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Suggest Treatment For Mycoplasma Hominis

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Posted on Mon, 1 Jun 2015
Question: My daughter has been diagnosed with mycloplasma hominis. She just turned 31 years of age. The doctor gave her some antibiotics and she went back to get re-tested and the results are positive. She and I are very worried that if she decides to have a baby in the future she may be infertile and/or affect the fetus in some way if the anti-biotics don't get rid of the hominis. The doctor has told her not to have intercourse at this time. She has no symptoms. I have been reading and the literature says that if this STI is not eliminated it could cause some kind of cancer. The whole incident is causing me and her a lot of anxiety. Please help. Thank you.
doctor
Answered by Dr. Ivo Ditah (19 minutes later)
Brief Answer:
This might be colonization and not an active infection!

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this diagnosis and all the inconveniences that this has caused you. I have reviewed the information you have provided fully. What strikes me is the fact that your daughter has no symptoms. This means this could be mere colonization of the genital tract by this germ and nothing more. At least 50% of all sexually active women carry this germ and it in no way mens that they are infected. They would only require treatment for this is they have symptoms like vaginal discharge, abdominal pains, or any other symptoms suggestive of an infection.

I will like you to understand that the mere presence of this germ on testing is largely insufficient to conclude that she is infected. This germ will not also cause cancer unless it causes a chronic infection that is not treated. I will say, calm down and relax over this. She is probably being mislabeled about having an infection caused by this germ which is very unlikely in the absence of any symptoms. With no active infection, her chances of having babies are in no way affected by this.

I hope this helps. I wish you well. Thanks for using our services and do feel free to ask for more information and clarifications if need be.
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Ivo Ditah (17 hours later)
Thank you for your reply. Apparently, I was incorrect and my daughter had irritation in her vagina which she took an over the counter treatment called lactal which alleviated the irritation but after a three week period the irritation returned and she started taking the lactal again. The first dose of anti-biotics was called azithromycin and that was 4 pills one time and now she was given moxifloxacin and she will be taking one dose for the next 10 days.

She has just added that the irritation has been painful. When she took the lactal the irritation and pain was relieved for 3 - 4 weeks and then resumed. She is taking the lactal and she feels some minor irritation. Unfortunately, she is overseas with no medical coverage. Given this new information, would you advise her to return to her country where she has medical coverage and see a gynecologist/specialist to deal with these medical issues.
doctor
Answered by Dr. Ivo Ditah (17 hours later)
Brief Answer:
When is she expected to be back?

Detailed Answer:
Hi and thanks for this follow up precision.

For now, she is receiving another round of antibiotics and would not be wise to rush into taking aggressive measures. These are very good antibiotics against mycoplasma and I have no idea why she would not respond. For now, I would like to see the test reports. I want to know the type of test they are doing. If they are looking at antibodies(serologic tests), then it would not be expected to become negative overnight as antibodies take long to go out of circulation.

For now, I would want to be certain about what they are doing. For this. please upload the reports. For the time being, let her continue with moxifloxacin while we map out the specifics of what is going on.

I hope to hear from you!


Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3984 Questions

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Suggest Treatment For Mycoplasma Hominis

Brief Answer: This might be colonization and not an active infection! Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about this diagnosis and all the inconveniences that this has caused you. I have reviewed the information you have provided fully. What strikes me is the fact that your daughter has no symptoms. This means this could be mere colonization of the genital tract by this germ and nothing more. At least 50% of all sexually active women carry this germ and it in no way mens that they are infected. They would only require treatment for this is they have symptoms like vaginal discharge, abdominal pains, or any other symptoms suggestive of an infection. I will like you to understand that the mere presence of this germ on testing is largely insufficient to conclude that she is infected. This germ will not also cause cancer unless it causes a chronic infection that is not treated. I will say, calm down and relax over this. She is probably being mislabeled about having an infection caused by this germ which is very unlikely in the absence of any symptoms. With no active infection, her chances of having babies are in no way affected by this. I hope this helps. I wish you well. Thanks for using our services and do feel free to ask for more information and clarifications if need be.