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  #1  
Old 12-13-2008, 02:25 PM
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Default Ureaplasma

Dear Doctor,

I was first diagnosed with Ureaplasma 10 years ago, when living in Russia. I had antibotic treatments several times.

I was last tested for Ureaplasma in Russia two years ago, it was positive.

I regrettably didn't finish my course of antibiotics and fear that I have Ureaplasma once again as I have symptoms. I am also suffering from possible side affects such as having clicking bones, blood spotting, frequent coughing/chest infections, which I fear could be related.

I understand that you check for Ureaplasma as part of your 'Sexual Health Screen' package. I was informed that you check via urine and swab tests.

In Russia, they also take blood to test for Ureaplasma.

My question is, if the Ureaplasma has spread to other parts of the body, is it possible that a urine or swab test will miss detection and the Ureaplasma will be in my blood.

Can you provide professional consultation in my long standing and complicated case? I now understand that antibiotics should be tailored to the particular strand of Ureaplsma. In the past I believe I have taken a general course of antibiotics and I question their effectiveness.

Thanking you in advance for your advice.

K
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Old 12-14-2008, 01:24 AM
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Hello, K.!
Firstly I would like to clarify that Ureaplasma infection is a very common one and usually not very serious at all. regarding your consecutive tests, I would suggest that they were probably two separate infections. Appropriate antibiotics are always effective.
It is very common and you possibly contracted the infection again. Also yo have to take into account that these bacteria sometimes remain in the vaginal flora without being pathogenic (that means not causing any pathology) and they might become a problem only when you are run down. In very rare cases, they can spread to other parts of the body, such as joints, but only in individuals with a very weak immune system, and you would have specific symptoms. As the most common place for symptoms would be in the genitals and in the urethra, we would do a vaginal/urethral swab (normal swab or PCR), but also a highly sensitive urine test for a PCR test. If we suspect a spread of the infection, we can also do blood tests, or even an analysis of joint or spinal fluids, depending of the symptoms. As you can see, not only in Russia, blood tests can also be performed!!
Ureaplasma usually responds to doxycycline for one week; however if the infection becomes chronic you might need them long term. In the lab, they can advice us about what antibiotic would be effective, according to the test results. If you need any further advice, we will be delighted to help you. We will be very happy to see you in our clinic at 60 Harley Street.
Best wishes,
Jose
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  #3  
Old 12-17-2008, 03:53 PM
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Default Ureaplasma

Dear Dr Jose,

Thank you very much for the informative reply. Could you please also let me know how much would it cost to have consultation + vaginal/urethral swab only for ureaplasma and mycoplasma + blood test for ureaplasma and mycoplasma and + analysis of joint or spinal fluids + proscription. I feel that in my case I will need all of those tests done. I need to know how expensive it would be for me and if I can afford it. I live in the north part of the country but planning to stay in London for a few days (till December the 30th). As the number of days I shall spend in London will be limited I would also like to know how long would it take to get test results and proscription. It is very important for me to have your reply as soon as possible please,
Thanking you in advance and looking forward to your reply,

K.
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