Patient's question:
Detailed medical condition and consultation purpose: Recurrent candidiasis, lower abdominal fullness pain during ovulation and a few days before menstruation, severe lower abdominal fullness pain during a single sexual intercourseDuration and course of the current illness: Two days
Current general condition:
Medical history: Candidiasis 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 candidiasis was cleared after the first menstrual period. The Mycoplasma genitalium count was reduced to the smallest detectable number (the exact value is not remembered, but it was the lowest possible count).
Doctor's answer:
Hello: Ureaplasma urealyticum may affect fertility, and if infected during pregnancy, it cannot be ruled out that it may cause miscarriage and other complications. Therefore, it is necessary to undergo thorough treatment first. After treatment, follow-up tests are required for three consecutive months, and only normal results 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 quickly recover from the disease caused by mycoplasma.