The document discusses whether a positive test for Ureaplasma urealyticum can cause female infertility. It states that a positive result alone does not necessarily lead to infertility, provided there are no symptoms of infection. However, if U. urealyticum causes damage to the vaginal environment, stimulates an immune response, or leads to infections higher in the reproductive tract, it could potentially cause infertility issues. The document also provides guidance on treatment options for a positive U. urealyticum result, including antibiotics, traditional Chinese medicine, and adjuvant therapies.

1. Will A Positive Ureaplasma
Urealyticum Cause Female
Infertility?
Wuhan Dr.Lee's TCM Clinic

2. The normal female vagina is not sterile and is a relatively
balanced "microenvironment" formed by various
microorganisms.
They form an ecological balance that will not lead to the
occurrence of disease. And ureaplasma urealyticum is
one of the common pathogens.

3. Mycoplasma urealyticum
infects the female vagina,
leading to a positive result.
Will it cause female
infertility?

4. The positive result of ureaplasma mycoplasma does not
lead to infertility.
Still, the premise is no symptoms of genital tract infection,
such as abdominal pain, urinary tract or vaginal itching,
burning pain, vaginal secretions increase, frequent or
urgent urination, urinary pain, cervical erosion, etc. In
addition to no other pathogen infection, a positive result
will not lead to infertility.

5. However, if the following conditions occur, it
is possible to cause infertility phenomenon:

6. 1. Ureaplasma urealyticum decomposes urea and
damages the local weak acidic environment of the
vagina, increasing the risk of infection.
2. Ureaplasma urealyticum
stimulates the immune
response and produces anti-
sperm antibodies and anti-
endometrial antibodies.

7. 3. Ureaplasma urealyticum retrogrades infection, resulting in
endometritis, salpingitis, tubal obstruction, tubal umbrella
inflammation, and pelvic inflammatory disease, etc.
4. Ureaplasma urealyticum affects sperm motility, which may be
caused by mycoplasma adhesion affecting sperm motility, or by
ureaplasma urealyticum inducing the production of anti-sperm
antibodies.

8. When the examination
of urea-mycoplasma
during pregnancy is
positive, should
women need to treat?

9. Most clinical studies have concluded that there is no need to
intervene and treat patients with positive urealyticum in the lower
reproductive tract during pregnancy.
However, ureaplasma may retrograde infection into the uterine
cavity, resulting in implantation disorders and villi damage,
resulting in pregnancy termination.

10. Ureaplasma can
stimulate the
production of host
immune-active cells,
release a variety of
cytokines, and cause
spontaneous
abortion and embryo
to stop development.
Therefore, it
needs to be
treated actively.

11. When the result of urea-
mycoplasma is shown positive,
how should it be treated?

12. Treatments
1
2
3
4
Physical treatment
Antibiotic treatment
Traditional Chinese
medicine treatment
Adjuvant therapy

13. 1. Physical treatment
Warm benign stimulation can promote local
pelvic blood circulation, improve the tissue's
nutritional status, improve metabolism, and
facilitate the absorption and elimination of
inflammation.

14. But this kind of physical therapy can only eliminate the
pathogen cells in the superficial layer of the epidermis and
can not restore the tissue.
And it will excessively
stimulate the female
mycoplasma infection wall,
and general patients are not
recommended to use
physical therapy treatment.

15. 2. Antibiotic treatment
Urealyticum is mainly found in non-gonococcal
urethritis, which is a common sexually transmitted
disease in clinics. Generally, this situation needs to
be treated on drugs. For urealyticum infection,
common drugs, like Doxycycline and Azithromycin
antibiotics, can be used to treat.

16. 3. Traditional Chinese medicine treatment
Some traditional Chinese medicine, with the effects of
clearing dampness, removing stranguria, and promoting
blood circulation, can achieve a well curative effect, such
as Fuyan Pill. It can treat Urealyticum, kill all kinds of
bacteria, protect the body from damage, and improve the
immunity of the female body.

17. 4. Adjuvant therapy
It is beneficial to drink
more water and urine
more to dilute bacteria
because the urethra has
the effect of diluting.
It is best to take
condoms when
having sex and pay
attention to
personal hygiene in
daily life.

18. Besides, remember to have a proper diet, keep a balanced
nutritional structure, and eat less spicy food during the treatment.
Keep a good mood and relieve psychological pressure. Do
appropriate exercise to enhance body resistance. Also, keep the
vulva clean, and wash and ventilate underwear separately.