Do I need treatment for mycoplasma infection?

Mycoplasma infections in women are mainly transmitted through sexual intercourse, mostly in young sexual vigor, especially after impure intercourse. When the genitourinary tract is inflamed and the mucosal surface is damaged, Mycoplasma urealyticum can easily invade through the breach and cause genitourinary tract infection. Most patients have no obvious symptoms after mycoplasma infection. Mycoplasma infections in women are difficult to detect at the beginning and can be missed by doctors. Mycoplasma can invade the urethra, cervix and vestibular gland, causing urethritis, cervicitis and vestibular glanditis. Upstream infection can cause endometritis, pelvic inflammatory disease, and tubal inflammatory disease, especially tubal inflammatory disease. Pathological changes in female reproductive organs caused by mycoplasma infections are an important cause of infertility. Treatment of mycoplasma infection in women is very simple and requires effective care after treatment, such as timely change of underwear, and excessive cleanliness can also cause symptoms such as vulvar itching. In short, cleanliness should be moderate, but not excessive negligence of personal hygiene. Of course, the exact treatment plan for mycoplasma infection in women needs to be combined with the specific circumstances of the patient. A. Prevention 1, during treatment: sexual partners should also be checked and the problems found should be treated. 2, to avoid mycoplasma infection: underwear underwear should be washed separately, preferably with boiling water for more than five minutes, this method can prevent repeated infection by a variety of pathogens. 3, enhance physical fitness, pay attention to rest: and abnormalities in the leucorrhea is also needed to treat mycoplasma infection. Clinically, many women with mycoplasma infections need to be evaluated by doctors in terms of diagnosis and treatment. Previously, each department had a different evaluation of it, so there was confusion. For example, the male department believes that this is the cause of non-gonococcal urethritis and must be treated. II. Treatment 1. It is associated with a variety of diseases such as cervicitis and should be treated. 2, UU normal carriage rate is high, if there is no inflammatory manifestation, it should be considered normal and does not need to be treated. In fact, this stems from the lack of understanding of mycoplasma. Mycoplasma is divided into Mycoplasma solium, Mycoplasma humanum, and Mycoplasma genitalium. Mycoplasma urealyticum is the only human-derived species in the mycoplasma family, with 2 biotypes and at least 14 serotypes. The most common in China because the test is easy, buy a kit, hire a technician can be carried out, the fee is not low, and the detection rate is high, so the vast majority of private hospitals and clinics very much like, because this increases the reason for the use of many drugs, often a course of treatment down 2-3000 yuan, followed by herbal conditioning ah other names, the patient is light 5-6000 yuan, more Tens of thousands of dollars, and adds a very large psychological burden, destroying the relationship between the couple. This is because some doctors often explain that this is a sexually transmitted disease caused by the history of unclean sexual intercourse of sexual partners. Mycoplasma Liberans also includes group A and group B. The difference between group A and group B is indistinguishable by simple liquid culture, which is prone to false positives and false negatives and cannot be completely distinguished, so nucleic acid analysis is the only method. Mycoplasma microscopi (group B) is a normal human body may carry the existence of no symptoms, pathogenic power is weak, can not need treatment; group A is pathogenic, have symptoms, need treatment. However, at present, many hospitals basically rarely do nucleic acid analysis to make a judgment. Human mycoplasma resides in the reproductive tract and is often carried in the posterior vaginal vault and vagina of sexually mature women, with a low rate of carriage in men. Mycoplasma humanum can cause fever due to endometritis in the postpartum period. Mycoplasma genitalium is pathogenic. It is the cause of cervicitis, endometritis, pelvic inflammatory disease, and infertility. Because of the extremely high requirements for culture media and slow growth. It is especially difficult to culture in clinical specimens and the incubation period takes 50 days. So for a long time no one has conducted corresponding studies. Nowadays, it is possible to test for this using molecular biology hormones, but at present relatively few hospitals in China perform such tests. In a multicenter study of 4936 mothers, Garey found that culture of the lower genital tract during pregnancy did not increase adverse pregnancy outcomes, and Eschengbach et al. found no significant difference in the rate of re-detection between treated and untreated controls in 1181 pregnant women with vaginal genital tract infections and no significant difference in the incidence of adverse outcomes, thus concluding that there is no need for Pregnancy testing of the lower genital tract is performed during pregnancy, and if a suspected upstream infection of mycoplasma in the lower genital tract to the uterine cavity leading to chorioamnionitis and preterm delivery is detected, a sample from the upper genital tract needs to be taken for evaluation. This is the extraction of amniotic fluid for examination, which is very unacceptable in this country. The presence of asymptomatic carriage of mycoplasma in the genitourinary tract. The effect on male semen may affect sperm motility or induce the production of antisperm antibodies. However, several studies have shown that positive genital tract mycoplasma cultures in both men and women have no significant effect on IVF fertilization rates, abnormal fertilization rates, egg cleavage rates, clinical pregnancy rates, or miscarriage rates. Positive cervical Mycoplasma solium did not affect pregnancy outcome in in vitro fertilization and embryo transfer. Clinical management principles: 1, the patient has clear signs of infection, with clinical symptoms, signs, laboratory test results for mycoplasma positive, and no other pathogens found in the infection can be diagnosed as mycoplasma infectious disease, can be treated. 2, both men and women do not have symptoms of infection, only the manifestation of mycoplasma culture positive considered as carriers, do not need to be treated. 3, the male partner is mycoplasma urethritis, it is recommended to treat the sexual partner at the same time, during treatment need to pay attention to avoid unprotected sexual intercourse, 4, male semen abnormalities and have fertility requirements, both men and women are recommended to treat a course of treatment at the same time. 5, if there is abdominal pain, fever and other symptoms of pelvic inflammatory disease, combined with positive cervical mycoplasma, attention needs to be paid to the treatment of pelvic inflammatory disease program to cover mycoplasma.