Contemporary approaches to treatment for genitourinary mycoplasmas.
M.genitalium, U.urealyticum, U.parvum, M.hominis cause diseases in men and women.
M.genitalium causes urethritis and cervicitis.
U.urealyticum, U.parvum, M.hominis are found on mucous membrane and in genitourinary tracts of most women of child-bearing age.
U.urealyticum is a conditionally pathogenic bacterium. It causes diseases – urethritis and cystitis – only under certain conditions. Coupled with other germs it may play role in starting other diseases vaginitis, cervicitis, and vaginosis. It may cause complications after labour and abortion as well as pregnancy complications.
Diagnosing Genitourinary Mycoplasma
When does a patient need to get tested for M.genitalium?
- Inflammation of the lower urinary tract
- Complications (infertility) that were obviously caused by M.genitalium
- Sex partner has M.genitalium
- Unprotected sex with an unfamiliar person
- You are planning a pregnancy or pregnant
A person may get tested for U.urealyticum, U.parvum, M.hominis when:
- Lab test shows inflammation of genitourinary tract while pathogens are absent
- Serious Gynaecologic and Obstetric issues (infertility, miscarriage)
- Complicated pregnancy, obviously due to infected embryo
Diagnostics includes bacterial culture and microscopy.
Test sample is taken from urethra, vagina and cervix as well as from urine and ejaculate.
Treating Genitourinary Mycoplasma
M.genitalium is to be treated when:
- is diagnosed
- your sex partner was diagnosed with M.genitalium
U.urealyticum, U.parvum and M.hominis are to be treated when other pathogens have not been detected and a person has:
- Clinical and laboratory signs of inflammation of genitourinary system organs
- Obstetric and Gynaecological history (infertility, miscarriage)
- Complicated pregnancy with possible infection of embryo
- Plans for a genitourinary organ surgery
- Excessive amount of bacteria has been found and a patient has inflammation
Once a person has been diagnosed with M.genitalium, all their sexual partners are to be tested too.
Once a person has been diagnosed with other mycoplasmas, their sexual partners are to be tested if they have similar signs of inflammatory processes.