Many female patients are tormented by the pain of a “mycoplasma positive” test report. They spend a lot of money and suffer the humiliation of not being able to talk about it. Many profit-oriented medical institutions rely on it to make money, and some uneducated quacks rely on it to scare patients. What is mycoplasma infection? What is normal flora carriage? How to properly understand this small microorganism? I, a simple understanding of mycoplasma Mycoplasma is the smallest and simplest prokaryotic organism found so far, referred to as UU. and genitourinary tract infections related mainly to mycoplasma urealyticum. Mycoplasma urealyticum is a prokaryotic microorganism that lies between bacteria and viruses, and the pathogen invades and causes disease only when the defense mechanism of your reproductive tract is damaged or when there is an invasive procedure (such as abortion). The most common manifestation of mycoplasma infection in women is a genital infection centered on the cervix. In severe or acute cases, the symptoms are increased leucorrhea, turbidity, cervical congestion, edema, etc. When the infection extends to the urethra, the urethral orifice is flushed, congested, squeezing the urethra can have a small amount of secretions overflowing, and symptoms such as frequent and urgent urination appear. However, a considerable number of women do not have obvious symptoms. All textbooks and medical books describe mycoplasma infection in this way, no wonder it is so frightening: (1) it can produce phosphatase, urease, toxic cells; (2) it destroys the surface of the genitourinary tract mucosa IgA, thus weakening the surface of the genitourinary tract mucosa anti-infective effect, and may upstream infection caused by pelvic inflammatory disease, oviductal fluid; (3) it is by adhering to the surface of the male sperm, on the sperm (3) It produces immune damage to sperm, hinders sperm movement and interferes with sperm-egg union by adhering to the male sperm surface. (4) Does mycoplasma positive mean infertility? The pathogenicity of UU may vary among different subtypes, and two biotypes, Parvo and T960, and 14 serotypes of Mycoplasma solani (UU) have been isolated. The mere isolation of UU from the cervix does not currently imply pathogenicity. Most laboratories have not yet further typed UU, so simply finding positive for mycoplasma does not mean it has an effect on fertility. In this regard, the Reproductive Center of the Jiangsu Provincial People’s Hospital conducted a study earlier on 1,802 patients selected for their first IVF at the Reproductive Center of the Jiangsu Provincial People’s Hospital from January to December 2008, which showed that UU infection (in the absence of typing) had no effect on IVF outcomes. V. Positive patients may be normal carriers Patients who simply test positive for UU without any accompanying symptoms are not in an infected state, but are asymptomatic carriers. In this case, there is no need to panic and no treatment is required. Imagine if your doctor performed a whole-body microbiological culture and isolated at least a few dozen pathogens, but this does not mean that you have dozens of diseases. This mycoplasma positivity is not the same as mycoplasma infection. Mycoplasma can live with people inside their cells without showing signs of infection. Moreover, as a normal population, even if the carrier rate is reduced by medication, after a period of normal sexual activity, the carrier rate will return to the original positive. Experts recommend that the evaluation of UU isolated from the cervix in the outpatient setting must be done with caution. In the absence of a typing test, there is no need to repeatedly treat and recheck the carrier status of UU in the cervix without any symptoms. If a highly pathogenic UU type is detected through typing, the infertile sister should be treated scientifically under the guidance of a specialist. The “luxury package” prescribed by many clinics is not scientifically justified. If treatment is necessary, please accept the scientific advice In the case of adequate treatment, under the guidance of experts, it is recommended: to conduct drug sensitivity testing, targeted selection of antibiotics, anti-inflammatory treatment for both couples. This is not an incurable disease, and there is no need to wait for a “negative”, and not to be a needless “positive victim”. Since UU is a disease that occurs when the defense mechanism of the reproductive tract is disrupted or when there is an invasive procedure (such as abortion), it is important for sisters of childbearing age to take extra care of themselves, to use scientific contraception, to prevent abortions due to unplanned pregnancies, and to stay away from unclean sexual practices. It can be seen that Ke’er is not suffering from a difficult disease, but has not received regular examination and treatment in a regular hospital. What she needs to do is to undergo ovulation monitoring and tubal examination to check the causes of her infertility, so that she can take the easy way out! One day, I believe that Ke’er will be able to “make a baby” and realize her dream!