[Question #6654] Mycoplasma and ureaplasma

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66 months ago
I recently had a urine test ordered from urologist and everything came back negative gono. Chlamydia etc. they’re were 2 things that came back in results though. 1 was mycoplasma hominis not isolated and 2 ureaplasma isolated. What does that mean exactly isolated and not isolated. Do I have both or one? I’ve continued to have prostititis and dealing with on and off slight penis burn and discomfort and testicular discomfort on and off.  I recently had sex with a csw protected vaginal and unprotected oral. My question is do I have to worry about infecting my wife with these 2 infections. I’ve read that these are common and most people have but I would feel better once you answer this post. Btw is there anyway that maybe I have trich. I don’t think I was tested for that. I’ve seen csw’s in the past and sent you questions about my experience.  I don’t know if I’ve been living with it but don’t know because I was never tested for it. My wife has had plenty of paps and urine test done just for her routines and never tested positive for anything either. Would she have been tested for trich. Thank you in advance. 
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Edward W. Hook M.D.
66 months ago

Welcome back to the Forum.  Thanks for your questions.  I'll do my best to help.

Both mycoplasma hominis and ureaplasma are bacteria normally found in the urinary tract of sexually active persons.  You tests for Mycoplasma hominis show that it was not present in the specimen you provided.  Similarly, while your test showed that there was ureaplasma was present in your specimen, it should not create concern as ureaplasma is not typically a pathogen and does not need treatment. Neither of these infections would put your wife at risk.

As far as trich is concerned, the infection is relatively common and can be present in both men and women without symptoms.  If you are concerned (nothing you describe suggests any reason for concern) about trich, there are very accurate nucleic acid amplification tests which can help you find out if you have trichomoniasis or not.  PP smears are not a reliable way to diagnose trichomoniasis in women. 

The direction of your questions suggests that you remain somewhat more concerned about STIs than you need to be.  Prostatitis is virtually never an STI and random testing raises the possibility that you will have falsely negative test results. I hope that this information is helpful.   EWH

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66 months ago
Thank you for answering so quick. Just wanted to make sure because a secretary called me from the urologist office, not even the doctor to tell me. She prescribed me 10 days of doxycycline and told me no sex for 10 days. Scared the crap out of me. Probably going to see a different doctor as I found that very unprofessional.  My wife just had her urine tested last Monday and never got a call about it so that looks good. Would it be possible for my wife or I to have trich for a few years and not know it. Thank you!!
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Edward W. Hook M.D.
66 months ago

There is still much to know about trich but in answer to your question, it does appear that women can have trich for years.  It is not all that uncommon to find elderly women who are not sexually active to have trichomonas.  Less is known about persistence in men.

As for your urologist, as I mentioned, ureaplasma is not typically a pathogen and treatment tends to reduce the amount of bacteria which then retrun

I hope that this is helpful.  EWH

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