Patient's question:
Hello! Doctor: I was diagnosed with Ureaplasma urealyticum infection at 36 days of pregnancy: 1.863e+04. The doctor prescribed some topical medications for me: Clotrimazole Aerosol and Skin Kang Wash, and told me to get a shot treatment after 12 weeks. But I don’t know if it will affect the fetus? I am 30 years old and this is my first pregnancy. Last winter, I had persistent coughing and was diagnosed with chronic bronchitis. I don’t know if this will affect the fetus. But I really want this child. Could you please give me better advice and a treatment plan? Thank you!! First follow-up question: Hello! I would also like to ask that I am only just pregnantDoctor's answer:
Hello: Ureaplasma urealyticum infection is primarily transmitted through sexual contact and is more common during the young, sexually active period, especially after unprotected sex. When the urogenital tract becomes inflamed and the mucosal surface is damaged, Ureaplasma urealyticum can easily invade through the broken areas, causing urogenital tract infections. After Ureaplasma urealyticum infection, most patients show no obvious symptoms, making it difficult for them to realize they are infected and easy for doctors to miss the diagnosis. Ureaplasma urealyticum can invade the urethra, cervix, and Bartholin's glands, causing urethritis, cervicitis, and Bartholin's glanditis. During upward infection, it can lead to endometritis, pelvic inflammatory disease, and salpingitis, with salpingitis being particularly common. Pathological changes in female reproductive organs caused by Ureaplasma urealyticum infection are a major cause of infertility and subfertility. Domestic and international data suggest that the culture positivity rate of Ureaplasma urealyticum in cervical mucus and semen of infertile couples is as high as 50% or more, indicating a correlation between Ureaplasma urealyticum infection and infertility. Another adverse effect of Ureaplasma urealyticum infection is miscarriage. Some studies have found that the positivity rate of Ureaplasma urealyticum in miscarried tissues is as high as 40% or more. Therefore, for unexplained miscarriages, especially in cases of multiple miscarriages, the possibility of Ureaplasma urealyticum infection should be considered. Incomplete obstruction of the fallopian tubes caused by inflammatory adhesions due to Ureaplasma urealyticum infection can lead to narrowed lumen and poor patency, which is also a significant cause of ectopic pregnancy.After women become pregnant, the increase in progesterone suppresses cellular immunity, weakening the body's resistance and making them more susceptible to Ureaplasma urealyticum infection. Ureaplasma urealyticum-induced perinatal infections have become a new challenge in modern obstetrics.