[Question #6654] Mycoplasma and ureaplasma
66 months ago
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Edward W. Hook M.D.
66 months ago
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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
66 months ago
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Edward W. Hook M.D.
66 months ago
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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