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Ureaplasma parvum in women: symptoms and treatment, diagnosis

Ureaplasma parvum in women - what is it?

Urepalazma parvum refers to representatives of the conditionally pathogenic microflora, which under normal immunity does not cause the development of the disease. These microorganisms constantly inhabit the genital tract of a woman, but only under certain circumstances lead to inflammatory processes.

The latter include:

  • Urethritis - inflammation of the urethra;
  • Cystitis - damage to the bladder;
  • Vaginitis - inflammation of the vaginal walls;
  • Cervicitis is an inflammation of the cervical epithelium and the submucosa, externally manifested as erosion.

Content

Is it necessary to treat ureaplasma parvum in women?

Ureaplasma of Parvum in Women

The frequency of detection of ureaplasmas during inflammatory processes of the sexual organs of a woman reaches 80% (the average frequency is 50-60%). But even in the absence of such diseases, these microorganisms are identified in 20% of healthy women.

Therefore, the detection of ureaplasmas without inflammatory signs (confirmed clinically and laboratory) is not a reason to conduct antibiotic therapy.

Symptoms of Ureaplasma Parvum in Women

Ureaplasma infection causes the emergence of a variety of nonspecific symptoms of ureaplasma parvum in women. First of all, these are vaginal discharge, having a muco-purulent character and periodic non-intensive bloody discharge ("smearing"), arising out of connection with the menstrual cycle. Other symptoms:

  • Dyspareunia - soreness of sexual intercourse;
  • Dysuria - soreness during urination;
  • Itching and burning sensation of the labia, vagina and urethral region;
  • Minor pain and discomfort localized in the lower abdomen.

Symptoms of Ureaplasma Parvum in Women

At objective survey the doctor can reveal the certain signs inherent ureaplazmennoj infections (however they are not strictly specific character and can be observed at various diseases):

  1. Redness and swelling of the mucosa, defined in the urethra, its outer opening;
  2. The presence of a detachable in this area, which has a mucopurulent nature;
  3. Swelling and redness of the vagina and vulva, while from the neck there is a pathological secret (mucopurulent).

In the presence of such symptoms and signs, the ureaplasma of Parvum should be treated - I think it is understandable, and the question "why?" Will not be.

Diagnosis of ureaplasma parvum in women

An additional examination to identify ureaplasma in women should be done in specific clinical cases:

  • Clinical and laboratory signs, characteristic for inflammation of the genitourinary system, when a standard examination does not identify pathogens;
  • Patients suffering from infertility (lack of conception during the year of regular intimate life without protection);
  • Mild pregnancy;
  • Presence of preterm birth in anamnesis, especially up to 34 weeks.

For diagnosis of ureaplasma infection in women, 1 of 2 methods can be used:

  1. PCR reaction aimed at identifying the characteristic fragments of RNA and DNA inherent in ureaplasma parvum.
  2. Culture analysis - sowing of the medium to be separated with certain substances and the study of the nature of the growing colonies of microbes.

Microscopic analysis of the discharge from the genital and urinary organs is a simple diagnostic test that allows to identify inflammatory lesions of the urogenital organs. With its help you can answer a number of questions:

  • What is the degree of leukocyte reaction (number of leukocytes)?
  • What is the condition of the epithelium of the genital organs?
  • Are there concomitant sexual infections (gonorrhea, trichomoniasis)?
  • What is the condition of normal microflora in the vagina?

According to the microscopic examination, urethritis in women is diagnosed if 10 or more white blood cells are detected in the field of vision in the urethral discharge. The diagnosis of vaginitis is set when the ratio of leukocytes to the number of cells of the flat epithelium is 1: 1 or more.

The diagnostic sign of cervicitis in women according to the microscopy is 10 or more leukocytes in the field of vision. This symptom should be combined with the presence of a mucopurulent secretion from the cervix.

It is important!

Studies that determine the level of antibodies to ureaplasma parvum should not be used, because do not give reliable information. In this case, there is a high risk of false positive results, which are the reason for the appointment of not shown antibacterial therapy.

Treatment of ureaplasma parvum in women, drugs

Treatment of ureaplasma parvum in women, drugs

Is it necessary to treat ureaplasma parvum in women? To a certain extent, I have already tried to answer this question.

Not all cases of detection of this pathogen in the body are an indication for the initiation of therapy. Detection of only a high titer of ureaplasmas (10 000 cfu / ml and more), not combined with the presence of clinical and laboratory signs of inflammation, does not require treatment.

It is only indicated if there are inflammatory signs according to laboratory and clinical examination data. In this case, it is necessary to exclude the presence of other pathogens that can cause an infectious process - chlamydia , gonococci, genital mycoplasmas and trichomonads .

Exceptions, when antibacterial therapy is prescribed in the absence of inflammation with a high ureaplasma titer, are:

  • Infertility in women ;
  • In the anamnesis there are episodes of miscarriage;
  • There is a child's death in the perinatal period.

Treatment for a partner living with a woman who has a ureaplasma, is prescribed only if he has signs of inflammation (laboratory or clinical). In this case, it is necessary to exclude another nature of inflammation in the genital and urinary tract of a man.

Drugs prescribed for the treatment of ureaplasma parvum in women, should lead to the achievement of certain goals:

  • Complete clinical recovery;
  • Cupping of a laboratory-defined inflammation;
  • Prevention of complications.

Antibiotics in the treatment of infection caused by ureaplasma parvum play a crucial role. Currently, doctors prescribe one of two drugs - Jozamycin or Doxycycline.

The duration of therapy is 10 days, but can be increased to 14 days, depending on the clinical and laboratory response. For treatment of pregnant women, only Josamycin is used. Its effect on the fetus is minimal, unlike Doxycycline.

The evaluation of therapeutic effectiveness is based on the reduction of clinical and laboratory signs of inflammatory reaction. The lack of detection of ureaplasmas in the separated genital and urinary organs is not a requirement for the treatment. Repeated tests should be performed one month after the last pill.

If there is no effect of antibiotics, then:

  • Additionally tests are assigned to identify other possible pathogens;
  • An antibiotic is changed for a drug from another group, to which the sensitivity of the ureaplasma manifests itself;
  • The duration of treatment is increased to 2 weeks.

Ureaplasma parvum in women with pregnancy

Ureaplasmas of parvum during pregnancy, when physiological suppression of immunity is observed (this is necessary for the normal development of the fetus so that it will not be rejected, since it contains genetically foreign paternal antigens halfway) lead to various complications:

  1. Miscarriages;
  2. Developmental flaws;
  3. Premature birth.

Until now, there is no reliable evidence of the absolute causal role of ureaplasmas in the development of spontaneous miscarriages or habitual miscarriage. However, there is no contradictory evidence.

Therefore, women who have a history of pregnancy with interruptions in pregnancy are advised to perform diagnostic tests to identify ureaplasmas. With positive results of the study, it is recommended that appropriate eradication treatment be carried out.

Ureaplasma parvum can cause and inflammatory processes in the postpartum and post-abortion period (most often this is endometritis ).

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