Patient's question:
Still no improvement. Because I had been experiencing recurrent vaginal infections, I suggested to the doctor that they conduct a mycoplasma test. The results came back positive, and after taking azithromycin for a week, a follow-up test still showed positive. The doctor then prescribed moxifloxacin, and I have now undergone another follow-up test, awaiting the results.I had previously undergone two ultrasound examinations, both performed six days after my menstrual period ended, with an endometrial thickness of 9mm. Initially, I was unaware of this, but after another ultrasound, the doctor mentioned that the endometrium was thick, which made me pay attention. In June, my menstrual period lasted for nine days, and after it ended, I experienced bleeding for one day after intercourse. The doctor recommended that I undergo a D&C (dilation and curettage) after my next menstrual period. During the internal examination, the cervix was slightly congested, and the white discharge test showed WBC+.
Doctor's answer:
Inflammation may cause the fallopian tubes to become blocked again. It is recommended to wait until the treatment turns negative before considering a follow-up examination of the fallopian tubes. It is also suggested that the male partner undergo a check-up. If you have recurrent gynecological inflammation issues, the male partner should receive corresponding treatment as well.The congestion of the cervix depends on the circumstances under which it was examined. Cervical erosion is not inflammation. During the two days before menstruation, the menstrual period, and the two days after menstruation, the cervix may still show signs of congestion, which is physiological. In addition to this, any other cervical congestion should first be considered as potentially caused by inflammation. Since you currently have a positive Mycoplasma test, this could be a contributing factor or cause. You have already undergone treatment, so we will wait for the results to see what happens.
Recommendation: For now, focus on treating the Mycoplasma infection.
Pre-pregnancy examinations should include blood tests and blood type checks for both partners, as well as your urinalysis, toxoplasma antibodies, cytomegalovirus antibodies, and herpes simplex virus antibodies. An ultrasound of the liver, gallbladder, and urinary system is also recommended to rule out conditions such as stones.