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Thursday, July 24, 2008

Ureaplasma, Mycoplasma and Cervical Cultures

As part of the routine fertility evaluation we usually obtain cervical cultures including a test for mycoplasma and ureaplasma. These are bacteria that have essentially no symptoms but may decrease fertility and may also influence the chance of pregnancy loss and even preterm labor and delivery. However, the data is not particularly good and thus, many clinics do not routinely perform these cultures.

Years ago when I was in practice in Long Island I was doing an examination and sonogram on a new patient. I carefully explained each step and while doing the speculum exam I said that I was going to take some swabs of the cervix to check for infections that may be related to or cause infertility. She said fine and then after the exam left the office. An hour later she called irate. How dare I do such a test on her without her consent! She was going to report me to the Board of Medicine for being such a lousy doctor!

Needless to say I was completely unprepared for this assault. I reminded her that I had asked her permission to do the test…That doesn’t count, she said, because I had her in a compromised position and how could she say no? When I told her that I could just throw out the samples and not send them she was suddenly relieved and much happier.

I have always wondered exactly what set her off. Perhaps she had STD risk factors that she didn’t want to share with me?? Who knows. In any case, sometimes the simplest things can be blown up into major issues. I do not take any testing lightly, but seemed like a bit of an over-reaction.

So here is today’s Question of the Day from 100 Questions and Answers about Infertility.

13. What is ureaplasma, and how did I get it?

Most reproductive endocrinologists routinely obtain samples from the cervix (cervical cultures) to assess their patients for gonorrhea, chlamydia, ureaplasma, mycoplasma, and other bacteria. Gonorrhea and chlamydia are sexually transmitted diseases that can cause tubal damage and infertility when these infections are passed back and forth between sexually intimate partners. Patients with gonorrhea may have a yellowish discharge associated with pelvic pain and fever. Although chlamydia can be associated with these symptoms, chlamydial infections are often silent; despite their lack of symptoms, these infections may result in significant tubal scarring and damage.

Ureaplasma and mycoplasma are somewhat more problematic to label as reproductive tract pathogens, because they are often found in fertile, healthy couples in addition to those
with infertility. These bacteria have been hypothesized to play a role in both infertility and miscarriage, but the specific mechanisms by which they alter fertility are unclear. Whether
ureaplasma or mycoplasma can cause reproductive tract damage or whether their presence increases the rate of miscarriage is controversial. As a consequence, many clinics do not test
for ureaplasma or mycoplasma routinely. If the cultures for ureaplasma and mycoplasma are positive, both the patient and her sexual partner are treated with antibiotics. As these bacteria are may be present for many years without causing any symptoms, the finding of ureaplasma and mycoplasma on cervical cultures does not in any way indicate infidelity or sexual misconduct.

117 comments:

Anonymous said...

Are there any side effects, at all, to be reported that might lead one to seek professional testing for this bacteria?

Anonymous said...

Hi , I had been detected with Ureaplasma in my cervical culture when I went for a problem check up as we have been TTC for almost a year. The doctor prescribed doxycyclin for me and husband for 10 days, twice a day. I went for a check up after that and it still showed positive for Ureaplasma and the doc tells it means iam a chronic carrier and I should consult a fertility specialist to see if further treatment is needed. What does this mean and please tell me if Ureaplasma causes infertility , cause any damage to my tubes? I am worried . Pls give me some information as iam not able to find any useful info on this anywhere on internet

DrG said...

Good questions and no real satisfactory answers available. Clearly fertile patients may carry this bacteria so is the relationship one of association or causation?? No one knows. Not sure I would go to extremes to eliminate ureaplasma but have heard of patients using IV antibiotics to try and clear ureaplasma but that seems excessive to me.

Good luck
DrG

Anonymous said...

My daughter was told Urea Plasma was found in her culture, now she finds she is newly pregnant. Are there any dangers to the unborn? She had been given an antibiotic (doxycycline) and was told to start it after her next period...well her next period never came cuz she is pregnant so she has never taken the antibiotic. Please let us know if there are any addtional risks to the unborn

Anonymous said...

I was diagnosed with mycoplasma after nine months of not conceiving. My doctor gave me and my husband each one pill of zithromyacin to take to clear it up. He said we did not need to be retested. A lot of what I read online says that it is usually treated with several doses. I am wondering if we should be retested? I hate to second guess my doctor because of the internet, but what should I do?

Anonymous said...

When I had it I had to twke two different Antibiotics together to kill it. I doubt that one Zithro would do it.

Anonymous said...

Thanks for posting this. It really helps to have a grounded explanation out there.

Anonymous said...

This is one of the clearest sites that I have gone to get an explanation on what ureaplasma is. I was told that I had ureaplasma. I have never had sex but I have gotten pretty close a couple of times. Can ureaplasma only be transmitted through sex or sexual activity?

Anonymous said...

I just got back from my Fertility Dr office and I tested postive both my partner and I for mycoplasma.
The drug that we are taking for 28 days is APO_DOXYCYCLINE 100 MG.
I was told by my Dr that this is common and mot people dont realize they have it. It also can prevent the embryo from inplanting into the uterine lining because of the infection and swelling it causes. In men its also coated on their sprem, so they ca n reinfect you.
We have to use a condom the whole time while on this medication as well as no oral sex.
Hope this helps anyone .

DrG said...

Agree but have not usually recommended condom usage...

DrG

Anonymous said...

We just found out we're 6 weeks 1 day pregnant with our first child. Our fertility dr. told my husband and I that today we both have ureaplasma. I am now on erythromycin for my entire pregnancy starting today. Will the baby be okay if I'm only starting them today? I'm so nervous after reading about miscarriage and preterm labour. Any advice will help!

Sharon said...

Hi,

1 in 4 sexually active teenagers become infected with an STD every year, in the United States alone. Now, more than ever, we need to join together to fight this growing issue. As I read through your website, it is clear that you share the same passion for STD/STI awareness. We here, at Disease.com, understand the importance of STD/STI prevention and treatments. If you could, please list us as a resource or host our social book mark button, it would be much appreciated. We can not reach every teenager, but together we can try.
If you need more information please mail me with the subject line as your URL.

Thnak You,
Sharon Vegoe
Disease.com

Anonymous said...

That's BS... I have Fibromyalgia because of Ureaplasma/Microplasma diagnosis.

Why is that?

Anonymous said...

Mysituation is that my husband and I have tried for years to get pregnant and after many doses of fertility pills (clomid), finally 2 years ago I got pregnant. Then after 2 ultrasounds they noticed that there was the babys sac but the baby did not grow.. 3 weeks later i had a miscarriage. Then we got pregnant last July..after goingt through many and i mean many ultrasounds and testing everything was going perfect we were having a baby boy..well we thought.. One night i woke up at 24 weeks and went to the washroom when my water broke.. we went straight to the hosp.. when 4 days later i dialated and delivered my son..who was 15oz 1 os short of a pound. he lived for 55 hrs and then passed way.. we went to a fertility clinic where i just received results back that i too have Ureaplasma/Microplasma, this does explain alot, i have researched this alot and now i understand a bit more what happened with my son Brady.

Anonymous said...

does ureaplasma go away with antibiotics or is it something that lingers around? im curious/nervous becuase i am reading alot of infertility on this topic and my husband and i still want 3 more children.

Anonymous said...

After 2 years of trying to get pregnant, we decided to get a referral for a fertility doctor. before getting the referral my ob/gyn said I had to be tested for mycoplasma and I tested positive. we took medicine and i was tested again, still positive...then different medicine and it was gone...1 month later I found out i was pregnant! I would be tested cause why not...you never know if it really is related to infertility or not, but it saved a lot of stress and money since we didn't need the fertility doctor after all. I wish I would have known earlier to ask for the test.

Anonymous said...

I have been diagnoses with both of these and am taking antibiotics to clear it up.

Does it cause infertility and pregnancy whilst you have it- or as long term damage?

How long must one of had it for it to cause fertility issues. I'm so unclear about it all :(

Anonymous said...

As a Nurse working with Women's health. You can test positive for Ureaplasma Mycoplasma and get full treatment and still test positive at followup. Some people can have it reoccur the rest of their life. Also its important for the partner to be tested too. Its important to ask for the test when getting a annual exam, because most physicians will not test for it.

Gwen said...

i have been back and forth to my OB/GYN for vaginal bacteria infection, yeast infection, etc. after doing my annual pap smear my doctor told my i had Ureaplasma. she said she would call me in an antibotic. But after reading all the stuff on the internet it appears that my husband needs to be treated as well. Is this true? Could it be that i continue to get yeast infections and these sort of things because my husband is not circumcised?

Anonymous said...

anonymous
ive been diagnoised with ureaplasma my husband and i have one son and weve been trying for about a year to conceive but at my last visit they told me i had this..... i would like to know wat our chances are of getting pregnant again im really worried and confused. can someone hlp me!?

DrG said...

Usually mycoplasma and ureaplasma infections are without symptomes so doubt that the vaginal discharge is from either of these....

We always treat both members of the couple....

DrG

Anonymous said...

Dr G,

I have been pregnant 3 times and have had preterm labors during 16 -21 weeks. After my 2nd one my doctor sent of a culture of my placenta in which it came back + for Ureaplasma. He treated me for 7 days, months later I concieved again. My doctor would randomly do cultures of my cervix to see if Ureaplasma was detected. I ended up having preterm labor again at 16weeks but the placenta was not tested to see if that was the reason again. Now 2 years later I am pregnant again, I am seeing a different doctor she is treating me with Clindamycin 300mg once a day for my entire pregnancy to suppress the growth of the bacteria. She is also going to stitch my cervix, do you think that is can work?

Anonymous said...

Dr. G,
I have been pregnant 3 times and have had preterm labors during 16 -21 weeks. After my 2nd one my doctor sent of a culture of my placenta in which it came back + for Ureaplasma. He treated me for 7 days, months later I concieved again. My doctor would randomly do cultures of my cervix to see if Ureaplasma was detected. I ended up having preterm labor again at 16weeks but the placenta was not tested to see if that was the reason again. Now 2 years later I am pregnant again, I am seeing a different doctor she is treating me with Clindamycin 300mg once a day for my entire pregnancy to suppress the growth of the bacteria. She is also going to stitch my cervix, do you think that is can work?

Anonymous said...

Hi I had my annual appt. And I informed my doc that we were going to try and conceive after my test came back. And I told her that I have been having a discharge and she checked and immediately she said it looked like ureaplasma mycoplasma. I also was informed a had a mass on my ovary. I have to go for further testing on that but she took a sample of the discharge and is sending it for testing. I am very upset. I. Was wondering if it was still ok to try and conceive even though I may have this. I have an 18 month old son already will this affect him and a unborn child if I get pregnant?

DrG said...

Not a risk for any child and the association with pregnancy loss is very tenuous so I would not hit the panic button!

Good luck

DrG

Anonymous said...

Hi, I previously told you they suspected this infection, and I tested positive for Ureaplasma. They gave me doxcyclome 100mg 2x a day and my husband is also taking the same, I was wondering what he likely hood of this killing it for me and my husband. If it does not go away would I still be able to conceive a healthy child, I also read it can be passed on to your child if it is delivered. Should I worry about my son having it? Very worried because my husband has "advanced" signs of it, he has been tested for several things and they could not figure out what is causing his testicle pain among other symptoms, any answers to this strange infection would be helpful

DrG said...

I have never heard of problems with infants from Mom's carrying ureaplasma. Mycoplasma is not an infrequent cause of "walking pneumonia" in adults.

Usually the doxy does the trick and I usually dont recheck to make sure unless the patient really wants me to.

Good luck

DrG

Anonymous said...

Do you know if when the test the cultures for these bacterias, do they do susceptibility test for choosing the drug the subscribe?

Anonymous said...

Hi, after more than a year TTC, they found mycoplasma in my husband's tests, causing a 100% morphologically unhealthy sperm. They gave us both 10 days of doxycicline ( twice a day), but the same day we started the treatment I got tested myself, and they didn't find anything on me. How is this possible? And would the morphology of the sperm improve if we get rid of the mycoplasma?

DrG said...

I have not heard of any lab doing sensitivities....we asked last month and were told no.

I have never linked myocoplasma with sperm morphology. Have no idea how sperm morphology which is most likely mainly genetic would be altered by mycoplasma but i am willing to be educated!

DrG

Anonymous said...

Hi, I have had 3 premature ruptures ranging from 21weeks to 16 weeks. I am currently pregnant with twins and taking Clindamycin 300mg once a day. Started taking when I was 3 weeks pregnant. My doctor went with Clindamycin vs Erythromycin because she said my stomach would not have tolerated Erythromycin for that long. What is your opininon? BTW the only time I was positive for Ureaplasma was after my 2nd PROM, positive in the placenta. Negative any other time even during my pregnancy.

Thanks.

DrG said...

Obviously having PPROM 3 times between 16-21 weeks is very distressing. Not sure if anyone really understands what to do in this type of case so treating with clindamycin sounds reasonable. I had a patient with this exact history..she just delivered a full term healthy baby. She did nothing different that last pregnancy. Go figure.....

DrG

Anonymous said...

Thank you very much Dr. G, I have been so nervous but at this point all I can do is have faith. All the information I find online states that Clindamycin does not work against Ureaplasma. Which makes it more stressful, thank you for your quick response. It made me feel much better. I will pray that I have the same luck as your patient.

DrG said...

I'll keep you in my thoughts and prayers...

Good luck

DrG

Anonymous said...

I have taken my treatment of doxycycline for 2 weeks I am getting retested in a couple days, but I am STILL having discharge! I am worried that it is still there =( if it is I will have to take another round of antibiotics right? I was wondering how long doxycycline stays in your system because it causes birth defects, is there a timeline after you take that you should wait to start trying again? If I have this still and get pregnant do u think it will harm my unborn child? If the dr. Makes me take antibiotic while I am pregnant will that hurt the baby? I am wanting another child so badly, this infection is tearing me up there are no solid answers on the web, half of dr. Think it is naturally living in your body and the other don't, and think u need to kill it. Any answers would help me I can't seem to get any for sure from my doc thank u

DrG said...

Doxycycline can affect the development of calcium in the baby's bones and teeth. So use of doxy is usually prior to pregnancy. Patients who conceive on doxy should not worry as long as it was not taken too late in pregnancy.

Not all discharges are infectious. Not all infections are ureaplasma or mycoplasma...in fact these 2 are usually asymptomatic

Good luck

DrG

Anonymous said...

From previous comment) I see. My discharge was the reason that they thought it was, one of these, I did test positive for UU. I am getting retested tue. But the discharge is still there after my 2 week course of antibiotic. It is white to color. Could it be part of my bodies natrual flora? they also tested for the whole panel of stds, and yeast infection. I have never even had a yeast infection before which is why I think it is strange that I have this. My hubs took the meds too. He gets tested next week also. Have u had patients with this UU and had healthy pregnancies? Thank u for your time

DrG said...

Not all discharges are infectious. I certainly have had a lot of patients with positive ureaplasma who ended up with healthy babies.

Good luck

DrG

Kate said...

Thankyou so much for your straight forward and practical information. I am 33 weeks and before I got pregnant I went to the fertility clinic and was diagnosed with ureaplasma. Both my partner and I took the doxycylin and when i became pregnant i tried to ring the fertility clinic drs every day but no-one got back to me.Because I was worried about the antibiotics affecting the pregnancy I went to my GP who told me to stop taking them so I did... towards the end of the course.

I didnt know the ureaplasma would be a concern for the pregnancy as my Dr did not say it was any concern and I no longer had urinary discomfort (like urinary tract infection) symptoms. It wasn't until I was discussing weather or not I needed to have tests for Strep B with my midwife last week that I mentioned it to her. She had never heard of it... so she googled it and advised me to see the fertility obs. again to ask his advice.

I am not really sure what to do...

It seems the evidence is non-conclusive.

I think I will go and get tested again now to see if I present with ureaplasma now and then ?? Im not sure...

I was planning on a home birth.

Is it too risky now... some of the evidence seems to suggest ureaplasma may cause pneumonia or menangitis... is this evidence inconclusive as well or should I be more cautious and go to hospital?

DrG said...

I would not panic at this point. The association with early pregnancy ;loss and infertility is not definitive and some clinics dont even check cultures. I can't imagine that this would prevent you from doing home birth (although I am not a fan of that approach in any patient)...

Good luck

DrG

kurt said...

im a 31 year old male i have just been told i have ureaplasma.my partner of 6 years thinks ive been cheating on her which of course is rubbish could u please explain how i might of got this.thank you so much

Anonymous said...

My husband and I have been TTC for 2.5 yrs. We're finally pursuing IVF and I tested positive for Ureaplasma. He and I have only ever been sexually active with each other. Is it possible to contract the infection some other way?

Anonymous said...

My doctor routinely tests fir ureaplasma each time I have a pap smear. My test was neg 2 years ago, and again in Jan this year. But after trouble falling pregnant and strange abdominal pains, he did another STI check, and it came back pos in May.
How could I have got this if I have only slept with my husband? Is there other ways to contract/develop this besides sex? After our 10 day treatment with doxy, we would like to resume trying to conceive, so this is very important to me... I dont want to jump to conclusions, but I am having trouble figuring out how else this is possible besides infidelity?

DrG said...

Hi Kurt,

Sorry for the delay. Hopefully your relationship has survived this stress.Ureaplasma is carried without symptoms in men and women. If you were both virgins when married then may be harder to explain where it came from although it has been found in Nuns and they are not known for their sexual escapades!

Good luck
DrG

Anonymous said...

I just found out last week that I have a mycoplasma infection. My dr gave me oxfloxacin 400 2x a day for 7 days (my fiance also). Is that an effective treatment or should I ask for something else? I am also worried because we are having sex taking it ( no one told us not to). Also, how long after treatment can we ttc again? Thank you we are desparate to have a baby

Anonymous said...

Dr. G... Please help. I dont know who to go to be tested for this. I had one UTI in highschool. I am now 27 and last year i came down with this horrible horrible infection. They gave me cipro then macrobid without identifying any bacteria. Then they gave me doxy and i improved. But a yrar later and i am still having vaginal, urethral and bladder pain, frequency and urgency and dont know what to do. The doxy made me significantly better as i was in bad shape and i was on it for a month and a half. Still in so much pain though... Could it be ureaplasma/mycoplasma?

DrG said...

Anonymous #1 and #2,

Ofloxacin should work fine. As long as both partners are taking the antibiotic it is fine to be intimate.

Not sure what caused the bad infection that you describe but since ureaplasma and mycoplasma are pretty much without symptoms I doubt that this was the etiology.

Good luck

DrG

Anonymous said...

I've been diagnosed with ureaplasma but my doctor said it's impossible to know how long I've had it for. Is this true?

marta said...

Dr. I have reccurent pregnacy loss-12w and 18w.done allmost all test.Did HSG today. My ob/gin told me is very hard to culture bacteria for ureoplasma and rrst is most of the time negative even if you infected,so he gave me doxycycline for 14days. I took it because I read it's to
Prevent infection after HSG but it will kill ureoplasma bacterias as well? Do I nees to give doxycyline for my partner? Where I can go test for ureoplasma in nyc?
Marta

marta said...

Hello Dr.
I have pregnacy loss at 12weeks and second 18w. Have done some test no reason for losses found. I asked my gin to test mi 4 ureaplasma but he said the test is hard to do and most of the times come back negative even if u have infection. He gaveme doxycycline for 14 day twicea day witout testing. I had HSG done today and I read to preven infection after HSG is good to take it so i did but after xray.
What u think Dr. Will this medicine kill ureoplasma if I have it? Where can I go to do test in nyc?( i asked already 3 ob/gin dr. To do it but they refused- not needed said!) .
Can we have sex this month- should be well protected until next period(9th day of cycle- stareted doxycyclinefor 14 days) please help.

DrG said...

Anonymous and Marta,

No way to know how long someone has carried ureaplasma as it is usually without any symptoms.

Some doctors treat empirically without any cervical cultures. I have no problem with this approach but suggest that both members of a couple be treated simultaneously.

I personally believe that it is very unlikely that this bacteria plays a big role in recurrent miscarriage.

Good luck

DrG

LokiRae said...

Hi, I was diagnosed with Ureaplasma Urealyticum, whilst working abroad in Hungary, and I was given a 28 day course of antibiotics called Ofloxacin Sandoz (200mg) having read everything on here I am concerned that this medication isn't right? I see alot of Erythromicin but not a single mention of the Ofloxacin? I'm 12 days into my treatment and would hate for it to be for nothing! I just want this over with so I can forget about it! Thank you!

DrG said...

Hi LokiRae

THat antibiotic should work. My want to consider repeat culture as a test of cure!

Good luck
DrG

Anonymous said...

by faith
hi my husband was tested positive for ureplasma and we had been treated twice. we have been trying so hard to get pregnant for over 2years. i was tested positive also recently. my question is " can antibotics really cure this' am really worried.

Anonymous said...

Hi Dr, I am 5 weeks pregnant and my cervical culture tested positive for Ureaplasma Urealyticum. The Dr wants to put me on Doxycycline 100mg twice a day for 10 days but I am concerned about the safety of the fetus during this important stage when organs are developing. Is there really a risk if I don't treat this bacteria?

Anonymous said...

Dr G-

A doctor I saw a couple of days ago said there was a record of Ureaplasma infection from a urine sample I had given 10 months ago, and for some reason, I was completely unaware of this... I asked her if it was something serious, and if it caused infertility and she said no, and made it sound like it was nothing... I get UTI's occasionally, but normally only if I don't go to the toilet straight away after intercourse. I do get abdominal pain, but not usually without PMS... The only time I experience stinging when I urinate is when I have a UTI, and if I take an antibiotic disappears.

Is ten months long enough for this pathogen to cause serious harm to my reproductive organs? Does it ever clear up on its own? I am absolutely terrified that my insides have been ravaged.

Is Ureaplasma contractable without sexual conduct? I am so worried- I contacted my x boyfriend about this, and he said that he had been tested for chlamydia but his results were negative... I know it's not the same, but is it at all similar?

Is Ureaplasma detectable in a pap-smear? If it can't be tested, are there obvious visual signs of infection on the cervix which would alert a doctor of a need for a test? I had a pap test just recently and the doctor didn't mention anything abnormal looking, and my test results were clear and normal!

Also, since this doctor alerted me of supposedly having Ureaplasma (of which re-test results are pending) I have only very recently been feeling drowsiness and flu-like symptoms, and my abdomen is a little tender.. I also embarrassingly enough have possibly come into contact with HSV-1 virus on my genitals, of which I am being tested for too... I have hardly any external symptoms of this aside from one very small tear, tenderness and slight stinging. I wonder if the abdominal pains I am Please help me, I have no one to talk to and I am so scared.feeling are more aligned with herpes than Ureaplasma?

Please help me, I am so scared, I have no one to talk and this has been the most helpful blog I have read online so far.

Anonymous said...

Hi Dr G,
I have had a couple of abortions while in college (with my then lover)and there was one that caused profused bleeding. Some months later I got married and ve been trying to get pregnant. My gyn tested me + for Mycoplasma U. 10000counts. We took Josacin and still ve nt been pregnant. Could it be the abortions or the mycoplasma? Can pregnancy come immediately after treatment of Mycoplasma?

Anonymous said...

Hi, I was diagnosed with Ureaplasma and mycoplasma in February, took doxycycline and macmiror for 18 altogether, and felt completely better. However, I had repeat contact with the person who infected me about a month and a half later (he hadn't been properly treated), and got reinfected. I took doxycycline and got a negative test for ureaplasma afterward. I still had symptoms, so was given macmiror and cipro, with no improvement. Gradually over time, my symptoms were almost unnoticeable. In September, I got a sudden and severe UTI that hasn't seemed to go away (I have taken 4 different antibiotics in the last 2 months to try and help this). I think I should get retested for Ureaplasma and Mycoplasma. My symptoms are urinary frequency, pelvic pain, and burning upon urination (this improved when I took Sumamed--I felt normal for 6 days, but now I feel like I'm having symptoms again even though I'm currently on a low dose of Clarithromycin. An at home urine test showed that I have some protein in my urine. Would you suggest retesting for ureaplasma and mycoplasma? I have a new sexual partner since June. Is it dangerous for my health that I took so many antibiotics this year? Thank you for your insight.

DrG said...

Hi Anonymous #1 (10/11/11)

Usually antibiotics will cure ureaplasma. But need to treat both members simultaneously!

Good luck

DrG


Hi Anonymous #2 (10/19/11)

Probably not much risk to the fetus so not sure that I would treat and if I treated I might use erythromycin instead given that you are pregnant.

Good luck

DrG

Hi Anonymous #3 (10/25/11)

Sorry for the delay in getting back to you as you are clearly very distressed. As we have indicated in the book section dedicated to this infection its impact on fertility is uncertain at best and many clinics dont even test for it. Ureaplasma does not cause tubal damage or any problem that cannot be reversed with treatment and even that is controversial as this bacteria is found in many normal fertile individuals!

Good luck

DrG

Hi Anonymous #4 (11/3/11)

Although first trimester terminations can rarely cause problems it is worth seeing an RE to allay your fears and concerns...Pregnancy can occur anytime!

Good luck

DrG

Hi Anonymous #5 (11/3/11)

Well not sure what to make of all this...I see no harm in retesting and I would have your MD evaluate the protein in the urine issue...

I personally think that the antibiotics were not a big deal but who wants to take all those meds if you don't need to...

Good luck

DrG

Anonymous said...

Hi I am 24 weeks pregnant and had been treated for ureaplasma 3 times before I got pregnant. My cervix was bleeding and inflammed causing me to see my gyno which had discovered he ureaplasma. I have been having contractions for over 3 weeks n and off and have ended up in the hospital 2x. The OB gave me procardia and told me to drink lots of water. I am on bed rest now. He didn;t mention the ureaplasma as a possibility for the contractions. I am very nervous after reading some horrible stories of preterm births of women with UP. Should I be retested and ask for antibiotics?

DrG said...

Hi Anonymous (11/5)

Well not sure about the horror stories that have implicated ureaplasma in obstetrical issues. As it is found in many fertile couples and is tested for by a minority of MDs I just dont know what to say except hang in there and let's hope you stay pregnant

Good luck

DrG

Anonymous said...

DrG

I have tried to get pregnant for the past year, my first pregnancy ended with miscarriage at 13wks, and my second one ended with complications like ruptutured membrane at 23wks, i was devastated, but my nurse ask me to get checked for ureaplasma, my test came back positive for mycoplasma, so i got treated i go for another test soon, but i was wondering if I would still be able to bear and have children ??

DrG said...

Hi Anonymous

Sorry for your losses. I would be very hopeful that you can have success but understand how emotionally devastating this must have been. I agree with treating the mycoplasma and suggest that you meet with a maternal fetal medicine specialist to discuss management of future pregnancies...

Good luck

DrG

Anonymous said...

I have two children but have been unable to conceive for the past 5 years.
I was never diagnosed with a specific bacteria but I had a post-coital exam and the doctor said that he suspected bacteria and put my on antibiotics. That was three years ago. I had a urine test done 2 years ago (different doctor) and it was negative for ureaplasma.

My husband just had a sperm analysis done two months ago. His results were "really good." If I had this bacteria would it have shown up on his analysis?

I was wondering if I needed to be tested if my husband came back with a good analysis?
What is the best test to find out if I might have this bacteria? Is a urinalysis the best test or do I need a culture? What is the best antibiotic?
Thanks for your advice.

Anonymous said...

Hi, My husband and I have been trying to get pregnant for almost 2 yrs (via natural and 5 IUI cycles with clomid) after having my first pregnancy end in a miscarriage. I am pregnant again, but the fetal heart rate is too low at 7 weeks, 80bpm. The doctor said the outcome is very low and I may miscarry next week. My friend just mention test for Ureaplasma/Mycoplasma. I have two questions:
1) Can I test for that now? While I'm pregnant?
2)Also, my husband and I are each others ONLY sexual partners ever, can we still contract Ureaplasma/Microplasma?

DrG said...

Dear Anonymous (1/29/12)

Since many REs do not even test for Ureaplasma the issue of the best test is clearly not well defined. We treat all patients going through IVF with doxcycline and I now only test recurrent pregnancy loss patients for ureaplasma but not sure if that is really the best way to think about it...

Remember that 20% or more of infertility is unexplained but that doesn t mean untreatable!

Good luck

DrG

Dear Anonymous (2/15/12)

Sorry to hear about the slow heart rate. Remember that most pregnancy losses are genetic in etiology and thus ureaplasma is usually a moot point. Since ureaplasma can be found in nuns who are virginal I would not think of being positive for ureaplasma as a smoking gun for marital infidelity!

Try to test the tissue from the miscarriage (if it occurs) to determine genetic cause of pregnancy loss..

Good luck

DrG

Manager L.M. said...

if a couple was both virgin when got togheter (and consumed) and then only one is tested positive after a 6month long distance relationship is it a proof of a cheat?

Anonymous said...

I am over 40, have given birth to 3 children and do not plan to have any more, and have just been diagnosed with eureaplasma. We are given antibiotics to clear it up, can this turn into cancer because of my age or if it does not clear up?

Anonymous said...

Hi Dr. G-
I'm following up after a previous post (Dr wanted to put me on Doxy at 5 weeks pregnant following positive Ureaplasma infection). I decided to decline any antibiotic treatment... I am now just about 27 weeks pregnant and baby is fine although I do get a lot of Braxton hicks contractions and crampiness now, but it always goes away. I have a lot of vaginal discharge but no other symptoms that indicate a vaginal infection... so this all could be normal pregnancy stuff. Do you think I am at risk for preterm labor, just based on the fact that I never treated the Ureaplasma?.

DrG said...

Hi LM (3/10/12)

I really do not consider ureaplasma as a true sexually transmitted disease and I believe that just like Group B Strep, some people simply carry this bacteria. So I see no reason to think that anyone has been going out of bounds…so to speak

Good luck

DrG


Hi Anonymous (3/14/12)

I see no reason to treat if you have no symptoms….not sure why you got tested. There is no long-term health implications to being a carrier as far as I know…

Good luck

DrG


Hi Anonymous (3/18/12)

Not sure what to say in the setting of known positive status and lots of preterm contractions. I would discuss with your MD and I guess that I would consider treatment with erythromycin or repeat the cultures. This suggestion is completely without supporting evidence but you did ask my opinion!

Good luck

DrG

SDC said...

Hi there,
I have tested pos for ureaplasma and am currently finishing up my 2 a day for 10 days of doxy. My question is can you get this from shared razors, towels, etc, or is it strictly sexual contact? My friend is all scared that she caught it from me just from using my razor and towels after me. My partner has had urethritis and frequency to urinate for years now and they are known symptoms of ureaplasma in men. He has never been tested for it until mine came back pos. But his came back neg. We were positive that this was his ongoing issue that has never been properly diagnosed. Can the tests be flawed? Should he get swabbed again? My trust in swabs has taken a beating now. I am going to have swabs done until I get 2-3 negatives in a row before having unprotected sex again. I only have one working ovary and I would like to keep it healthy, as I know there are infertility issues.

Anonymous said...

Am a 49 year old male who was diagnosed with IC though the scope showed no damage to bladder. My fiance's doctor recently informed her that she has Ureaplasma and started us both on doxy for seven days. Could my doctor misdiagnosed me as having IC when in reality it's Ureaplasma? Thanks

DrG said...

Hi SDC (3/30/12)

Sorry but I guess I missed your post…..
I cannot imagine how ureaplasma would be transmitted via razors or towels. I think that empirically treating the partners of those with ureaplasma makes sense…Remember that the association of ureaplasma and infertility is weak at best…

Good luck

DrG

Hi Anonymous (5/3/12)

Since ureaplasma is often asymptomatic I guess I would stick with IC diagnosis but if she is positive then I would treat you as well and if symptoms resolve then "Bob's your uncle" and the culprit may have been ureaplasma all along I guess…

Good luck

DrG

ricki said...

Hi doctor
I am six weeks pregnent and i was recently told that my high vaginal swab has shown ureaplasma. My doctor really didnt give me any great advice about this and has said its my choice as to weather i would like treatment. I can not get an apppointment with my OB for a couple of weeks, so i am confused as to what to do. I have read all the information online and have now become very distressed what would your recommendations be for treating ureaplasma in pregnency? some of the websites suggest long term antibiotic taking but how much could this affect the baby? I have had one miscarrage already and now i am concerned that this may cause another.

29 weeks and +ve said...

Hi Dr G,

Firstly, thankyou for this blog - it is the most informative and non-sensationalised I have found on the net!

I am 29 weeks pregnant and have just been diagnosed with a ureaplasma infection. I presented to my doc with a burning sensation in my lower abdomen that was making me quite breathless, as well as some odorous discharge. My doc performed a urine test for a UTI but it was -ve, but due to my pain she sent me to hospital. The hospital did a further urine test that was +ve for a UTI, and took swabs that came back showing a high level of ureaplasma growth. I have since learnt that the urine test done at hospital was incorrect. I am now on erythromycin 400mg for 10 days for the ureaplasma. My doc did not seem too concerned about the infection, and said my partner would not require antibiotics.

My question is, at this stage of pregnancy, how dangerous is the infection to the baby? I have read that it can lead to preterm birth, but why is this? My doc told me that the infection will not reach the baby unless my waters break. I understand that the antibiotics should help to minimise the bacteria but may not eliminate it totally - so if the baby does contract it at birth, what are the risks to the baby's health? Apart from my physical discomfort (now sharp pains in lower abdomen rather than burning), what is the real risk of having such an infection?

Thanking you.

DrG said...

Dear ricki and 29 weeks,

First of all as an RE I am a bit loathe to wander into obstetrics in terms of giving advice. However, it seems to me that there is little down side to giving a course of E-mycin given positive cultures. The risk of pneumonia following preterm delivery of a infant is real. If antibiotics could reduce that risk I see no reason not to treat. But I would treat both partners if there is sexual activity taking place...

Good luck
DrG

DrG said...

Dear ricki and 29 weeks,

First of all as an RE I am a bit loathe to wander into obstetrics in terms of giving advice. However, it seems to me that there is little down side to giving a course of E-mycin given positive cultures. The risk of pneumonia following preterm delivery of a infant is real. If antibiotics could reduce that risk I see no reason not to treat. But I would treat both partners if there is sexual activity taking place...

Good luck
DrG

Anonymous said...

Just wanted to share my story...
At the start of the year I fell pregnant within weeks of having the implant removed.
Everything was ok, except the doctor was concerned that the HCG level were raising very slowly and as it was my first pregnancy I didn't really know what symptoms were normal and I had some burning sensation during urination.
Unfortunately while at the supermarket one day I suddenly had some bleeding, so I rushed to the hospital and the ER doctors did some tests and took internal swabs but were concerned that I was bleeding from the uterus and that at that point it looked as though I would miscarry.
Unfortunately I miscarried at just 6weeks, and the result came back afterwards that I had a uraplasma infection.

The ER Doctor and my GP agreed that although they could not say for certain, that it was highly likely that the infection had caused the spontaneous abortion of my pregnancy.

I was treated with two anti biotics, one for a week and the other for a month.

Unfortunatly thanks to the traumatic experience I have put off starting a family, but i am also concerned that the infection, not knowing how long I had it may have caused damage.

Anonymous said...

Hi Dr. G.,
First let me please thank you for such an informative blog!

My husband was diagnosed with epiditimis in December and was given antibiotics. In the meantime, we had been TTC. In March, he was feeling discomfort again and got a culture done in which he tested positive for uritis. He was then given another round of antibiotics. I then went to my ob/gyn to get tested and I was positive for ureaplasma mycoplasma. I was given 2 antibiotics
(Zithromax) and unfortunately, continued to test positive in April. I was then given Doxycyclin 100mg 2x for 7 days. I am going back to my ob/gyn next week for another culture (fingers crossed). My husband recently went back to the
urologist and was clear of all infections.

Could you please explain to me the impact of ureaplasma mycoplasma on ovulation and pregnancy as we would love to have a second child?

Also, could you please explain the effects on the male reproductive system?

Thank you so much for your help! I am looking forward to hearing your response.

Anonymous said...

Dear doctor,
I just lost my baby girl at 19 weeks due to 2 weeks of bleeding episode and uterine ureaplasma and macoplasma infection with no pain associated whatsoever. after receiving 3 days iv azithromycin, I gave up the treatment and went for D&E since all my ob docs were highly concerned about the outcome I would have. Pathology after D &E found out baby's liver and the placenta were positive for both ureaplasma and macoplasma. My ob said we can try after 1 to 2 normal cycles. She is not concerned about the infection at all, didn't give me and my husband any antibiotics even though we asked for the treatment. But we are nervous and highly afraid of this infection could happen again.

My question is should we get teated and antibiotics to cure before we start TTC? should we get doxycycline for macoplasma and azithromycin for ureaplasma? looking forward to your reply.

DrG said...

Dear Anonymous (5/23/12),

Ureaplasma should not result in any lasting damage to the reproductive system. Also, although I hate to contradict other doctors without benefit of the whole story, I am not convinced that your 6 week loss was the result of a ureaplasma infection. Most pregnancy losses are the result of an abnormal genetic blueprint for that pregnancy leading to the miscarriage. Hang in there…

Good luck

DrG


Dear Anonymous (5/26/12),

The impact of these particular infections is unclear. Ureaplasma does not cause tubal damage. It could cause inflammation in the endometrial lining and reduce implantation or possible contribute to pregnancy loss (see reply above) but this is controversial. In men, it can cause symptoms like your husband's but again should not result in infertility in men per se….

Good luck

DrG


Dear Anonymous (6/22/12)

So sorry to hear of your loss…

I personally would treat you both with doxycycline given this tragic outcome. It may not be scientifically proven but after losing a baby at 19 weeks I don't see why we would not treat empirically….

Good luck

DrG

Ling said...

Hi Dr G,
I am approaching 36 weeks of pregnancy and so far, the baby development is fine. I am tested positive for mycoplasma and ureaplasma recently (while doing the strep B test). I requested to do a detailed test as I have infections often and recently during sex, both of us experience burning sensations And my partner's tip swelled up immediately.

Woulesteeming tested positive means my baby is affected in any way? Is she safe inside? Should I avoid vaginal birth and go for c-section Instead? Confused and worried.

Really hope to hear from you.

DrG said...

Hi Ling

Well those are good questions but no clear answers...clearly if you chose to do a primary elective cesarean delivery then the risk of infection of any sort in the baby will be lower but your chance of infection after major surgery would be a bit higher....

I would discuss with your OB and raise the question of elective c-section and see what he/she has to offer.

Goodluck

DrG

Anonymous said...

Hi Dr. G,

I am 27 weeks pregnant and found out in first trimester that I have Ureaplasma. My doctor checks all his patients for this. I did a one day treatment of Azithromycin (2 pills) and that did not kick it, so I then did a second round at 18 weeks pregnant (ten day dose) and it was not kicked then. I am now on my third round of antibiotics, Azithromycin, for ten days. Should I be concerned about pre term labor now? My doctor said everyone of his patients who couldn't kick Ureaplasma have had 35 weeks and up pregnancies since he watches his patients so closely. I am still nervous since this is my first pregnancy. Thank you!

DrG said...

Hi Anonymous (7/12/12)

Well it seems like your doctor is monitoring closely. I would try to remain very hopeful that all will work out just fine. Have seen this once or twice but would not go overboard on trying to eradicate the ureaplasma…

Good luck

DrG

Ling said...

Hi Dr G,

Just to give u an update.. I went for c-sec at 39 wk, just to be on safe side. Baby is all well and healthy. Tested No ureaplasma and mycoplasma! So means one can hv healthy babies even with positive ureaplasma and mycoplasma!

king said...

i got tested positive of urea plasma last yr upon some abnormal symptoms i was havin i jus dint know it was when de doc mentioned it to me i bcame very nervous n afraid.ater 6months 0n herbal drugs de symptoms were still der i hav also taken some antibiotics yet still no improvement.i am scared my liver or kidney or bladder wil b affected.normally put on condom but my problem has to do de oral sex(saliva.apparently it has stayed on me for long so i am scared n i doubt if it can b treated.heaviness in de chest drowsiness weakness in joint swollen of tip of pen.. pls any relation to cancer.can masturbation cause dis since i went into it some time ago my ex has had a baby but my fiancee now is a virgin i don want to sex since am scared of infectin her but upon readin from net is lyk i av passed it on to her already as saliva can transfer it we hav bin kissin though doc i need ur advice.

DrG said...

Hi Ling (8/14/12)

Congrats on your happy news! Glad it all worked out.

Best wishes,

DrG


Hi King (8/15/12)

I guess that I would recheck cultures and if negative then I think you are OK. Not sure what to make of the symptoms if cultures are negative…

Good luck

DrG

Anonymous said...

I have been having frequent bacterial vaginosis. My doctor would keep prescribing me Flagyl, Cleocin or Clindamycin. She finally checked me for Microplasma and Ureaplasma. I was positive for both. My partner and I both took a Zpack. A few weeks later, another BV. My doctor checked me out again. The microplasma came back negative but the Ureaplasma was still positive. I have now been prescribed Doxcycline.I have my fingers crossed. My question is, does urea plasma cause bacteria vaginosis? Also, can the IUD Mirena that I have some what be the cause of all the bad bacteria?

DrG said...

Hi Anonymous (9/5/12)

Good questions. Ureaplasma should not cause BV as best I can figure....Not sure why the Mirena would have an impact. If nothing else seems to be working I guess you could remove the Mirena and if the symptoms resolve then you are home free....

Good luck

DrG

Anonymous said...

Dr G. I misscarried at 7 weeks and then i was diagnosed with ureaplasma. Now I Just had my pap smear done and it came back normal. Does the pap smear show the ureaplasma or I have to do a specific test for it. Thanks.

Anonymous said...

Dear Dr G,
I just got.my pap smear results back and everything seems normal. I had have ureaplasma and i misscarried after the misscarriage i took some.antibioticas and ureaplasma was negative for both of us me and my husband. Although my question is do i have to be tested for ureaplasma or the pap show it if im still infectes. Thanks

Anonymous said...

HI I was diagnosed with ureaplasma 4 days ago. My partner and I are both on antibiotics for it. We are trying to get pregnant and I am supposed to ovulate tomorrow. Should we refrain from unprotected sex? Please let me know. My dr never responded.


Anonymous

DrG said...

Hi Anonymous (10/2/12),

The Pap smear is a test for cervical cancer and by itself will not usually be helpful in testing for cervical infections. Many MDs perform cervical cultures at the time that they perform a Pap smear so I would ask your MD. Many patients call any speculum exam a "Pap smear" but that is not necessarily correct as just placing that metal speculum in the vagina allows a health care provider to visualize the cervix but what happens after that point depends on the purpose of the exam…

Good luck

DrG


Hi Anonymous (10/3/12)

See above.

Good luck

DrG

Dear Anonymous (10/5/12)

Well too late now for my advice but I would have said to "go for it!"

Good luck

DrG

Jade said...

Hi DrG

I was told I had ureaplasma (but not mycoplasma)in August. The doctor tested for it after I bled during a routine pap smear. I had also experienced bleeding during intercourse a couple of times in the past few months. She told me it was my choice if I wanted to treat it. I decided to treat it and took 100mg doxycycline twice a day for ten days. Around this same time I started experiencing pain in my abdomen almost constantly, like dull menstrual cramps. Having just moved to the US from Australia I was unable to see my usual doctor, so I went to a new doctor who unfortunately had never heard of ureaplasma and told me not to worry about it until I returned to Australia in December. When the pain continued I went to an STD clinic, and was given a one-time dose of antibiotics and told they would stay in my system for a week. Three days after taking the antibiotics the pain is no better but I'm not sure if it will take the whole week.

I'm not trying to conceive at the moment but I am wondering if this can cause infertility, especially since I may have had it for a long time. I have read that it can cause Pelvic Inflammatory Disease and lead to scarring in the fallopian tubes that can prevent successful ovulation/conception.

I am very nervous about this because information on the internet seems contradictory and doctors I have seen have so far given conflicting advice, one telling me I don't even need to treat it even though I am having symptoms, and another telling me it can lead to infertility and may have already lead to damage.

Sorry for the long post, I appreciate your reply!

Jennifer said...

Dear Doctor,
Just want to follow up with you.
I post a massage on June 22 about my tragic loss of pregnancy at 18weeks due to the myco and ureaplsma infection.
My husband and I both got doxycyline for 7 days although we had no symptoms. this is my 5th normal cycle after D&E (one note: I found I have much lighter period flow compared to before). and I am 35+.

My specialist doc told me wait for 1 year to TTC in order to get better outcome although we both are mentally ready. I really want to get your opinion on this since you have seen more cases.

Thank you very much for your attention.

Anonymous said...

I have recently been diagnosed with ureaplasma. I have not had sex with anyone but my boyfriend. Should I be worried that this is from an infidelity? What is the likelihood that it was in my body from before I met him 3 years ago? I recently gave birth in July and had cultures done when I found out I was pregnant and it was negative at that time.

Anonymous said...

Hi,
I just gave birth to our second baby at 22 weeks, five days less than a month ago. Our first baby was born at 22 weeks, four days. At first my OB thought I had an incompetent cervix after our first loss. With the second preganancy I had a cerclage and we later found that my cervix was not the issue. A culture of my cervix came back positive for ureaplasma. I was treated with zithromycin but the ureaplasma was still present in a second culture.
My question is this... how can I be pregnant for 22 weeks and then give birth? What happens at this time, this far in the pregnancy to cause preterm birth?

Anonymous said...

7 years ago I was tested for uu and was negative. I just got tested again this month and I am positive. I don't understand how it is possible given that I have been with the same partner for 15years?

Anonymous said...

I am 30 weeks pregnant and found out two months ago that I am positive for ureaplasma after having chronic uti symptoms with no actual uti. I was put on zithromax 500mg the first day and then 250 for the next 9 days. Still had symptoms so did another round of the same thing. Went back to get retested a week after finishing the second round of antibiotics and it came back positive again. The doctor said not to worry because it could be a false positive and I should have waited longer for the infection to fully clear out of my system. She thinks that the bacteria is dead but is not fully washed out of my system yet or something along those lines. However, I have still been having the same symptoms come and go that I have been having since before I found out I had this.. Just wondering if this is part of the healing process and it is still going to go away? Also, is there a risk to my baby having this during pregnancy.. it seems as though this is very controversial and I just don't know what to think

Anonymous said...

Hi DrG
Im nett and I have had two misscarages n one year I went to my Gyno and found out that I have ureaplasma I was given.doxycycline for 7 days twice a day my question is, is this long enough?? I have read how some people took it for 10 or a whole month I really want a baby and I fear the miscarriages are from the ureaplasma

Anonymous said...

Could it be possible that I got ureaplasma from a female that I had sex with if she was tested negative(a month after last sex)?

Anonymous said...

Can ureaplasma be treated with flagyl? Or what other antibiotics can cure this infection besides, azythromycin, and doxy?

DrG said...

Hi Anonymous (2/25/13)

Sounds like you are doing everything appropriately. THe risk to your baby is really the issue of preterm labor. Is ureaplasma a cause of preterm labor or just associated with PRL…..I am not sure that we really know the answer….

Hope you are still pregnant and doing well.

DrG

Hi Nett

I guess I would recheckk the cultures. If it is gone then the 7 days were enough!

Good luck

DrG

Hi Anonymous (3/8/13)

Seems unlikely if she was negative….

Good luck

DrG

Hi Anonymous (3/13/13)

I am not an Infectious Disease specialist so I pretty much punt if zithromax and doxy don't work….

Good luck

DrG

Anonymous said...

Hi Dr. G

I was tested for Ureaplasma Urealyticum and it came back positive. I just finished 500mg 2 tablets daily of Biaxin (i think thats what it was called) and I am curious how long after the antibiotics are done should I expect to not feel these irritating symptoms. And when should I be tested again?
Is this something people have to live with? Or will it go away!!

Anonymous said...

If I contract chlamydia with and IUD can this cause infetrility even after myself and my partner has been treated.

Katya Tishkova said...

Im 10 weeks pregnant. I was just told by my doctor that I tested positive with Ureaplasa. Two weeks prior to my pap I was taking Zithro for 5 days for my sinus infectiong. And then tested positive and she gave me another 5 days of zithro. Im terrified about what I have read about Urea and wondering is there still a chance to have a normal pregnancy and a normal baby? Is there a percentage you know of? Ive read that most doctors dont even test for it and its very common and not to worry about it and other that they deliver at 18-22 weeks and miscarry also. I just need some advice and a little relief.

Katya

Anonymous said...

Liz asks:

I was just diagnosed with ureaplasma and microplasma. I have had reoccuring bacterial infections so I was surprised in your comments that you don't think they are connected?

Anyway, I don't want to take the antibiotics. I'm taking strong probiotics and would like to address this holistically if possible. What do you think of hydrogen peroxide douches? Any other naturalist suggestions you can make for people who don't want to introduce strong antiobiotics into your system that may or may not work and will probably cause a killer yeast infection?

Thank you.

And FYI: this really is THE only place on the Internet that provided much needed info re: this topic. You wrote a book as well about it?

Thanks!

Anonymous said...

Its has been 44 days since I started my Antibiotics. I tryed Doxy and was also given Biaxin. How long does it take for the symptoms of UU to go away? Please It is taking over my entire life! I had a follow up when i was done my antibiotics and the results came back "inconclusive" so I will be getting checked again.. but I am curious how long it can take? And if I should try a stronger antibiotic. I have even tryed taking natural methods. And keeping up on my vitamins.

Help please

Anonymous said...

Hi Dr G,
My question is not about babies so I apologise for that, I am a healthy 28 year old man with a beatiful 21 year old fiancé , she is studying overseas and we only see each other every 3 months, but after spending time together she gets very sick and usually get cystitus, the last time we were together she started urinating blood and it hurt her very much to go to toilet, when she returned overseas she was admitted to hospital and they performed lots of tests on her, the results came back positive for ureaplasmosis and she is being treated for this, my doctor in Australia took a test on me but instantly put me on antibiotics because she tested positive, but he also told me that this bacteria would not be the cause of her illness, I am waiting for the results of my tests. What are your thoughts on this case ? Any advice would be greatly appreciated, once again I apologise for the long question not regarding fertility but it is very difficult to get information about this bacteria.

A.S

DrG said...

Hi Anonymous (5/3/13)

Sorry for the delay….Again I would emphasize that most patients with ureaplasma do not have symptoms as you may find with another cause of vaginitis such as bacterial vaginosis or trichomoniasis. I guess I would review with your GYN to look for other sources of irritation…

Hang in there \.

DrG


Hi Anonymous (5/15/13)

Chlamydia can certainly impair fertility but not all chlamydia infections cause tubal damage. Gotta treat of course but once you are interested in pursuing pregnancy you may want to get a hysterosalpingogram to confirm normal tubes. Also, I would suggest that you get close follow up in early pregnancy to identify possible ectopic (tubal) pregnancy since you are at a higher risk than the general population (perhaps 10% vs 2%).

Good luck

DrG


Hi Liz (5/28/13)

Cant really comment on the H2O2 douches and the book is about Infertility not just about Ureaplasma but given the popularity of this topic on my blog website maybe someone should write a book!

Good luck

DrG


Hi Anonymous (6/4/13)

Sorry that you are still having issues…..see my first post above….may need to consider alternative diagnosis for your issues….

Hang in there

DrG



Hi A.S. (6/10/13)

Sounds like a case of "honeymoon cystitis" and doubt that the ureaplasma is the culprit here.

I would have her speak with her GYN about taking prophylactic antibiotics (nitrofurantoin or ciprofloxacin) following intercourse…..

Good luck

DrG


DrG said...

Hi Katya (5/24/13)

There is every reason to be optimistic about your chance for a good outcome. Hopefully the treatment has worked and you are still pregnant and doing well.

Good luck

DrG

Katya Tishkova said...

Now I'm 18 weeks. I was retested about two weeks ago and came back positive for Ureaplasma, again! after two treatments. Waiting on doctor to call back with new antibiotics. Some people I guess naturally carry it and can't get rid of it I guess with my symptoms. Hopefully all will be ok.

Katya

DrG said...

Well hang in there and let's hope for the best....At some point we may have to decide that further treatment is worse than the problem...

DrG

Ashlggurl said...

June 2013 I gave birth to two boys 19+3 they didn't survive I was diagnosis with chorioamnionitis. So then in August went to dr (mfm) found out baby b had infection worst then baby a from autopsy so they Took another culture they found out I had ureaplasma microplasma (sp?) but didnt tell me til my appt 3 weeks later. I got the z-pack took it. 2 weeks later I went to RE to discuss trying again and come to find out I'm 5 weeks with one seed this time. But this means I got pregnant before or while I took z Pak do you think this baby may have it as well

Anonymous said...

Is Ureaplasma linked with an abnormal pap smear result?

DrG said...

Hi Ashiqquri (9/29/13)

Hopefully all is well with this pregnancy. Taking the Z pack was fine in early pregnancy given the situation and I am sure that they had probably repeated the cultures to make sure that the infection has cleared.

Good luck

DrG

Hi Anonymous (10/15/13)

Ureaplasma should not routinely cause abnormal Pap smear results. Detection is through an actual cervical culture.

Good luck.

DrG