Mycoplasma hominis in men
An intracellular microbe called mycoplasma causes a very unpleasant disease called mycoplasmosis. Pathogenic microorganisms, often in combination with other microbes, can cause infectious and inflammatory processes. The cells of the human body stop their functions when damaged by this type of microbes, whose waste products are toxic.
Microorganisms destroy cholesterol and fatty acids of the patient's cells. Mycoplasma hominis are able to grow in a cell-free environment, making them difficult for the immune system to detect. They have a three-layer membrane, they contain DNA and RNA, they can be immunostimulants or immunosuppressants, they contribute to the development of respiratory diseases and diseases of the genital organs.
An infectious inflammatory disease has only a conditional danger to the human body. Therefore, the detection of microbes without clinical manifestations does not at all mean the detection of a disease. Anyone can get mycoplasmosis, regardless of age and gender.
In men, microbes, occupying the urethra, foreskin, scalp, prostate gland, seminal vesicles, organs of the scrotum, seminal tubercle cause tissue inflammation. Treatment of mycoplasmosis is prescribed after an accurate diagnosis. The necessary research is:
- bacteriological method;
- serological method;
- polymerase chain reaction (PCR);
- determination of mycoplasma antigens by ELISA and RIF;
- activated particle method;
- method of genetic probes;
Mycoplasmas are small in size and simple organization with pronounced polymorphism. Their plasma membrane contains antigens similar to human antigens. Currently, mycoplasmas are one of the main reasons for the development of a number of inflammatory diseases of the urogenital system.
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They can relapse non-gonococcal urethritis, nonspecific vaginitis, postpartum endometritis, prostatitis, and more. The disease in men is asymptomatic, there is no persistent immune response, rapid genome variability, natural resistance to antibacterial therapy.
For research, scraping of epithelial cells from the cervical canal, urethra, preiurethral region, foreskin is taken. The material for determining the diagnosis is sperm, prostate secretions, urine. With mycoplasmosis in men, hyperemia, swelling of the sponges of the external opening of the urethra, from which purulent fluid is released, is found. Patients with mycoplasma experience the same symptoms as when infected with acute gonorrhea. The urine is cloudy or even clear, contains mucopurulent filaments.
Inadequate treatment leads to chronic mycoplasma urethritis with manifestations of mild itching in the urethra and burning. The disease can be accompanied by joint damage, conjunctivitis, Reiter's syndrome, and lead to infertility. The aggressiveness of microbes disrupts the mobility of sperm, immature forms with altered cell morphology appear. Most men feel soreness in the scrotum, swelling of the skin, damage to the testicles and their appendages, discomfort in the perineum, impaired erectile function and difficulty urinating.
Such symptoms may indicate the presence of prostatitis, along with impotence may develop. With a significant decrease in immunity in men, the disease is complicated by an abscess of the prostate gland. Often, patients subsequently suffer from acute and chronic pyelonephritis and cystitis. Medicines are determined taking into account the characteristics of the human body, biology and strains of the pathogen.
Based on this, antibiotics of the tetracycline group, antifungal and antiprotozoal drugs, macrolides and lincosamines can be prescribed. At the end of the course of treatment for mycoplasmosis, additional diagnostics are performed, then a follow-up examination is carried out after 2-3 weeks. This is how the quality of the treatment is checked and is called the paired serum method.
To do this, use the indicators of the first blood sample until the sixth day of the disease, and two weeks later the second. For the prevention of disease, men are advised to avoid infection, to use barrier methods of contraception. It is advisable to constantly undergo preventive examinations. Since mycoplasmosis entails the appearance of some other infections, this should be taken into account in treatment.
Anti-trichomonas, antifungal drugs are prescribed. Hepatoprotectors reduce the risk of complications in the liver, immunomodulators increase immunity. To eliminate dysbiosis, it is recommended to use yoghurts, lactovites, etc. In the case of a chronic course of the disease, physiotherapy methods of treatment are used.
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".
