Friday, January 11, 2008

Mycoplasma infection and infertility.

Sexual intercourse by the spread of the disease known as total sexually transmitted diseases, including gonorrhea, syphilis, chlamydia, Mycoplasma infection and toxoplasma infections. These diseases, and some can cause tubal obstruction, caused some endometritis, uterine muscle wall damage, other endocrine dysfunction and infertility; Some important cause organ damage and endanger lives; Some of the illness can occur during pregnancy abortion, premature or stillbirth. Mycoplasma infection causes female reproductive tract -- non-gonococcal infection is another major pathogens mycoplasma. It is independent of the smallest microbial growth, no cell wall, morphology were pleomorphic. Regular live in the male and female urogenital tract mucosa is Ureaplasma urealyticum and mycoplasma. under certain conditions, will serve as pathogens, cause human disease. About 30% of non-gonococcal urethritis, reproductive tract inflammation and the mycoplasma. Clinical manifestations -- patients can be infected without symptoms; Some think urethral tickle, frequent urination, magnificent or dysuria; there may be some vaginal secretions from a pyometra; Some may Salpingitis-like symptoms. If these recurring infection, which can lead to infertility. Because septic thick cervical secretions obstruct the sperm penetrate and reach cervical, uterine cavity; Salpingitis can lead to tubal adhesions, even obstruction. Auxiliary -- the urethral secretions or cervical secretions mycoplasma screening, diagnosis can be found. Hospital detection using PCR technology, high sensitivity.Treatment of sexual partners -- the first to examine, while the best treatment. Besides improving the resistance of patients are more important not to destroy the body's defense mechanism. Specific drugs are as follows : doxycycline 100 mg, 3 / d, for 7 days; 500mg or erythromycin, 4 / d, for 7 days; erythromycin Ethyl carbonate or 800 mg / d, for 7 days. Adriamycin or good use of azithromycin may also obtain a satisfactory outcome. If it has formed adhesions or tubal obstruction lead to infertility and possible Caesarean section, the trip was done; resection of tubal obstruction, end-to-end anastomosis, or umbrella-adhesion parcels obstruction, OK tubal ostomy; If mesenchymal obstruction, OK tubal forcorneal implantation. Advanced now is the treatment of laparoscopic diagnosis, after a clear line in endoscopic treatment better, if adhesion release, such as ostomy.

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