmosis in women raises many questions. And we will answer them

Nagging pain

Mycoplasmosis in women is quite common, but treatment is only required in some cases. How is that possible? Let's try to understand.

Often understand mycoplasmosis infectious-inflammatory disease of the genitourinary system. Its causative agent – the bacterium Mycoplasma, one of several forms that can live in the mucosa of man. But it is not strictly pathogens like Treponema pallidum (the causative agent of syphilis) or chlamydia. Today it belongs to the category of conditionally pathogenic microorganisms along with coccal flora, Gardnerella, fungi Candida and many other microorganisms.

Such asymptomatic carriers can take years and even a lifetime, without causing any discomfort to the woman. But under unfavorable circumstances, bacteria can too begin to actively proliferate, causing inflammation of the mucous membrane. In this case, talking about mycoplasmosis.

The development of mycoplasmosis

Mycoplasma affects the mucous membranes of women. Most often, they settle on the mucous membrane of the urethra, vagina or vulva. Accordingly, the development of the disease can go one of two ways:

• Affected mucosa of the urethra, and then by ascending infection spreads to the bladder and kidneys. Various forms of nephritis can occur hard enough, leading to malfunction of this organ.
• In the primary lesion of the vaginal mucosa vaginitis begins. If the infection penetrates through the cervix into the uterus, can get inflammation of the ovaries (oophoritis), and fallopian tubes (salpingitis), the endometrium (endometritis). This could provoke disruptions of the menstrual cycle, the deterioration of the patency of the fallopian tubes, hormonal disorders, difficulty conceiving and carrying a pregnancy.

In some cases, develop both ways simultaneously. Manifestations are characteristic for each type of the disease.

The primary symptoms of mycoplasmosis

Typically, mycoplasmosis symptoms appear in the background of a weakened immune system, common diseases, stress and other factors that violate the natural protective mechanisms of the body. Most often women complain of the following symptoms:

• A slight vaginal discharge. They may differ from normal consistency, color or smell.
• Itching of the vaginal area.
• Discomfort during intercourse and after it.
• Unionstrasse bleeding, minor bleeding during ovulation.
• Nagging pain in the pelvic area.

Then the primary symptoms of mycoplasmosis will be somewhat different:

• Pain, cramps during urination.
• A slight discharge from the urethra.
• Pain in the urethra.
• Frequent urination.

Similar symptoms talking about what started the inflammatory process in the mucosa. Unfortunately, they are not typical for mycoplasmosis and require fairly deep diagnosis to determine the causative agent.

Approaches to the diagnosis of mycoplasmosis

Diagnosis of mycoplasmosis is required only in cases where there are clear symptoms of inflammation and found that it is caused by Mycoplasma. Tests "just to check" in this case is not required, because the presence of pathogens on mucous does not mean that will necessarily inflammation.

Another incorrect approach to diagnosis is the use of PCR and ELISA. They quite often give a false positive result.

A more accurate approach is the use of bacterial culture with the obligatory calculation of the titer. Even if you have the symptoms of the inflammatory process, there may be other reasons. High probability that the pathogen is more aggressive flora. It is therefore essential quantification of all potential pathogens.

Mycoplasmosis treatment is required only when the analysis discovered more than 10,000 Mycoplasma per milliliter, despite the fact that a number of other pathogens does not exceed 1000.

Treatment of mycoplasmosis

In that case, if we exclude all the causes of inflammation, except mycoplasmosis, then start his treatment. For each case, the doctor selects individual scheme, which depends on many parameters, primarily: the degree of inflammation, localization, occurrence and type of complications, presenceco-infections and so on. But the General scheme of treatment is as follows:

• Antibiotics. The Mycoplasma responds well to antibiotic therapy and responds to a fairly wide range. But when protracted course, and the presence of concomitant infections may require a complex circuit, including two, rarely three, type of antibiotic. The route of administration may vary: pills, suppositories and, in some cases – injections. The course of treatment is 5 days. Often to choose the most effective drug, while conducting bacterial culture test to determine the sensitivity of this particular strain to different antibiotics.
• Normalization of vaginal flora. The main reasons for the outbreak of disease include the violation of the vaginal flora. Therefore, treatment is important to restore the correct composition. To do this, designate candles, tablets or other forms of drugs containing a healthy vaginal flora: lactobacilli and bifidobacteria.
• Symptomatic therapy. The symptoms can cause considerable discomfort, therefore, assigned to directed therapy: protivozudnoe, anti-inflammatory, antihistamines, and so on.
• Physiotherapy. The treatment of gynecological diseases includes a large number of helper methods. Their main goal is to prevent the development of ovarian dysfunction, adhesions of the fallopian tubes, disorders of the uterus and so on. Most often recommended electrophoresis, warm, hirudotherapy, massage and so on.
• General therapy. Since the main causes of Mycoplasma often include the total exhaustion and weakening of the immune system, may require adjustment of lifestyle, improvement of nutrition, supplementation, stimulating the immune system, and vitamin complexes.

In the end once again to summarize. Mycoplasmosis is an infectious disease caused by conditionally positive bacteria. A long time could not manifest itself, appearing only with a strong decline in immunity. Signs of mycoplasmosis include typical manifestations of inflammation of the vaginal mucosa or urethra. To confirm the diagnosis required bacterial analysis. Treatment consists of a set of measures, but always includes antibiotics.