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Ureaplasma urealyticum and MYCOPLASMA genitalium???

I complained of tingling in the tip of my urethra one year ago, i went to the dr got tested for the usual stds and all were negative and i was referred to the urologist and he stuck is finger up my but and said i had high PSA for prostitis,  given cipro and most but not all symptoms went away.  

i wasn't sexually active for a few months but was in a monogamous relationship and it seemed to trigger the tingling again,  

I did the research this time and demanded other tests,  i tested again for chlamydia, gonn, etc negative and trachamoniasis , negative.


THe last brings me to

MYCOPLASMA GENITALIUM AND UREAPLASMA UREALYTICUM

both these are very high incidents of STD s accross the world, both can cause urethritis and even secondary prostistis this makes total sense!!!!! from my symptoms.  

i have read that it is compicated to diagnose and treat? anyone have experience doing both??? please help??

i read urine PCR tests are most reliable

but as far as treatment i read they are all resistant to the typical azithromycin dose

one responds better to erythromycin and the other moxifloxacin.  

what is the best treatment that would cover both?????????


this has been so frusturating and ihave a new partner and i fear i might of given it to her
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Avatar universal
Guys, I'm currently having fever, sore throat, headache burning eyes, quite sore but most of all i have been feeling exhausted and yet i feel very awake and numb . My bf and I have been together for 4 years. Last year he had unprotected sex with someone else. After that he started dripping for days which NEVER happened to us. They both got their std tests and both came out negative although the girl's results came out with a flu like virus. We didnt have intercourse for almost a year just oral..nothing. I just noticed that I would get a sore throat from time to time. But .just 2 weeks ago we had unprotected sex and now he's dripping again I'm ill. Anyone with the same experience ? Thank you . Awaiting your feedbacks...
Helpful - 1
101028 tn?1419603004
you have pain, think you might have something but yet you are still having unprotected sex?

many bacteria and viruses that we don't classify as std's can cause prostate issues. your age and overall general health have little to do with it.

azithromycin works longer than 4 days. you need to give it at least week if not 2 weeks in order to see if it helped or not. the dose you are one is quite effective for treating these infections.

follow up with an urologist. at this point you should only be having protected oral and protected sex to protect partners as well as to keep yourself from being exposed to new bacteria that can cause your infection to reoccur as well as further irritate your already existing problem.
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3149845 tn?1506627771
COMMUNITY LEADER
This is a very old post
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Avatar universal
So what course and med worked for you? I think I saw the Zithro but not certain - thank you!
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Avatar universal
You need to get checked for Urea Plasma Genitillium. I had your symptoms for a few years - my ex-hubby was sleeping around. Had the test run in Vegas - most gynos dont run them. Came back positive, had a 10 day course of Doxy and was good to go until a condom broke with an unsignificant other. Same symptoms immediately - itching, burning, discharge, urinary tract infection, burning eyes, sore throat, fatigue - went for battery of tests, all neg. Finally found a doc to test for Urea - sure enough, positive. Day 10 of Doxy and feeling better.
DO NOT have unprotected oral sex - I am convinced it is transferred that way too. Good luck and hand in there - get a good dose of Doxy and Metro (vaginal) that should do the trick -
Helpful - 0
Avatar universal
Does anyone know if the absence of white cells in a gram stain/urethral swab test rules out mycoplasma and urea plasma? After one unprotected sex encounter in September I developed a discharge, slight irritation and some dribbling after peeing. Been tested 5 times now for chlamydia gonnoreah syphilis and herpes, all negative. Every time, there have been no cells so I am told I just don't have an infection.

I am worried it might be mycoplasma or urea but the NHL clinics don't test for these. As they are bacterial infections and I believe that it is the presence of white cells in the swab tests which indicates such an infection, is it possible that I have either mycoplasma or urea plasma or would 5 negative gram stain tests make this impossible or at least highly unlikely?
Helpful - 0
Avatar universal
I have the samething...  I did a dna test i show postive mycoplsma in Urine and semen...  My symptom are better but not gone...  How can we no for sure we are not contagious.  I dont want to give that to nobody!!!  

Now im on a month of doxy hopeffuly that can take the pressure i have in prostate!!!  That thing is a nightmare!!!  

As if they are not testing for this!!!

Anybody tried dr.Bahn in California!!!  Direct injection

Im lost i need closure for this thing
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Avatar universal
For those searching for a lab that does Mycoplasma genitalium tests (and at a decent price), check out the Mycoplasma lab at the University of Alabama-Birmingham. Here's a link to their site:

http://www.mycoplasma.uab.edu/

I spoke with the lab manager, Lynn Duffy, whp was extremely helpful. It requires a doctor to order the test, and my primary care physician and urologist each refused because neither had any clue what M. Genitalium was. I have an appointment with an infectious disease doctor in three weeks, after I try the z-pack. I've already tried doxy and levaquin w/o success.
Helpful - 0
Avatar universal
Hi Greensky (or anyone else who can help),

I just came across your post from last year regarding Azithromycin and ureaplasma treatment.  Based on your post, it sounds like the antibiotic eradicated your infection, which is great news!  My partner is having similar symptoms, and the dr. has put him on doxycycline 2x a day x 14 days.  He started taking them last Tuesday, but this past weekend, he had burning on urinating, and a tingling sensation which he believes is in his prostate.  Wanted to check in and see if your symptoms have completely gone away from Azithromycin, since it's been a year (and would you recommend it?), and if you were able to resume sexual activity with your partner without any further problems (did she have to be treated with Azythromycin also?).  If so, what dosage do you think worked best for you?  We are beyond frustrated, and at our wits end with all of this - looking to speak with dr. about further treatment.  

Any input you can offer would be GREATLY appreciated. Many Thanks!
Helpful - 0
Avatar universal
My daughter has had years of torment with cystitis, burning on urination and vulvadynia but all tests came back negative - she went to many different drs - urologists, gynaecologists and internists and even tried nutritionists and healers. Finally she came back to Uk in desperation - she lives in California - and was diagnosed with ureaplasma - the test was negative in US but positive here as it's a difficult one to do. She has just started taking a very high dose of doxycycline (600 mg) for 10 days as lower doses sometimes don't work and she doesn't want to take any chances after suffering for so long. These bacteria are very resistant. Will let you know if it works....fingers crossed!
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Avatar universal
Saw this thread and had to post. My story is up on the expert board now. Similar to a lot of your stories and I am freaking out in the same way a lot of you are. Nearly a year in and no improvement. I asked Dr. Hook about m. gen. stuff and am waiting for a reply. Please continue posting updates for better or worse.
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Avatar universal
Hi,I visited the Gum clinic last tuesday and spoke with the consutant there
for quite a while regarding all this.
He checked my prostate all ok.Took a swab from my penis.Good news nothing at all could be seen.I told him that I still feel symptoms and he said with all the treatment I have had I am uninfectious.
Next stage he gave me an emollient to wash with rather than my shower gel.
lubricant for masturbation.
anaesthic gel for tip of penis.
If they do not work he give me a steroid gel to use.
If they do not work he said he has another tablet to try and may send me for hypnosis as he thinks I am suffering from a lot of anxiety.
So far still feel the same and will start on the steroid.
Maybe this is a residual side affect from my Nsu but I still am having symptons.
I will have to see what happens and let you know.

Helpful - 0
Avatar universal
Hi,

I've been having the same symptoms as you for over 8 months now.  I've been on 200mg doxy (10 weeks), rocephin, 500mg cipro (4 weeks), 800mg bactrim ds, 2g flagyl (once), 1g Zithro (once), 500mg levaquin (4 weeks) and now 1g of Tindamax for 7 days. I've taken several standard std tests (while taking the antibiotics) as well as a PCR Trich and mycoplasma/ureaplasma test ($150).  All have come back negative but I'm still having prostrate pain mainly after having the tingling in my urethra originally like you described.  I feel it's either bacteria or a parasite that's lodged in my prostrate but all tests are coming back negative.  One thing I've read about the STD and PCR tests is that you have to be antibiotic free for 4 weeks otherwise it will effect the results.  Also, the first morning urine is the best to use.  My uro didnt' tell me any of this nor has he done a prostrate massage for a 4 glass test to culture.  It's just pee in a cup and "everything looks clean".  I've become a human dart board for antibiotics which has helped temporarily but eventually the pain and urination issues come back.  How much zithro did you wind up taking and how long was the treatment?  I've read 4.5 grams for 3 weeks (500mg every 3 days) is best for NGU, mycoplasma/ureaplasma.  did you try an extended course of tindamax or flagyl?  what about the moxi?
Helpful - 0
Avatar universal
well my symptoms seem completely gone her eye is about 85% gone,  what tests can we both get to make sure we are ok? i dont think they will let me get the blood dna amplification multi species bacteria test1!!!

upon further review it could of very likely been related to silent chlamydia, which would make sense since she got a horrible eye infection.

i dont know what to do to finalize this or when we will both be able to have unprotected sex again.  

my prostate was examined there was no pain, tingling has gone away, she has no burning on urination her eyes is almost healed.

what tests can we get, urine? blood? *i think swabs are very hit or miss!

Helpful - 0
Avatar universal
HEY Greensky1977  
I am also suffering with same for the past 3months
let me know your progress
Helpful - 0
Avatar universal
Hey man, try to stay positive.  I know it takes over your life but keep your head up.  

Regarding your girlfriend, please have her get a pelvic exam and explain to the gyno that she may have been exposed to an STD.  The doctor should know what to test for from there.  Try not to influence her with the UU and M Gen, just let her deal with her doctor.  

Regarding yourself, I always recommend people get treated for Trich with Metro or Tindamax.  If you're going to go with a quinolone, Moxi is supposed to be the most potent.  If your doc isn't willing to listen to you, move on to another and find someone who will work with you.  I can't state that enough, find someone who will work with you.  

I have heard LionsKipper's story and I hope you don't have to deal with what he is going through, but you should continue to have protected sex until you get this worked out, just like he is.  Maybe you should hold off on any more antibiotics and begin your holistic approach, and then you can get tested for UU and M Gen.  If I were you, that would be the route that I would go.  No need to take Moxi when you don't have to.  Your GF knows about all this, so there is no reason for you to rush into treatments that may do more harm than good.  Go get your PCR done and figure it out from there.  
Helpful - 0
Avatar universal
Well i saw the ID dr he  practically laughed at me uu myco ? Unlikely and if so cipro would cure it ! Siggghhh i felt .  and said there is no infection . Im
Left having tO treat myself , i know im contagious and i can still feel it lingering . I feel like waiting to see if it goes away is stupid i feep like one more treatment either moxi of levaquin ? I might have to order online ???? Ur thoughts guys ? Im not gonna call myself fine because the dr doesnt understand after the antiobiotics im gonna do a holistic approach than test the dna tests .
Helpful - 0
Avatar universal
Hi Greensky,
I have suffered from NSU/NGU in the states for two years now and tried all the meds.
I am seeing another consultant on Tuesday who I have seen before but told me to live with it.Which I will not accept.
I know there are people on here who seem to have been told that it is not contagious but I have never been told by the clinic or my Urologist that it is not.
They say practice safe sex all the time but twice over the years I have split condoms so where do you go from there if that happpens in the future.
Helpful - 0
Avatar universal
what other fluqonone antibiotic would you recommend?

How can i ever know that i am free and clear???? to not have protected sex? * in a long term realtionship of course.


it looks like the GF is gonna take me back, what should i have her check for???

i just dont know how to know we are not contagious?
Helpful - 0
Avatar universal
Hey man, hang in there brother and don't get sucked into all these expensive treatements.  You're correct, doctors have their limitations, so you need to be proactive and do your own research.  Like I said, find someone who will work with you and help you, and not try to convince you that you're crazy.  

Regarding moxiflox, I don't recommend it but if you're going to take it, the dose is 1 pill daily and the duration is 7-10 days.....I hope you can make it that long.  I made it eight days on Moxi and thought I was going to die on day 8 so I had to stop.  There are also many restrictions on foods that you should not eat so many hrs prior to or after taking a dose.
Helpful - 0
Avatar universal
this is a nightmare GF said goodbye! adios , she didn't understand the bacteria thing and blamed me for everything .  It was a new relationship i was in love with her and like that its flushed down the toilet.

Might i add that this is the second girl in a year period to come down with the same symptoms it has to be me.

I cant even reach her to get her the right treatment they cultured out the bacteria and such and did a gyno er exam.  I still dont think gynos know how to treat this.

Im so lost im gonna see the ID dr on friday but ive learned about the limitations of these drs.  

There are no accurate tests once you ahve taken antibiotics you need to be clear of them for 3 weeks.  

I did howver find the top lab on the subject that uses a different form of blood dna amplification diff than any one else that can test for multi species. even if i find the bug

Its still hard to treat, the blood supply in the prostate urethra is very low and getting high levels of antibiotic in there is difficult. im afraid another antibiotic is just gonna make a super strain within me.  

there are this china guy that contacted me from an email and he says to be completely treated the devloped direct injection techiniques in china and it costs 17 thoushand dollars !!!! for 30 days they are seriously taking advantage of this disaese

there are tons of holistic approaches to urethra profusion treatment etc.  


What is a good strong dose of moxifloxacin??? i think maybe a suppository antibiotic might be better?/ what do you think?

lost , crushed over losing my gf, and still battling ....
Helpful - 0
Avatar universal
Based on what you are saying about your GF, it's imperative she been seen and have a pelvic exam by a gynocologist, not the ER.  ER doctors are not used to dealing with these issues and may be lacking in knowledge.  Try not to inject your own opinions about MG or UU, just make sure she gets that pelvic exam ASAP.  It sounds like you're describing symptoms of Pelvic Inflamatory Disease, which can affect her fertility if left untreated.  I do not know why the ER gave her Cipro.  It's typically used for UTI's, but it doesn't sound like they did any testing with her to verify typical UTI causing bacteria.  They should have at least considered the fact that you've been on Zithromax and are being treated for STD type symptoms.  

No one can say if it's related to your infection, but it sounds like you're doing the right thing by continuing your treatment with Zithro and following up with an ID Doc.  My ID doc was not very knowlegable about these kinds of things, but he suspected what your doctor did, that I had a long standing infection, and standard abx treatments would not work, so he put me on an extended course of abx.  Most of my symptoms have cleared up, but I still have some that I may end up living with.  Who knows, the point is, please follow up with an ID Doc.  
Helpful - 0
101028 tn?1419603004
what testing did they do on your gf? did they take urine , do a pelvic exam and take cultures from her cervix?

Helpful - 0
Avatar universal
Also my gf came down w
A horrible uti stomach pains and chills and a horrible eyes swelling infection app after our unprotected sex encounter .  They refused to make a connection w me at the er and refused to listen about ureaplasma . But it just has to be related to my infection !
Helpful - 0
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