Patient's question:
Patient Gender: LiDetailed Condition and Purpose of Consultation: Is this disease treatable with erythromycin or tetracycline? Can it be cured? What are the symptoms when it typically occurs? What harm can it cause to the body if left untreated for a long time? Is it better to take medicine or get an injection for this condition?
Duration of Current Illness: Approximately 100 days
Current General Condition: Mild itching, sometimes itchy and sometimes not, yellowish vaginal discharge, no major symptoms
Medical History:
Doctor's answer:
Hello, the incubation period of mycoplasma infection is 1-3 weeks. The typical acute symptoms are similar to other non-gonococcal urethritis and are characterized by urethral irritation, varying degrees of urgency and frequency of urination, and dysuria, especially when the urine is more concentrated. The urethral orifice is slightly red and swollen, with thin, small amounts of secretions that are serous or purulent. Often, it takes forceful urethral compression to see secretions ooze out. In the morning, there may be a small amount of mucous secretions at the urethral orifice, or only a scab-like seal, or dirty underwear may be seen. About one-third of patients have no symptoms. They are only discovered during routine examinations. 50% of patients are initially missed or misdiagnosed, and about 10%-20% of patients have dual infection with Neisseria gonorrhoeae. The subacute stage often involves prostatitis, with patients experiencing perineal fullness and pain, lower back pain, discomfort in the inner thighs, or radiating pain from the perineum to the inner thighs during Kegel exercises. During digital rectal examination, the prostate's longitudinal grooves may be or the surface may resemble the uneven texture of a walnut. In a few cases, B-type ultrasound can confirm varying degrees of enlargement. Complications with epididymitis are uncommon. Female patients often present with genital inflammation spreading from the cervix. Most have no symptoms, but a few severe cases have a sense of vaginal heaviness. When the infection spreads to the urethra, urinary urgency and frequency are the main symptoms that attract attention. If the infection is limited to the cervix, it is characterized by increased leukorrhea, turbidity, cervical edema, congestion, or surface erosion. If the infection spreads to the urethra, it manifests as redness and congestion of the urethral orifice, with a small amount of secretions oozing out when the urethra is compressed, but there is rarely tenderness. A common complication of mycoplasma infection is salpingitis, and in a few cases...