2023 Author: Josephine Shorter | [email protected]. Last modified: 2023-05-24 11:52
Causes and symptoms of ureaplasmosis
What is ureaplasmosis?
Ureaplasmosis is a disease caused by special microorganisms Ureaplasma urealyticum. These microorganisms are Gram-negative microbes that do not have a cell wall.
Causes of ureaplasmosis
This infection enters the human body in two ways:
- During sexual contact with a sick person or a carrier of the infection
- At birth, if the mother is sick, microbes enter the child's genital tract at birth and remain inactive there for life. As statistics showed, when examining children, colonization of the vagina, ureaplasmas were found in 5%.
If the infection is sexually transmitted, then the incubation period depends on the state of the infected organism, on average about a month. However, infection does not always lead to the development of the disease. Ureaplasma has been able to live in the human body for years without causing any inconvenience or symptoms of the disease. Moreover, this phenomenon, asymptomatic wearing of ureaplasma, is quite common, in almost half of sexually active women. The disease makes itself felt only when the concentration of microorganisms has exceeded the permissible level.
From the moment of infection with ureoplasm, until the first symptoms of ureoplasmosis appear, it takes from 4 days to a month. Although this period can take longer, sometimes up to several months. A person is already a carrier of ureplasmosis, throughout the latent period, and be a source of infection for his sexual partners. The first symptoms of ureplasmosis begin to appear at the end of the incubation period. It is worth paying attention to the fact that very often ureaplosmosis is not pronounced symptoms, often a person simply does not pay attention to them, it happens that there are no symptoms. Predominantly, development without symptoms is characteristic of women who can live for decades with an infection without even knowing it.
Moreover, as with mycoplasmosis, ureaplasmosis does not cause any special signs and the symptoms of ureaplasmosis completely coincide with the symptoms of other inflammatory infections of the genitourinary system.
Symptoms of ureaplasma in men.
- The most common manifestation of ureaplasmosis in men is non-gonococcal urethritis.
- often a complete absence of subjective symptoms (cramps, pain when urinating)
- slight, cloudy discharge from the urethra, especially after prolonged urinary retention (in the morning)
- often sluggish and recurrent course (discharge from the urethra spontaneously disappears for a period of time, then appears again)
- Orchoepidymitis is an inflammation of the epididymis arising against a background of sluggish urethritis.
Symptoms of ureaplasma in women:
- Cervicitis - a similar diagnosis can be made based on examinations of a smear from the cervical canal, manifests itself in the form of frequent and painful urination.
- vaginal discharge colpitis - often U. Urealyticum is detected in bacterial vaginosis - pain in the lower abdomen, the appearance of endometritis, myometritis, salpino-oophoritis - a very rare manifestation of ureaplasma infection.
Oddly enough, a person does not suspect about his disease for a long time. The latent period usually lasts about a month, after which there are few symptoms.
Ureaplasma and pregnancy
When planning a pregnancy, a woman must be examined for this infection. There are two reasons for this.
First: even a small amount of ureplasmas in the genitourinary system of a healthy woman during pregnancy are activated, since pregnancy is stressful for the immune system, and leads to the development of ureaplasmosis.
The second reason is the inability to treat ureaplasmosis during pregnancy, due to the negative effects of antibiotics, especially in the early stages. As a result, this infection can lead to miscarriage. It is for this reason that, before planning a pregnancy, it is very important for a woman who cares about the health of her unborn child and her health to get rid of ureaplasma in the body.
About what effect on the reproductive system produce ureaplasma remains open. Again, female infertility can be explained by inflammatory processes in the genital area, infected with ureaplasmas, which prevent the egg from entering the uterine cavity. Male infertility is explained by inflammatory processes and the effect of ureaplasma on spermatogenesis. Ureaplasmas, localizing on the surface of spermatozoa, disrupt their mobility, morphology and chromosomal apparatus.
Ureaplasma is also dangerous during pregnancy in that during childbirth, the baby can become infected, passing through the infected birth canal of a sick woman. It is for this reason that it is very important to diagnose and cure the disease even before pregnancy. Treatment of this condition during pregnancy can have a negative impact on the development of the baby.
It is extremely rare for the fetus to become infected during pregnancy, since it is protected by the placenta, which does not allow ureaplasma to pass through. Although in half of the cases, the child becomes infected precisely when moving along the birth canal during childbirth. In this case, ureaplasmas appear on the genitals of the child, especially often in girls, sometimes in the nasopharynx, regardless of the sex of the child.
In the case when a woman nevertheless fell ill with ureaplasma during pregnancy, it is necessary to immediately tell the doctor who is observing this pregnancy about it. The doctor will prescribe the necessary tests to confirm the diagnosis.
To prevent infection of the baby during childbirth, and to reduce the risk of premature birth, a pregnant woman after 22 weeks of pregnancy is prescribed antibiotic treatment, taking into account the patient's condition. In addition, a woman with ureaplasma is prescribed immunity-strengthening drugs to avoid re-infection.
Article author: Mochalov Pavel Alexandrovich | d. m. n. therapist
Education: Moscow Medical Institute. IM Sechenov, specialty - "General Medicine" in 1991, in 1993 "Occupational Diseases", in 1996 "Therapy".