Overview
In this section you will get an overview of the condition and its relevance to your health.
Ureaplasma are very small bacteria that naturally occur in the urogenital tract of many sexually active people. In most cases, they cause no symptoms and remain undetected.
Under certain circumstances, however, ureaplasma can trigger inflammation and cause symptoms. They are particularly relevant in cases of persistent, unexplained symptoms in the genital or urinary tract, as well as in the context of fertility treatment or during pregnancy.
The good news: When a ureaplasma infection requiring treatment is present, it can generally be effectively treated with antibiotics — including after medical review as part of an online consultation.
What is it?
Here you will learn what medically characterizes this condition and how it is defined.
Ureaplasma belong to the mycoplasma family and are distinguished by the absence of a rigid cell wall. The most important human pathogenic species are Ureaplasma urealyticum and Ureaplasma parvum.
Due to their properties, ureaplasma do not respond to many common antibiotics, such as penicillins. They preferentially colonize the mucous membranes of the urogenital tract.
The mere detection of ureaplasma does not automatically indicate disease. Only when symptoms are present or in certain risk situations is the infection considered to require treatment.
Causes
The following information explains which factors can contribute to the development of this condition.
Ureaplasma transmission occurs primarily through sexual contact.
Transmission routes include:
- Unprotected vaginal intercourse
- Unprotected oral or anal intercourse
Contributing factors for developing illness include:
- Weakened immune system
- Pre-existing inflammation of the urogenital tract
- Pregnancy
- Frequently changing sexual partners
Ureaplasma can also be part of the normal mucosal flora without causing symptoms.
Symptoms
This section describes the typical signs and symptoms you should watch for.
Many ureaplasma infections are asymptomatic. When symptoms do occur, they are often nonspecific.
Possible symptoms in women:
- Burning during urination
- Increased or altered discharge
- Lower abdominal discomfort
- Pain during sexual intercourse
Possible symptoms in men:
- Burning or pain during urination
- Discharge from the urethra
- Pulling sensations in the genital area
Warning signs include persistent symptoms, fever, or symptoms during pregnancy, which should be evaluated by a physician.
Diagnosis
Below you will learn how this condition is detected through medical examinations.
The diagnosis of a ureaplasma infection is made through direct pathogen detection.
A PCR test from urine or swabs is most commonly performed. Since ureaplasma can also be found in healthy individuals, careful interpretation of results is particularly important.
Treatment is generally only recommended when:
- Symptoms are present
- Pregnancy is involved
- There is unfulfilled desire for children
- Other causes have been excluded
As part of an online consultation, symptoms and test results can be medically evaluated.
Treatment
Here the available therapy options and their modes of action are explained.
Treatment is with antibiotics that are effective against cell wall-deficient bacteria.
Doxycycline is the first-line treatment and is taken over several days. Common side effects include gastrointestinal discomfort and increased photosensitivity.
Azithromycin is a possible alternative, particularly in cases of intolerance or in specific situations.
Important notes:
- Sexual partners should be tested and treated if necessary.
- Sexual intercourse should be avoided during treatment.
- A follow-up examination may be advisable.
Not every detected colonization requires therapy.
Available medications
Various prescription medications are available for treatment. Click on a medication to learn more about its effects, dosage and side effects.
Prevention
This section provides guidance on prevention and reducing risk factors.
Consistent condom use can reduce the risk of transmission.
Regular preventive examinations and early evaluation of symptoms help avoid complications.
Targeted treatment is particularly important in risk situations.
FAQ
Here you will find answers to frequently asked questions on this topic.
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Fill out the medical questionnaire. A licensed doctor will review your information and recommend a suitable therapy if appropriate.
Important notice
This content is for general information only. In case of severe pain, shortness of breath, impaired consciousness, fever > 39°C or rapidly worsening symptoms, please seek immediate medical help ().
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