Patient's question:
Hello: I am a 39-week pregnant woman. At 35 weeks of pregnancy, I visited a doctor due to vulvar itching. At that time, a vaginal discharge test was performed, and the PCR test for chlamydia was negative, while the test for mycoplasma was positive. The tests for Candida and Trichomonas were negative. I was then treated with potassium permanganate to rinse the vulva and vagina, and erythromycin was placed inside the vagina. After one week of follow-up, the mycoplasma test was still positive, but my symptoms had improved. I then stopped medication. At 39 weeks and 2 days of pregnancy, another PCR test was performed, and the mycoplasma result was still positive. The doctor recommended a cesarean section. I personally do not want to have a cesarean section. At 39 weeks, I went to another hospital for a leukocyte differential test of vaginal discharge, with the following results: ( Purity: IDoctor's answer:
Mycoplasma is one of the common pathogens causing urinary and genital tract infections in women, with an infection rate in pregnant women as high as 80%. The transmission routes of mycoplasma infection are extensive, with sexual contact being the primary mode of transmission, hence it has been classified as a new member of the sexually transmitted diseases (STDs) family. After a pregnant woman is infected with mycoplasma, it can ascend from the genital tract to the placenta, and then spread to the fetus through the placenta, leading to intrauterine infection and endangering the fetus. Therefore, if a pregnant woman is found to be infected with mycoplasma, timely treatment should be administered to avoid adverse effects on the fetus. The treatment principles are as follows: ① early diagnosis and early treatment; ② timely, sufficient, and regular treatment; ③ adopting different treatment plans for different conditions; ④ treating sexual partners concurrently.