Ureaplasma Infections: When to See a Specialist - Urology

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Last month, I engaged in high-risk sexual behavior and underwent a full sexually transmitted infection screening.
The lab technician informed me that I have a Mycoplasma infection.
Could you please advise which specialty I should consult for treatment? I visited the Urology Department at Chi Mei Medical Center the day before yesterday, and the doctor said he had never heard of Mycoplasma.
I explained my symptoms (frequent urination and itching), and he diagnosed me with urethritis and prescribed medication.
Should I seek a referral to another specialty, or is it sufficient to follow the doctor's advice and take the medication as prescribed? Additionally, I have been experiencing a persistent cough that won't go away.
I heard that Mycoplasma can affect the respiratory tract and cause such symptoms.
Should I continue treatment in Urology, or should I be referred to Infectious Diseases?

789763, 20~29 year old female. Ask Date: 2016/09/04

Dr. Sun Hongshun reply Urology


Hello, I haven't heard of urine plasma bacteria either.
Additionally, since you also have a cough, I recommend consulting with an infectious disease specialist.

Reply Date: 2016/09/04

More Info


Ureaplasma infections can be a source of concern, especially when they are linked to symptoms such as frequent urination and itching. Given your recent diagnosis and the symptoms you've described, it's important to understand how to approach treatment and when to seek further medical advice.

First, Ureaplasma is a type of bacteria that is part of the normal flora of the urogenital tract in many individuals. However, it can sometimes lead to infections, particularly in those with certain risk factors or symptoms. The symptoms you mentioned, such as frequent urination and itching, are common indicators of a urinary tract infection (UTI) or urethritis, which can be caused by Ureaplasma or other pathogens.

You mentioned that you visited a urologist who diagnosed you with urethritis and prescribed medication. This is a reasonable first step, as many cases of urethritis can be treated effectively with antibiotics. It's crucial to follow the prescribed treatment regimen and monitor your symptoms. If you notice improvement, that’s a good sign that the treatment is effective. However, if your symptoms persist or worsen despite treatment, it would be advisable to seek further evaluation.

Regarding your concern about the persistent cough, it’s important to note that while Ureaplasma is primarily associated with urogenital infections, there is some evidence suggesting that it can also be linked to respiratory issues, particularly in individuals with compromised immune systems or pre-existing respiratory conditions. If your cough has been ongoing and is not responding to typical treatments, it may be wise to consult a specialist in infectious diseases or a pulmonologist. They can provide a more comprehensive evaluation of your respiratory symptoms and determine if there is a connection to the Ureaplasma infection or if another underlying condition needs to be addressed.

In summary, here are some steps you can take:
1. Continue with the prescribed treatment: Follow your urologist's advice and take the medication as directed. Monitor your symptoms closely.

2. Follow up with your urologist: If your symptoms do not improve within a few days to a week after starting treatment, return to your urologist for a follow-up. They may want to perform additional tests or consider alternative treatments.

3. Consider seeing a specialist: If your cough persists or if you have other respiratory symptoms, it may be beneficial to see an infectious disease specialist or a pulmonologist. They can help determine if there is a link between your respiratory symptoms and the Ureaplasma infection.

4. Maintain good health practices: Ensure you are staying hydrated, eating a balanced diet, and getting enough rest to support your immune system during this time.

5. Be proactive about your health: If you feel that your concerns are not being adequately addressed, do not hesitate to seek a second opinion. It’s important to advocate for your health and ensure that you receive the appropriate care.

In conclusion, while your current treatment for Ureaplasma is a good start, staying vigilant about your symptoms and seeking further medical advice if necessary is key to managing your health effectively.

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