Mycoplasma in women. Mycoplasmosis in men: the first symptoms and treatment Incubation period mycoplasma

- urogenital infection caused by Mycoplasma genitalium / hominis and occurring in women in the form of urethritis, vaginitis, cervicitis, endometritis, salpingitis, adnexitis. It may have a latent course or be accompanied by itching of the genitals, burning during urination, transparent, non-abundant leucorrhoea, pain in the lower abdomen and lower back, intermenstrual bleeding, habitual miscarriage, infertility. Crucial in the diagnosis of mycoplasmosis in women belongs to laboratory studies: cultural, PCR, ELISA, RIF. In the treatment of mycoplasmosis, antibiotics (tetracyclines, fluoroquinolones, macrolides), local therapy (candles, douches), immunomodulators are used.

General information

Mycoplasmosis in women is a group of urinary tract infections caused by Mycoplasma genitalium and Mycoplasma hominis. According to various researchers, from 10 to 50% of the population are carriers of M. hominis. At the same time, mycoplasmas are found in 25% of women suffering from habitual miscarriage, and 51% of women who have given birth to children with defects. prenatal development. The highest incidence of mycoplasmosis is observed among sexually active women of childbearing age. To date, in the structure of STIs, ureaplasmosis and mycoplasmosis prevail over classical sexually transmitted diseases (gonorrhea, syphilis). The upward trend in the prevalence of mycoplasma infection in the population and the potential threat to reproductive health make this problem relevant to a number of disciplines: gynecology, urology, venereology.

Causes of mycoplasmosis in women

• M. pneumoniae (causes acute respiratory infections, SARS)
• M. hominis (involved in the development of bacterial vaginosis, mycoplasmosis)
• M. genitalium (causes urogenital mycoplasmosis in women and men)
• M. incognitos (causes a poorly understood generalized infection)
• M. fermentans and M. penetrans (associated with HIV infection)
• Ureaplasma urealyticum/parvum (causes ureaplasmosis)

The leading route of transmission of mycoplasma infection is sexual (unprotected genital, oral-genital contacts). Mycoplasmosis co-infections in women are often other urogenital diseases - candidiasis, chlamydia, genital herpes, trichomoniasis, gonorrhea. Of lesser importance is household contact infection, which can be realized through the use of common bed linen, towels and washcloths, toilet seats (including in public toilets), non-sterile gynecological and urological instruments. The possibility of non-sexual intrafamilial infection with mycoplasmosis is confirmed by the fact that 8-17% of schoolgirls who do not live sexually have M. hominis. The vertical path leads to intrauterine infection of the fetus. In addition, transmission of infection is possible during childbirth: M. hominis is detected on the genitals of 57% of newborn girls born to women with confirmed mycoplasmosis.

Mycoplasmas can live on the mucous membranes of the genitals without causing disease - such forms are regarded as mycoplasma carriers. Women are asymptomatic carriers of mycoplasmas more often than men. Factors that increase the pathogenicity of microorganisms and the likelihood of mycoplasmosis in women can be infection with other bacteria and viruses, immunodeficiency, bacterial vaginosis (changes in the pH of the vagina, a decrease in the number of lacto- and bifidumbacteria, the predominance of other opportunistic and pathogenic species), pregnancy, hypothermia.

Symptoms of mycoplasmosis in women

In about 10% of cases, mycoplasmosis in women has a latent or subclinical course. Activation of the infection usually occurs under the influence of various stress factors. However, even a latent infection poses a potential threat: under adverse conditions, it can initiate severe septic processes (peritonitis, post-abortion and postpartum sepsis), and intrauterine infection of the fetus increases the risk of perinatal mortality.

Incubation period lasts from 5 days to 2 months, but more often it is about two weeks. Mycoplasmosis in women can occur in the form of vulvovaginitis, cervicitis, endometritis, salpingitis, oophoritis, adnexitis, urethritis, cystitis, pyelonephritis. The disease has no clearly defined specific signs, the symptoms of urogenital mycoplasmal infection depend on its clinical form.

Mycoplasma vaginitis or cervicitis is accompanied by mild clear vaginal discharge, itching, burning during urination, pain during sexual intercourse (dyspareunia). With inflammation of the uterus and appendages, the patient is disturbed by pulling pains in the lower abdomen and lower back. Symptoms of cystitis and pyelonephritis are an increase in body temperature up to 38.5 ° C, painful urination, cramps in the abdomen, pain in the lower back. Mycoplasmal endometritis is also manifested by menstrual irregularities and intermenstrual bleeding. Frequent complications of this form of infection are infertility in women.

Mycoplasmosis poses a great danger to pregnant women. The infection can provoke spontaneous miscarriages, preeclampsia, fetoplacental insufficiency, chorioamnionitis, polyhydramnios, early rupture of amniotic fluid, premature birth. Premature pregnancy in women infected with mycoplasmas is observed 1.5 times more often than in clinically healthy pregnant women. Intrauterine mycoplasmosis in children can occur in the form of a generalized pathology with a multisystem lesion, mycoplasmal pneumonia, meningitis. Among infected children, the percentage of congenital malformations and stillbirths is higher.

Diagnosis of mycoplasmosis in women

It is not possible to diagnose mycoplasmosis in women only on the basis of clinical signs, anamnesis, examination data on an armchair, and a smear on the flora. It is possible to reliably confirm the presence of infection only with the help of a complex of laboratory tests.

most informative and fast method– molecular genetic diagnostics (PCR detection of mycoplasma), the accuracy of which is 90-95%. The material for analysis can be scrapings of the epithelium of the urogenital tract or blood. Bacteriological culture for mycoplasmosis can only detect M. hominis, it is more complex and more long periods the readiness of the result (up to 1 week), but at the same time allows you to get an antibiogram. For microbiological analysis, the discharge of the urethra, vaginal vaults, cervical canal is used. A titer of more than 104 CFU/ml is considered diagnostically significant. The determination of mycoplasma by ELISA and RIF, although quite common, is less accurate (50-70%).

Ultrasound methods are of auxiliary importance in the diagnosis of mycoplasmosis in women: ultrasound of the OMT, ultrasound of the kidneys and bladder, as they help to identify the degree of involvement in the infectious process of the organs of the genitourinary system. Examination for mycoplasmosis must be mandatory for women planning a pregnancy (including with the help of IVF), suffering from chronic PID and infertility, with a burdened obstetric history.

Treatment and prevention of mycoplasmosis in women

The question of the treatment of asymptomatic carriage of M. hominis remains debatable. On present stage More and more researchers and clinicians are of the opinion that Mycoplasma hominis is a component of the normal microflora of a woman and does not cause pathological manifestations under normal conditions in a healthy body. Most often, this type of mycoplasma is associated with bacterial vaginosis, so treatment should be aimed at correcting the vaginal microbiome, and not eliminating mycoplasma.

Etiotropic treatment of mycoplasmosis in women is prescribed taking into account the maximum sensitivity of the pathogen. The most commonly used antibiotics are the tetracycline series (tetracycline, doxycycline), macrolides, fluoroquinolones, cephalosporins, aminoglycosides, etc. Sometimes the administration of antimicrobial agents is used as part of the procedure. For local treatment, vaginal creams and tablets containing clindamycin, metronidazole are used. Instillations of the urethra, douching with antiseptics are carried out. Along with antibiotic therapy, antifungal agents, immunomodulators, multivitamin complexes, and eubiotics are prescribed. Ozone therapy and magnetic laser therapy are carried out.

Mycoplasmosis should be treated not only by a woman, but also by her sexual partner. The standard course lasts 10-15 days. 2-3 weeks after the completion of the course, a cultural study is repeated, a month later - PCR diagnostics, on the basis of which conclusions are drawn about recovery. Treatment resistance occurs in approximately 10% of patients. During pregnancy, treatment of mycoplasmosis is carried out only if the infection poses a danger to the mother and child.

Prevention of mycoplasmosis among women consists in the use of barrier methods of contraception, regular gynecological examinations, timely detection and treatment of urogenital infections.

Refusal of casual intimate relationships, the use of barrier contraceptives helps to protect yourself from infection. A woman should be regularly examined by a gynecologist, eat well, monitor the state of the immune system. Timely elimination of inflammatory foci in the tissues of the genitourinary system is necessary.

Characteristics of mycoplasma

Pathogenic qualities of mycoplasma are associated with the presence of antigens, toxins, aggression enzymes and adhesins. The latter are used by microbes early stages for fixation on epithelial cells. Toxins penetrate the bloodstream, contributing to the development of leukopenia, hemorrhage, and swelling. The greatest pathogenicity has Mycoplasma hominis, which most often causes inflammation of the genital organs in women. How is mycoplasmosis transmitted?

Methods of infection

There are various ways of infection, the most common of which is sexual. Transmission of infection during fetal development or childbirth is possible. Since the microorganism is unstable in the external environment, its distribution by domestic means is impossible.

Provoking factors that contribute to the increased reproduction of bacteria include:

• long-term use of antibacterial and hormonal drugs;
• stress;
• immunodeficiency states;
• alcoholism;
• endocrine disorders;
• bacterial vaginosis;
• surgical interventions.

The risk of infection is high if a person is promiscuous and refuses to use a condom. Most often, the disease is diagnosed in women who do not follow the rules of personal hygiene, homosexuals and people with other STDs.

Symptoms

The bacterium can cause the development of the disease immediately, or it can stay in the body without giving any symptoms. In the presence of one reason or another, the mycoplasma is activated, which is why they appear brightly pronounced signs. manifested by inflammation:

• urethra;
• Bladder;
• prostate;
• kidneys.

In women, the most common is:

• vaginosis;
• cervicitis;
• endometritis;
• salpingitis.

A long course of the inflammatory process can lead to infertility. It is necessary to start treatment of urogenital mycoplasmosis in a timely manner.

The main symptoms of infection in men are pain and burning in the urinary tract, a feeling of heaviness in the groin that radiates to the anus, erection problems.

Activation of mycoplasma in pregnant women can contribute to damage to the brain, kidneys, skin and organs of vision of the fetus. The infected child has a low body weight associated with impaired blood flow. Death can occur in the first days after birth. Infection in the first trimester greatly increases the risk of spontaneous abortion. Perinatal infection develops meningitis or pneumonia.

How to detect the pathogen

Diagnosis of mycoplasmal infection begins with laboratory tests, examination of the patient and anamnesis. Serological tests provide the identification of bacterial DNA. As a material for analysis, a vaginal secret, a smear from the urethra, and urine are used. The preparation is stained and examined under a microscope. If the DNA of the causative agent of the infection is detected during PCR, we are talking about the presence of urogenital mycoplasmosis.

ELISA helps to detect antibodies to mycoplasma in the blood. The result is considered negative if all types of indicators have a sign (-). In the presence of antibodies of the IgG class, we are talking about the formation of immunity to bacteria. In the presence of specific cell types 2, further diagnosis and therapy is necessary. The absence of antibodies in the blood after therapy indicates its effectiveness. To determine the sensitivity to antibacterial drugs, the discharge of the genital organs is placed on nutrient media.

Therapeutic activities

The most effective are broad-spectrum antibiotics (Doxycycline), macrolides (Azithromycin), fluoroquinolones (Cifran), antiprotozoal drugs (Trichopolum), local antiseptic drugs (Metronidazole suppositories). For the treatment of the genital organs in men, Oflokain ointment is used. For the prevention of candidiasis, which often occurs during the treatment of bacterial infections, Nystatin, Fluconazole, Clotrimazole are prescribed. Probiotics are used to normalize the microflora of the vagina.

Interferon and Polyoxidonium restore the functions of the immune system, increase the body's resistance. In the presence of pain, non-steroidal anti-inflammatory drugs are prescribed. Additionally, a multivitamin is recommended. Relief of the condition is facilitated by douching with a decoction of chamomile and sage, Miramistin. Both partners should be treated for mycoplasmosis at the same time. Otherwise, there is a risk of re-infection, and therapy becomes useless. A month after the completion of treatment, a control is carried out.

Prevention of urogenital mycoplasmosis involves the management healthy lifestyle life. It is necessary to refuse casual sexual contacts, observe the rules of intimate hygiene, use a condom during sex with an unfamiliar partner. The activation of mycoplasmal infection is prevented by the timely elimination of foci of infection in the body. With mycoplasmosis, you should not self-medicate, if a person has signs of the disease, he should visit a doctor and start taking medications.

What is mycoplasmosis? Chronic infection caused by mycoplasmas. Most often affects the genitourinary system. It is considered an infection that occurs in an acute form. 70 species of microorganisms are described in the scientific literature, but only a few types of mycoplasmas pose a real danger to the human body.

In general, mycoplasmosis is a disease that is classified as conditionally pathogenic. Bacteria can live in the body of a healthy person without showing themselves in any way, and can cause a number of diseases.

Signs and symptoms

Mycoplasmosis symptoms. Most often, the disease is asymptomatic, i.e. signs are invisible and invisible. But in a number of cases, the disease enters the active phase, and then the following symptoms appear:

If microorganisms have infected the prostate gland, causing it to become inflamed, prostatitis may develop. Sometimes the testicle becomes inflamed, increasing in size, swelling and reddening. With this inflammation, the man feels pain in the scrotum, perineum and groin.

Kinds

This type of disease is often found in various groups population. It is most widespread among those who lead an increased sex life. Among them are prostitutes and homosexuals. It can be found as an "addition" to other venereal diseases sexually transmitted - and. But it also occurs in people who are not included in the "risk group". Including pregnant women.

Genital mycoplasmosis. A disease caused by genital mycoplasmas found in the genital tract. These bacteria can be transmitted through intimacy, from an infected pregnant woman to a newborn baby through the genital tract, which contains microorganisms. At the household level (in swimming pools, toilets and through linen), it is impossible to become infected with genital mycoplasmas.

How is mycoplasmosis transmitted?

The causative agent of mycoplasmosis is mycoplasma. These are the smallest organisms known to science capable of living on their own. They live in the human body, animal organisms and plants. There can be 16 types of such bacteria in a person: 6 types of mycoplasmas live on the mucous membranes of the urinary tract and genital organs, the rest can live in the pharynx and in the oral cavity.

How mycoplasmosis is transmitted: Mycoplasmas, like other STDs, are transmitted during unprotected sex: i.e. from one partner to another. The bacteria can also enter the baby's body during the mother's pregnancy or during childbirth.

Treatment

How to treat mycoplasmosis. The basis of therapy is antibiotics. Note that the disease can be treated in two ways.

The first method is disposable. This new way, it is safe - the patient takes a highly effective antibiotic once. The treatment does not give side effects, since the dose of the antibacterial drug does not exceed the therapeutic dosage, but the antibiotic is enough to destroy the mycoplasmas. It was tested in Europe and Russia, where it passed clinical trials.

The second method is complex. The course of treatment is designed for one to two weeks. Often prescribed if or complicated by diseases such as prostatitis or inflammation of the testicles. The basis of treatment is also antibiotics, which are used together with immunomodulators, enzymes, local procedures and general strengthening drugs. As a preventive measure, medications may also be prescribed to reduce the possible by-effect antibiotics.

Both the first and second methods of treatment are prescribed based on individual characteristics body of every person. Therefore, the answer to the question "how to treat mycoplasmosis?" can only be given by an experienced doctor.

Consequences

Mycoplasmosis has different consequences. The bacteria that cause this disease, together with other infections (or on their own, by themselves) can cause inflammation in the human genitourinary system.

Also, mycoplasmosis can cause prostatitis, pyelonephritis, arthritis, urethritis, bacterial vaginosis.

Women may develop pathologies of pregnancy and the fetus, as well as birth and postpartum fever.

In addition, often in women, mycoplasmosis causes pelvic inflammatory disease, abscesses, endometritis, salpingitis, etc.

For pregnancy, the disease poses a particular threat, since it is fraught with premature miscarriage or may develop intrauterine infection.

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Mycoplasmosis and ureaplasmosis- this is an inflammatory process in the organs of the genitourinary system, caused respectively by mycoplasmas or ureaplasmas.

How does infection with mycoplasmas and ureaplasmas occur?

• Infection can occur through any type of unprotected sexual contact (vaginal, oral, anal) with a carrier of the infection. Depending on the state of the body (primarily the immune system), the probability of transmission of mycoplasmas and ureaplasmas during a single unprotected sex is 5-60%. Women are most often asymptomatic carriers of the infection, while men become infected sexually.
• It is also possible to transmit the pathogen in utero or during childbirth from an infected mother. The probability of infection in this case reaches 50-80%.
• Household route of infection (in the gym, swimming pool, through a towel, dishes, dirty hands etc.) is practically impossible, because mycoplasmas cannot live outside the body.
• Pets also cannot be a source and carrier of mycoplasmas and ureaplasmas.

What happens after infection with mycoplasmas and ureaplasmas?
The very fact of the transmission of the pathogen does not mean at all that it will necessarily lead to the disease.
Depending on whether mycoplasmas cause disease or peacefully coexist with humans, there are:

1. Carriage of mycoplasmas or ureaplasmas. In this case, mycoplasmas are representatives of the natural microflora of the body and do not cause any changes in urinary tract. It does not appear clinically.
2. The development of the disease - mycoplasmosis or ureaplasmosis. As a rule, this occurs with a decrease in local and general immunity. In this case, an inflammatory process develops in the organs of the genitourinary system.

What are the varieties of mycoplasmosis and ureaplasmosis?
If the transmission of the pathogen nevertheless led to the development of the disease, then, depending on the time of its course and the severity of the symptoms, they distinguish:

• Fresh, i.e. first-time mycoplasmosis or ureaplasmosis. Depending on the severity of the symptoms, it is acute or sluggish.
• Chronic, which is characterized by an asymptomatic course and duration of the disease over 2 months. Chronic infection under the influence of various factors can periodically worsen.

Symptoms of mycoplasmosis and ureaplasmosis.
Because Since mycoplasmas and ureaplasmas are related bacteria, the nature of the infection and the symptoms are very similar.
Incubation period can last from 2 to 5 weeks, after which the first signs of infection appear.
Mycoplasmosis and ureaplasmosis are characterized by the absence of a pronounced immune response of the body, the absence of symptoms of infection, a long chronic course, and the absence of stable immunity. All this is explained by the peculiarities of the pathogens themselves - mycoplasmas and ureaplasmas.

Mycoplasmosis and ureaplasmosis do not have any specific symptoms that would point specifically to them. All clinical manifestations are practically the same as in other urogenital infections.
However, acute manifestations in mycoplasmosis and ureaplasmosis are extremely rare.
Most often, erased or latent forms of the course of these infections are observed with a rapid chronization of the process.
In this case, usually no complaints or no complaints occur at all, or they are so insignificant and quickly disappear without any treatment that they simply do not pay attention. But under certain conditions of the body, for example, stressful loads, the old symptoms reappear.

Mycoplasmosis is characterized by the fact that, as a monoinfection, it occurs in only 10-15% of patients, in other cases - together with other microorganisms. Of these, in 25 - 30% of cases - together with chlamydia. Mycoplasmas can often be found in trichomoniasis, gonorrhea and chlamydia, so the so-called mixed infections are distinguished: mycoplasma-trichomonas, mycoplasma-chlamydia, mycoplasma-gonococcal.
And if at first mycoplasmosis and ureaplasmosis proceed as low-symptomatic urethritis or vulvovaginitis, then upon transition to chronic form the inflammatory process affects the deeper sections - the fallopian tubes, ovaries, prostate, testicles.

Symptoms of mycoplasmosis and ureaplasmosis in women:
Manifestations of fresh mycoplasmosis and ureaplasmosis in women are rare. Most often they are asymptomatic carriers of mycoplasmas.
But if the disease occurs, the inflammatory process in the genitourinary organs with mycoplasma infection in women is mild and often almost does not bother. Fresh mycoplasmosis manifests itself as an inflammation of the urethra, vagina and cervix. However, pathological vaginal discharge in these diseases is not always the case. In addition, it is impossible to distinguish them from normal secretions without analysis.

However, if complaints still occur, they are more often like this:

• Slight clear discharge from the vagina, maybe a little more than usual.
• Slight pain and burning when urinating.
• Brownish spotting before or after menstruation.
• Soreness in the lower abdomen and during sexual intercourse.
• Slight itching of the external genitalia.
• Going to the doctor, as a rule, is already associated with complications of mycoplasmosis, such as infertility, miscarriage, menstrual irregularities, inflammation of the ovaries, etc.

Ureaplasmas, unlike mycoplasmas, do not have the ability to deeply invade, therefore, they damage only the surface epithelium of the external genital organs.

Symptoms of ureaplasmosis and mycoplasmosis in men
In men, carriage is much less common than in women, and fresh mycoplasmosis causes inflammation of the urethra and foreskin. These infections also do not cause particular concern to men, however, the signs of the disease appear more often and they are more pronounced than in women.

• Moderate soreness and burning in the penis, aggravated during urination or sexual intercourse.
• Redness and irritation of the lips of the urethra.
• Slight clear discharge from the urethra.
• Discomfort or pain in the testicles.
• Drawing pains and unpleasant sensations in the lower and deep abdomen, as well as in the perineal region.
• There may be some weakening of potency.

Complications of urogenital mycoplasmosis, ureaplasmosis.

• Miscarriage (spontaneous miscarriage or premature birth). Often associated with autoimmune processes. Infection with mycoplasma leads to termination of pregnancy in 70 - 80% of cases.
• Complicated pregnancy - late toxicosis, polyhydramnios, the threat of interruption, premature detachment of the placenta and its abnormal attachment. Often associated with autoimmune processes.
• Urethritis, cystitis, pyelonephritis, urolithiasis.
• Endometritis, salpingitis, salpingoophoritis, adnexitis, endocervicitis and cervical erosion.
• Conjunctivitis.
• Autoimmune diseases (most often arthritis of the knee, ankle and hip joints).
• Epididymitis with pulling pain in the groin, perineum, scrotum, enlargement of the epididymis and reddening of the skin of the scrotum.
• Prostatitis with frequent painful urination, pain in the lower abdomen and in the perineum, decreased erection and potency, painful, erased early orgasm. If more than 104 colony-forming units per 1 ml of mycoplasmas or ureaplasmas are found in the secret of the prostate gland, this indicates that these pathogens cause prostatitis.
• Infertility female and male. In women with a long course of the inflammatory process, changes occur in the fallopian tubes and the uterine mucosa. In men, spermatogenesis is disturbed: the number of spermatozoa and their mobility decrease, immature forms and morphological changes in them appear.
• Intrauterine infection of the fetus.
• Mycoplasmas and ureaplasmas are capable of causing chromosomal changes in cells, including sex cells (spermatozoa and eggs). This can cause spontaneous abortions, as well as chromosomal abnormalities in the fetus and congenital malformations.

Mycoplasmosis is a disease caused by mycoplasmas.

Depending on the pathological processes caused, 5 groups of mycoplasmas are distinguished:

1. Mycoplasmas causing respiratory diseases (several types);
2. Mycoplasmas causing diseases of the genitourinary tract (2 types);
3. Mycoplasmas that provoke the development of rheumatoid processes;
4. Mycoplasmas - causative agents of inflammatory syndromes and inflammatory processes of various localization;
5. Mycoplasmas are conditional saprophytes found in the secretions of practically healthy people, animals and birds, in the oral cavity, sewage, soil, on plant leaves, in water bodies, etc.

In this article, of course, I will focus on mycoplasmas, which are the causative agent of a sexually transmitted infection - urogenital mycoplasmosis, M. hominis u

M. genitalium. Mycoplasmas are the smallest pokyriots capable of self-reproduction, occupying an intermediate position between viruses and bacteria. They, like viruses, have small size, do not have a dense cell wall and are covered with a three-layer cytoplasmic membrane. However, like bacteria, mycoplasmas have both nucleic acids (DNA and RNA) and are fundamentally different from viruses. Unlike viruses and chlamydia, mycoplasmas can multiply on cell-free media. 2 types of mycoplasmas capable of cleaving the urease enzyme are called ureaplasmas (U. urealytika u U. Parvum). They are independent species allocated to a separate group of pathogens that cause the disease ureaplasmosis.

All groups of mycoplasmas are quite stable in the external environment. They do not die at low temperatures (even when frozen), are stable in water with a pH of less than 8.0, and remain viable under the action of conventional disinfectants (1% chloramine, lysol). Mycoplasmas are rapidly killed by high temperatures, at a temperature of 60 degrees, inactivation occurs after 10 minutes, at a temperature of 90 degrees - after 3-5 minutes. Mycoplasmas are transmitted sexually and domestically (through the water of pools that are not exposed to special treatment, baths, toilets, see sexually transmitted infections). The entrance gates for infection are the mucous membrane of the genital tract (when infected sexually or through the toilet, bath), eyes (when bathing, coughing and sneezing of the patient), mucous membrane of the mouth and nasopharynx (when the patient coughs and sneezes). The incubation period is from several days to 1 - 1.5 months. In persons with good immunity, it is possible to lengthen the incubation up to 2 months, as well as asymptomatic carriage of the disease for several months and even years.

Let's focus on mycoplasmas, disease-causing urinary tract. These include M.hominis and M.genitalium. After the end of the incubation period, patients develop lesions of the mucous membrane of the urethra, vagina, cervical canal, which is expressed in mild itching, burning, redness of the mucous membrane, mucous secretions from the genital tract. In the absence of timely treatment, it is possible to damage the uterus, appendages (ovaries and fallopian tubes) in women, damage to the prostate, seminal vesicles and testicles in men, or damage to the kidneys and bladder in men and women. Normally, a person should not have this infection. Therefore, if mycoplasmas are found in you or your partner, you must undergo a course of treatment prescribed by a doctor for both partners.

WHAT IS MYCOPLASMOS DANGEROUS?

1. The development of a number of diseases of the urogenital tract in men and women: urethritis, cystitis, pyelonephritis, infertility;
2. The development of diseases of the urogenital tract in men: prostatitis, vesiculitis, orchitis, balanoposthitis, impaired potency.
3. The development of diseases of the urogenital tract in women: colpitis, cervicitis, endometritis, adnexitis, ophoritis, perimetritis, salpingitis, salpingoophoritis;
4. The possibility of damage to the joints: arthritis or polyarthritis.

Kontsevykh Elena Vladimirovna - director, doctor - dermatovenereologist.