Chronic ureaplasmosis in men: causes and treatment methods

Chronic ureaplasmosis is an inflammatory process in the organs of the urinary and reproductive systems, characterized by alternating periods of remission and relapse. This phenomenon may be based on insufficiently high-quality treatment of the acute form, non-compliance with preventive measures, and other reasons. The disease is complicated by the fact that it can pass under the guise of prostatitis, cystitis, urethritis and other pathologies. Therefore, it is important to conduct the correct diagnosis and complex therapy.

What is chronic ureaplasmosis

Causes of ureaplasma disease

Among the main factors that determine the development of chronic ureaplasmosis in men, the following can be distinguished:

  • weakening of the immune system;
  • change of sexual partners;
  • taking antibacterial drugs;
  • hormone-based drugs;
  • early sexual life;
  • sexual intercourse without protective equipment;
  • poor hygiene and living conditions;
  • frequent stressful situations and so on.

How does ureaplasma disease occur?

The cause of ureaplasmosis in newly born children is the chronic form of this disease in the mother. Children become infected during childbirth, passing through the birth canal.

Ways of disease transmission

At the moment, chronic ureaplasmosis is considered a sexually transmitted disease, so it can be transmitted through sexual contact. Another way is the transmission of the pathogen from the mother to the newborn child. There are no other ways for bacteria to enter the body of one person from another. Handshakes, kisses, shared objects and other ways to the possibility of infection do not affect.

Symptoms of chronic ureaplasma

The following clinical picture is characteristic of chronic ureaplasmosis:

  • frequent urge to urinate;
  • droplets of pus or mucus are released from the penis;
  • urethra edematous, hyperemic;
  • burning with urine outflow;
  • pain in the lower back, lower abdomen, inguinal region;
  • difficulty with urination;
  • swelling and hyperemia of the head of the penis;
  • traces of blood in urine, semen;
  • pain during sexual contact;
  • headache;
  • general weakness, increased fatigue.

Over time, one can observe such consequences of ureaplasmosis in men as a violation of sexual function, the development of pathologies of the organs of the urinary system, a significant decrease in immunity and the addition of other infections.

Possible complications

One of the most serious complications of chronic ureaplasmosis is a decrease in sexual activity and infertility. Spermatozoa cannot develop normally, as bacteria disrupt the process of their formation. In addition, the disease changes the chemical composition of the seminal fluid, which limits the mobility of germ cells and leads to their weakening and premature death.

Among other, no less dangerous, complications:

  • premature ejaculation;
  • impotence;
  • decreased libido;
  • chronic cystitis;
  • prostatitis;
  • rheumatoid arthritis and others.

Diagnosis of ureaplasmosis

If the above symptoms are detected, a man needs to go to the clinic, make an appointment and conduct a diagnosis. At the same time, certain requirements are imposed on laboratory studies: it is necessary not only to establish the fact of the presence of bacteria in the test material, but to determine their activity. This is due to the conditionally pathogenic nature of the microbe. For analysis, they take blood, urine, semen.

Diagnosis of ureaplasmosis

Diagnosis of chronic ureaplasmosis is based on the use of several research methods.

  • Linked immunosorbent assay. Shows the presence of antibodies to ureaplasma, as well as the activity of the microbe.
  • polymerase chain reaction. It is based on the detection of genetic particles of bacteria. It makes it possible to determine the amount of a microorganism in a unit of measurement.
  • Immunofluorescence. Detects antibodies in the blood.
  • Bacterial seeding. It consists in placing the biomaterial on a special medium, followed by identification of the microbe and counting its number.

Based on the data obtained, the doctor prescribes therapy.

Treatment methods for the disease

Ureaplasma therapy, especially in the chronic course of the disease, is carried out in several directions. First of all, the use of medicinal antibacterial agents aimed at the destruction of bacteria is shown. A suitable drug can be determined using a culture test. In parallel, drugs are prescribed to strengthen the immune system. The appointment of maintenance therapy helps to accelerate tissue recovery after an infection.

In the treatment of chronic ureaplasmosis, the duration of medication can be much longer than in the acute course of the disease. Moreover, it is necessary to tell the doctor which antibiotics were prescribed in the previous case of exacerbation of the disease. Since microorganisms acquire resistance to drugs during therapy, the drug should not be repeated. After completing the full course of therapy, a man needs to pass control tests.

Drugs for the treatment of ureaplasmosis

For the treatment of chronic ureaplasmosis, the following drugs are used.

  • Antibiotics: Dokiscycline, Azithromycin, Clarithromycin, Ofloxacin, Levofloxacin;
  • Immunomodulatory: Immunal, Imudon, Uro-Vaxom, Isofon, Cycloferon;
  • Adaptogens: Ginseng (tincture), Echinacea (tincture).
  • Herbal preparations derived from plant extracts: Prostero, Prostatricum in the form of capsules for oral administration.

Each of the drugs has its own dosage regimen, which can only be adjusted by a specialist. Self-administration of antibacterial and other drugs is unacceptable.

At the discretion of the doctor, a man may be shown additional physiotherapy sessions or procedures that enhance the immune status of the body. A prerequisite is the simultaneous treatment of the sexual partner, as she may be a carrier of the infection.

It is possible to prevent the chronic form of ureaplasmosis if you strictly follow the recommendations of the attending physician during the initial treatment. In addition, it is necessary to carefully adhere to preventive measures, increasing immunity and avoiding casual sexual intercourse.

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Urologist Novitsyuk Dmitry Fedorovich for 20 years engaged in the diagnosis, treatment and prevention of diseases of the genitourinary system.

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