[Question #4030] Ureaplasma

32 months ago
After I was concerned that I had contracted herpes in May, my doctor did a cultural swab that he said tested for "everything" including HSV 1 and 2. Those results were all negative. After a new partner, I wanted to be tested again. I had the same "everything" swab on July 18th and everything was negative except for ureaplasma spp naa. The doctor said he would call me if anything was positive but he didn't call me. He just released the results to my chart online. My partner said he had been tested for everything and was negative and he wouldn't have slept with me if he had something. I read online that ureaplasma can occur normally but some sites refer to it as an STD. I had a rapid oral HIV test that was negative. I am confused and worried. Should I tell my partner or is this nothing to worry about? Although my HIV test was negative, I'm still in the "window" period because of the new partner. Could my immune system be weakened due to HIV and that caused the ureaplasma to colonize? One site said ureaplasma is common in people with weakened immune systems. If I have HIV my new partner gave it to me between June (Father's Day weekend) and July 15th? Could me immune system have been impacted so quickly? Thank you.
Edward W. Hook M.D.
Edward W. Hook M.D.
32 months ago
Sorry to hear of your confusion.  Companies which offer tests for Ureaplasma as part of tests for "everything" are taking advantage of their clients.  Ureaplasma is not a pathogen and most sexually active persons have this bacteria present at some or all the time.  When tests are positive, they typically are meaningless and do not require treatment. Your positive test for ureaplasma does not put your partner at risk and is not a concern.  There is much mis-information on-line about ureaplasma, I suggest you not worry about it. 

You could not have contracted HIV and given it to your partner so quickly.  You are worrying entirely too much.  EWH
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32 months ago
Thank you very much! I feel better and more informed. Thank you again!
32 months ago
I spoke with the nurse at my doctor's office today. She said that ureaplasma is not a STD but it is "in the STD family." She said that I tested positive for candida albicans and the ureaplasma needed to be treated in my partner and me because we would keep passing it back and forth and my yeast infection would keep coming back. I told her that I thought that ureaplasma naturally occurs in people and is not a concern. My doctor ordered Diflucan and two pills of azithromycin. I am going to take the medicine. But, my question is, does my partner really need to be notified? Will notifying him make a difference or will it possibly just disrupt his life for no reason? We are no longer in a physical relationship but remain friends. He told me he had been tested for STDs and was clean and I believe him. I don't know how I will explain a diagnosis of ureaplasma to him. Thank you. 
Edward W. Hook M.D.
Edward W. Hook M.D.
32 months ago
I'm not sure what being in "the STD family" means other than the organism is in the genital tract infection.  You nurse however is wrong that you or your sexual partner need to be treated for ureaplasma and as for Candida (yeast) we treat this only when it is causing symptoms in patients (such as discharge, genital itching) because many people have small, inconsequential amounts of candida present in their genital tracts.  If you are having problems I suspect the Diflucan will help.  The azithromycin is probably not needed but also probably will not cause problems for you other than, perhaps making it more likely that your yeast infection will become symptomatic if it is not already. 

You certainly do not need to tell your partner.

I hope this information is helpful.  EWH
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