Patient's question:
Detailed medical condition and consultation purpose: Recurrent mold discharge, lower abdominal fullness pain during ovulation and a few days before menstruation, severe lower abdominal fullness pain during a single sexual intercourseDuration of the current illness and persistence: Two days
Current general condition:
Medical history: Moldy vaginal inflammation and Mycoplasma genitalium were detected in September, along with pelvic effusion.
Previous diagnoses, treatment history, and outcomes: After a seven-day treatment (physical therapy, microwave, intravenous fluids), the mold was cleared after the first menstrual period. The Mycoplasma genitalium was still present but at the lowest detectable level (the exact number is not remembered).
Doctor's answer:
Hello: Ureaplasma urealyticum may affect fertility, and if infected during pregnancy, it cannot be ruled out that it may cause miscarriage or other complications. Therefore, it is necessary to undergo comprehensive treatment first. After treatment, follow-up tests are required for three consecutive months, and normal results are needed to meet the cure criteria. After curing and stopping medication, it is best to wait for at least 3-6 months before considering pregnancy. It is recommended to use azithromycin orally while also administering erythromycin intravenously. This is a sequential therapy, which can help the medication reach the treatment concentration as soon as possible and accelerate recovery from the disease caused by mycoplasma.