I am male, 40 years old. In the past I was suffering with prostatitis, therefore I perform STD checks regularly. The last STD screening was last week and I just got the results - I am positive for Atopobium vaginae.  I have no symptoms currently and in the last 2 years I performed vaginal sex always with condom, so I do not really understand, how did I get this. Is there other way to get it than vaginal sex?

I'd like to ask whether this Atopobium should be treated, and if yes, what is the best medicine to do it. Also, please tell me if this can cause any problems for me, and also for my partner. 

Thank you. 

Ferdinand

Atopobium vaginae is one of the bacteria normally present in the genital tract which can be part of the overgrowth syndrome called bacterial vaginosis.  In BV a number of normal vaginal bacteria get out of balance with some of those bacteria overgrowing to cause a vaginal discharge.  Atopoprium is not recognized as a pathogen but is a normal part of the genital tract.  It is not unexpected in a genital tract culture and does not require treatment.  Careful scientific studies of the treatment of male partners to women with BV have not shown a benefit of treatment while exposing those receiving treatment to antibiotic side effects.  I would not worry about it.  EWH

Thank you for your reply. In the meantime I received the second part of the test, which showed also Pseudomonas aeruginosa present in my urethra. My question is what should I do with this bacteria? Should it be treated? The venereologist proposes to take 10 days of Ciprofloxacin 500mg twice daily. What is your opinion about that, would that be enough?

Also, coming back to Atopobium, he wants to treat it with Metronidazole 250mg twice daily for 20 days + Amoxicilline 875/125 twice daily for 14 days. This is happening in Hungary, by the way. What do you think?

To make it even more complicated, I am preparing for an in vitro procedure with my partner. I've asked the doctors here about the treatments, they said from their side it is ok to proceed with the treatment.

Thank you for your opinion.  

On occasion health care providers are more aggressive with treatment in the settings of in vitro fertilization.  I would follow your doctor's advice  EWH

I'd like to also ask how does a man get this? Can this be caught via sexual intercourse? Or oral sex? Or lack of hygiene? In the last couple of years I always used condom for vaginal sex, without exceptions. Nevertheless, two years ago the pseudomonas was present on my glans - is it possible that it "moved" to my urinary tract from my penis?

Pseudomonas can be present normally in the body as a colonizing bacteria.  It is typically found in moist parts of the body so it is not surprising that it may have been found on or around your genital tract previously.    It is not considered a sexually transmitted pathogen, either through genital sex or through oral sex.  

We provide up to three responses to each client's questions.  This is my 3rd response.  Therefore this thread will be closed now without further responses.  Take care.  EWH