Patient's question:
I would like to ask the experts if Ureaplasma urealyticum and cervicitis are the same thing? What are the symptoms of cervicitis? Is it a lot of white discharge, with a skin-like appearance? I have had this symptom for a long time, and every time I finish a course of medication, I need to do a mycoplasma test. There is also a drug allergy test, but there hasn't been much improvement—it's just not as itchy as before. The itching decreases during medication, but it increases again once the medication is stopped. This condition has been present for three months. I want to know if this disease is difficult to treat. I also want to ask if it has anything to do with irregular periods? Thank you, expert, for a quick response.Doctor's answer:
Hello: Ureaplasma urealyticum and cervical inflammation are not the same thing.Cervical inflammation can be acute or chronic. Acute cervical inflammation is often seen after childbirth and is characterized by increased vaginal discharge, lower abdominal and lumbosacral pain. Some patients may have elevated white blood cells and fever. In such cases, sexual activity and vaginal surgery should be avoided, and anti-inflammatory drugs should be taken orally or applied locally for treatment. Currently, the most common type in China is chronic cervical inflammation, accounting for more than half of married women, and it is closely related to the occurrence of cervical cancer. Therefore, women should pay attention to it. Chronic cervical inflammation is often caused by the invasion of pathogens after childbirth, miscarriage, or vaginal surgery. It can be divided into four types: cervical erosion, cervical polyps, cervical hypertrophy, and cervical nabothian cysts. Among these, cervical erosion is the most common. During gynecological examinations, the surface of the cervix appears to lose its pink, smooth mucosa, becoming uneven and red, granular in appearance. This is due to the replacement of squamous epithelium by columnar epithelium. The size of the erosion varies, and it can be classified into three types based on the extent of erosion: mild (covering less than 1/3 of the cervix), moderate (covering 1/3 to 2/3 of the cervix), and severe (covering more than 2/3 of the cervix). Patients with chronic cervical inflammation often have increased vaginal discharge, which may be purulent and mixed with blood streaks. Contact bleeding (bleeding after sexual intercourse) may occur, and patients with more widespread inflammation may experience lower back pain.
Ureaplasma urealyticum infection can be treated with medications such as roxithromycin, clindamycin, doxycycline, and levofloxacin. Pay attention to hygiene, as Ureaplasma urealyticum can be mutually transmitted.