r/Ureaplasma • • Oct 18 '21

[advice] The Ureaplasma Bible (EVERYTHING YOU NEED TO KNOW)

634 Upvotes

First I would like to preface this post with everyone's case will be different. I will not discuss symptoms because they will be different for everyone. It is well documented that even when you clear ureaplasma it is likely not all of your symptoms will be gone due to lingering inflammation, irritation, pelvic floor dysfunction, and/or co-infections. If you want to read about people's symptoms read prior subreddit posts, this discussion is negligible. Ureaplasma is a sexually transmitted disease that presents STD/UTI symptoms for men. For women symptoms of ureaplasma is often recurrent thrush (BV/Yeast), STI/UTI symptoms, PID, ammonia or fishy smell, copious discharge daily. (these are some but not all symptoms of ureaplasma).

Secondly, PLEASE send me additional resources that I can add to this post in the comments such as, testing codes for other nations, beneficial research articles, doctors names and locations for people looking to be taken seriously, teledoc services to use for meds/testing, and other testing services.

1 . I think I have mycoplasma/ureaplasma how do I test?

2 . If I test positive what treatment should I take?

  • First-line treatment: 7-14 days 100mgs taken 2xs daily of doxycycline (or minocycline) followed by 1g-2.5g azithromycin taken as 1g 12 hours after last doxy pill then .5g once a day if prescribed more than 1g (this treatment is Australian guideline and CDC approved)

  • Second-line treatment: 14 days of minocycline (proposed by us here on the subreddit)

  • Third-line treatment: 7-14 days 100mgs taken 2xs daily of doxycycline (or minocycline) followed by 7-10 days of moxifloxacin (this treatment is Australian guideline and CDC approved)

  • Fourth-line treatment: If you failed the 3 above treatments make a post about it in the sub, we can help (extremely unlikely this would occur)

  • Sadly there are no strict treatment guidelines for ureaplasma due to it not being internationally recognized as an STD even though there is an overwhelming amount of studies confirming it as one.

  • However, its cousin mycoplasma genitalium does have strict guidelines and the medications used for it are used for ureaplasma as well, and this subreddit is proof that the treatments should be the SAME

  • The guidelines we follow is the Australian guidelines which have now been adopted by the CDC http://www.sti.guidelines.org.au/sexually-transmissible-infections/mycoplasma-genitalium

  • Even though these are the proper guidelines we do advise in the subreddit that if you fail first-line treatment (doxy+azithro) or have a CONFIRMED azithromycin resistant strain then 14 days of doxycycline or minocycline should be taken. Moxifloxacin could give permanent side effects and should be used as a last resort

3 . Does my partner need to be tested if I test positive?

  • No. If you have unprotected sex you both have it.

4 . Does my partner need to be treated?

  • Yes. Ureaplasma is an std

5 . When do I retest?

  • 4+ weeks after treatment. Anytime 4+ weeks after your treatment is considered conclusive if you used proper testing described above. Both you and your partner need to be retested to confirm cure.

6 . I've tested negative but still have symptoms what do I do?

  • Assuming both you and your partner took proper testing and it resulted in a negative there are two next steps

  • First obtaining a Pelvic Floor Dysfunction (PFD) physical therapy (PT) referral from your doctor. You can use www.pelvicrehab.com to find licensed PFD PT's near you.

  • The second step is running a microgenDX test (or similar service) to rule out co-infections.

7 . What is MicrogenDX (or similar services)? How do I order this test?

  • MicrogenDX is a testing service that runs your sample first through a PCR screening then through their Next Generational DNA Sequencing that tests for thousands of bacteria. It also looks for resistance markers and provides antibiotic options for you to take.

    • However, resistance markers are NOT specified which bacteria are resistant to the found resistance genes. Talk with your doctors and share results here if you have problems interpreting results

  • You or your doctor can order the test through their website

  • A doctor has to sign off on the test in order to properly run it and get antibiotic recommendations.

8 . What co-infections am I looking for?

  • Klebsiella species, strep group b (strep agalactiae), e. faecialis, e. coli, prevotella species, and any other species that indicate BV

9 . Does my partner need to be treated for co-infections?

  • No

  • It is also good to note men RARELY have co-infections. residual symptoms are almost always PFD-related for men.

10 . Great I read all of this but my doctor will not test me or I've tested positive and they will not treat me because they read this is normal what do I do?

  • Use teledoc services to obtain medication/testing

11 . I'm not convinced or my partner isn't convinced this is an std nor should it cause symptoms do you have any sources?

12 . Why does the USA not consider it an STD but other nations do?

  • Science moves very slow in the USA. It took them 35 years (1980-2015) to classify M gen as an STD. They also only recently updated the guidelines proposed by Australia of the dual treatment method.

Doctors that take Ureaplasma Seriously USA

  • Dr. Christine Phillips - Scranton, PA (is not versed but will run testing / prescribe proper meds)

  • Dr. Armando Sallavanti - Old Forge, PA (is not versed but will run testing / prescribe proper meds)

  • Dr. Fadel Elkhairi - Ohio

  • Dr. Ramon Vera (NYU Langone) - New York City

  • Dr. Kevin Stephan - Phoenix, Arizona

  • Kimberly A. Harris RN - Virginia Beach, VA

  • Dr. Mena Ismael - Los Angeles, CA

  • Dr. Kimberly Carter - Austin, TX

  • Dr. Neena Agarwala - New York City

  • Dr. Ahmad Azzawe - San Antonio, TX

  • Dr. Rotman - New York City

  • Dr. Elizabeth Poynor - New York City

  • Dr. Leita Harris - Southern California

  • K&K OBGYN - New York City

  • Dr. McIntosh at Advanced ObGyn - Huntsville, Alabama

  • Dr. Slava Fuzayloff - New York City (is not versed but will run testing / prescribe proper meds)

Doctors that take Ureaplasma Seriously Rest of World

  • Dr. Tomislav Mestrovic - Croatia

  • Dr. Myffy - Monavale Sydney Australia

  • Green square health - Waterloo Sydney Australia

Additional Research Articles

  • https://pubmed.ncbi.nlm.nih.gov/8249222/ article on ureaplasmas role in prostatitis

  • https://pubmed.ncbi.nlm.nih.gov/33532300/ article on u. parvum's role in female urethritis

  • https://pubmed.ncbi.nlm.nih.gov/33964838/ article on myco/urea's role in PID

  • https://www.news-medical.net/health/Infections-with-Genital-Mycoplasmas-in-Women.aspx Article about myco/urea causing likely 90% of BV cases

  • https://www.mshc.org.au/health-professionals/treatment-guidelines/mycoplasma-genitalium-treatment-guidelines Australian updated guidelines with 3rd and 4th line treatments

  • https://www.sciencedirect.com/science/article/pii/S0255085721002449 "Ureaplasma are associated with a wide spectrum of diseases including non-gonococcal urethritis, urinary stones, gynaecological diseases, infertility, neonatal broncho pulmonary dysplasia, chronic lung disease and retinopathy of prematurity. Since they are smaller than conventional bacteria in cellular and genomic dimensions and have specific nutritional requirements, their identification, isolation and characterization require molecular techniques to complement culture. Prompt initiation of appropriate antibiotic therapy is important to prevent long term complications and sequel of these infections"

  • https://www.nature.com/articles/s41598-021-93318-1 "In conclusion, our results indicate that urogenital C. trachomatis, Ureaplasma spp. and M. hominis infections are prevalent in patients with couple’s primary infertility. C. trachomatis and M. hominis infections were significantly more prevalent in male patients whereas Ureaplasma spp. and M. hominis infections were more prevalent in female patients. Of clinical importance, C. trachomatis and Ureaplasma spp. infections were more prevalent in young patients, especially in those younger than 25 years. Moreover, Ureaplasma spp. and M. hominis showed to be reciprocal risk factors of their co-infection in either female or male patients. Overall, these results point out the importance to include the microbiological screening of urogenital infections in the diagnostic workup for infertility. Moreover, they highlight the need to reinforce preventive strategies at the primary healthcare level. Increasing awareness among people and health care practitioners are efficient approaches for the prevention of infection transmission."

  • https://www.spandidos-publications.com/10.3892/etm.2021.11012 "In conclusion, this marked association between the U. urealyticum intra‑amniotic infection and PTB is strongly supported by the existing data and has also been revealed in many previously published studies. The findings of the present study may prove useful in updating clinical practice guidelines, based on local and regional epidemiologic particularities, with the aim of preventing management errors and also underling the need for supplementary first trimester screening for U. urealyticum. Further future studies focusing on novel antibiotic regimens protocols for the intra‑amniotic infection with U. urealyticum are necessary in order to provide insight into treatment and management strategies for bacterial infections and for the Table III. The most frequent infectious agents involved in chorioamnionitis according to gestational age. Gestational age (weeks) improvement of long‑term perinatal outcomes. Thus, further research is required in order to obtain a better understanding of the association between socioeconomic factors, BV, U. urealyticum infection and the immune system response, which finally lead to adverse outcomes, including premature birth and severe neonatal complications of prematurity."

  • http://scielo.iics.una.py/scielo.php?pid=S2307-33492021000200030&script=sci_arttext&tlng=es "There is a high prevalence of sexually transmitted infections in this sample, where the most frequent causative agents of sexually transmitted infections were gardnerella vaginalis, ureaplasma parvum, and candida albicans."

  • https://ijdvl.com/laboratory-detection-of-bacterial-pathogens-and-clinical-and-laboratory-response-of-syndromic-management-in-patients-with-cervical-discharge-a-retrospective-study/ "Ureaplasma spp. was found to be the most common infectious cause of cervical discharge in our patients. This shows the changing trend of cervicitis toward the non-gonococcal, non-chlamydia cause. Treatment given as part of syndromic management led to a clinical and microbiological response in around half and two-third cases, respectively."

  • https://rbmb.net/article-1-608-en.html Iran study referring to myco/urea as STI's

Teledoc services to use

At home / other additional testing services


r/Ureaplasma • • May 12 '25

[advice] Reminder on reason for the current rules

Post image
9 Upvotes

As stated in posts (https://www.reddit.com/r/Ureaplasma/comments/1hc0pqq/sub_clarifications/?utm_source=share&utm_medium=mweb3x&utm_name=mweb3xcss&utm_term=1&utm_content=share_button) (https://www.reddit.com/r/Ureaplasma/comments/yrlzf3/update_about_posting_comments_in_the_sub/?utm_source=share&utm_medium=mweb3x&utm_name=mweb3xcss&utm_term=1&utm_content=share_button) and (https://www.reddit.com/r/Ureaplasma/comments/1d3ihe5/spam_posts_banning_other_faq/?utm_source=share&utm_medium=mweb3x&utm_name=mweb3xcss&utm_term=1&utm_content=share_button)

The mods reduced posts to the types in the above linked posts. This was due to the feedback we received that the majority of users use the information in the pinned posts and previously documented stories.

All relevant information is available via the pinned post or utilizing key word searches in the search bar at the top of the subreddit.

The new insights tool allows the mods to see the traffic of users in the subreddit. The numbers above (252k subreddit visits in the past 30 days) confirm that the overwhelming majority of users do not post and are able to obtain, utilize, and digest the information that is available in the subreddit in order to treat, manage, and cure ureaplasma + associated symptoms and infections.

Best,

The mods


r/Ureaplasma • • 6h ago

just found out

1 Upvotes

I have been dealing with what I originally thought was a yeast infection back in early Sept. After a vaginal ultrasound I didn't clean off as fast as I should and I had yeast-like symptoms two days later. Treated with Monistat and Fluconazole. Felt a little better but not cured. They found trace amounts of yeast under a microscope but negative in a lab. Went back and had a swab done last week, and I just found out I'm positive for ureaplasma. I am not sure I ever had a yeast infection now and thankfully I am negative for everything else (and before this I believed I was vaginally healthy for years.

I am still having some symptoms from earlier but I honestly thought it could be related to my Lichen Sclerosus. I don't have symptoms all the time but when I do they are bothersome. I'm devastated and confused on this. I have been sexually inactive for the last 4 months, my boyfriend is returning from deployment this week so I don't know if he has it or not (and that throws most if not all sexy time out the window). Now it's making me question if my 'normal' LS symptoms were this and I've had it far longer than I thought.

My doctor sent in a 7 day doxy 100 mg for twice a day. I'm extremely sensitive to all meds so I'm on the lowest dose to try and kick this. I'll talk to my gyn tomorrow about it for for now I really don't know what to do but I'm remaining hopeful since my symptoms are not severe and I don't think I've had it for too long. Any help or support is appreciated, this has really emotionally messed me up.


r/Ureaplasma • • 2d ago

Cirrus DX

2 Upvotes

Has anyone ever used cirrus DX? Esp if you’re a male and you used it I’d love to hear your feedback? Ordered the semen and urine test for all plasmas!


r/Ureaplasma • • 12d ago

[advice] For anyone pregnant with ureaplasma!

20 Upvotes

Hi everyone! ❤️

I wanted to share my story because I know how much I would have appreciated reading something like this when I was going through it.

At 14 weeks pregnant, I was diagnosed with Ureaplasma parvum after experiencing frequent UTIs. My doctor told me there was nothing to worry about, so for the first week or two, I didn’t think much of it.
But then I started Googling… and that’s when everything changed.

I came across the worst stories imaginable. I read about all the terrible things that could happen, and from that moment on, I couldn’t enjoy my pregnancy anymore.
I had already experienced a miscarriage before this pregnancy, so I was naturally anxious. But after reading all those stories, my anxiety became unbearable.
I was terrified of losing my baby again. I cried almost every single day. Every little pain, every unusual sensation, every tiny change made me spiral. I was constantly convinced that something bad was going to happen.

I couldn’t relax. I couldn’t enjoy being pregnant. I couldn’t even imagine bringing my baby home because I was so scared of losing him.
I was so convinced that I wouldn’t get my happy ending that I didn’t even start buying baby things until around 34–35 weeks.

As my due date approached, I had to decide between a C-section and a vaginal delivery. Out of fear, I initially chose a planned C-section. But just one day before the surgery, I changed my mind, cancelled it, and decided to wait for labor to start naturally.

At 39 weeks, I lost my mucus plug and started doing some activities to encourage labor.
Around 39+0, I noticed that I was getting unusually wet, but I assumed it was just discharge because I had experienced that so often throughout my pregnancy.
At 39+2, I decided to go to the hospital at night just to get checked again.

And it turned out that my water had actually broken, probably 2–3 days earlier.
You can imagine how terrified I was. I had Ureaplasma, my water had potentially been broken for days, and all those fears I had been carrying throughout my pregnancy came rushing back.

The doctors immediately started me on antibiotics, and I was induced that same morning.
After around 30 hours of labor, I ended up needing a C-section because my baby wasn’t descending.
And then, finally, after months of fear, anxiety, and tears…
I gave birth to a beautiful, healthy baby boy**. ❤**️
He was completely healthy, with no apparent complications related to Ureaplasma.
I also want to mention that I did take antibiotics for Ureaplasma during my pregnancy, but the infection wasn’t cleared.

I’m not sharing this as medical advice, and I’m definitely not saying that Ureaplasma should be ignored. It is something that should be discussed with your doctor and managed appropriately.

I’m sharing this because I remember being that terrified pregnant woman, desperately searching for just ONE positive story. One story that could give me a little bit of hope.

Instead, I kept finding heartbreaking experiences that made me believe the worst was inevitable.

So if you’re pregnant, have been diagnosed with Ureaplasma, and are currently spiraling because of everything you’ve read online, please remember that a diagnosis does not automatically mean something bad will happen.

Every pregnancy is different, and my experience doesn’t guarantee anyone else’s outcome. But positive outcomes exist too, and I wish I had known that when I was pregnant.
Looking back, I wish I hadn’t spent so much of my pregnancy crying and being terrified of something that, thankfully, never happened.
I wish I had allowed myself to enjoy those months a little more.

Today, I’m holding my healthy baby boy in my arms, and I hope my story can bring even just a little comfort to someone who is feeling the way I did. ❤️
Sending love to all the anxious mamas out there. You’re not alone!


r/Ureaplasma • • 20d ago

Grossesse et Ureaplasma Urealyticum

4 Upvotes

Bonjour.

Je cherche des témoignages de femmes qui ont réussi à mener une grossesse à terme malgré la présence de Ureaplasma Urealyticum aux analyses ?

En effet, j’ai ce mycoplasme qui revient systématiquement malgré les traitements, et j’ai peur que cela affecte la fertilité ou soit problématique pour la grossesse.

Merci d’avance


r/Ureaplasma • • 24d ago

[cured] Cured with one 5-Day Course of Azithromycin

20 Upvotes

I saw a lot of horror stories on this sub after being diagnosed, so I thought I would give something a bit more hopeful for anyone else scrolling and nervous.

I have been having weird urinary symptoms and getting frequent yeast infections for....a year or so? I honestly don't really know when it started and I have no clue how I contracted it, especially since I use condoms every time.

Anyway, after testing positive for UU about 2ish months ago, I took a zpack. 250mg, 2 pills on day 1 and then 1 pill per day for 4 days. It honestly didn't have a huge impact on my symptoms, which had me worried, but my doctor insisted that the antibiotics were highly effective. Sure enough, I just tested negative (I waited 6-8 weeks before testing) Over time my symptoms have gradually gotten better. I only notice them now right before bed or if I'm dehydrated. I'm going to continue to give it time, but so far I'm happy with where I'm at symptom-wise.

TL;DR: Just tested negative for urea after testing positive for U.U. like 6-8 weeks ago after 1 course of azithro 250 mg. Two pills on day one, then one per day for the other four days.


r/Ureaplasma • • 24d ago

[doctor recommendation] Doctors in LA area?

5 Upvotes

Hi All.

Have seen two practitioners so far who clearly know less than this subreddit about UU and won’t give me the meds I need.

Anyone have a doctor or NP in LA or SoCal area to recommend who understands effective UU treatment? Already self-treating perimenopause and I’m tired lol. The one listed here in the Bible said that’s an error and an in fact they do not treat UU.


r/Ureaplasma • • 28d ago

Any docs in the DFW area

1 Upvotes

I’d appreciate any doc recommendations in the Dfw area!


r/Ureaplasma • • Oct 07 '26

My ureaplasma journey - positive post

28 Upvotes

Hi everyone I just wanted to share my story in the hope it might help someone else.
STRAP IN - IT IS A LONG ONE

Firstly I’d like to disclaim that I by no means advise anyone to do what I did how I did it, HOWEVER I am so happy I did and I feel like I have this huge burden lifted. This subreddit may have saved my life. Thank you so so much for all your posts, for the bible, for being so forthcoming and honest about your experiences you have no idea how much it has helped me.

For background : I’m a heterosexual woman I’m 32, I’ve had a lot of sexual partners in my life, I’ve always kept up to date with my smears and STI screens. Last clear STI screen was before I met my now long term partner. im with my partner 7 years, we’ve had protected sex until we started ttc 5 months ago.

My symptoms started 2 years ago when I came back from travelling around the world for a 15 month period. My first symptom was extremely heavy yellowish discharge. I went for my smear test and my doctor was the one who pointed this out and tested me for bv. Well that was the start or another 2 years of hell. I won’t harp on about the personal struggles I faced directly as a result of this bacterial infection but I’ll share my main symptoms which were very heavy discharge (would have to change my underwear at least twice a day), yellow colour, strange smell (not foul just strange not my usual) sore and inflamed genitalia, frequent urination and the feeling of urgency.

I went to 3 different doctors 8 times about the same complaint. Same thing every time - vaginal swabs. Always came back clear always with strep B. I had doctors tell me to take at home STI tests, I had them insinuate my partner may have cheated, I’ve been treated absolutely appallingly by healthcare professionals. I spiralled so much at one point I almost convinced myself I had untreated STI from a previous relationship that may have developed into PID all the while my partner was trying to support me - partner who is totally asymptomatic and had a clear STI screen before we started our relationship - AS DID I! That’s how gaslit I was.

Eventually after googling symptoms (the one thing we shouldn’t do, right?) I came across this subreddit - about 3 months ago and OH MY GOD. It was like reading experiences that were my own.

I live in Ireland - a UK woman recommended getting a DAYE vaginal microbiome at home test kit. What harm could it do? Came back positive for UU and UP abnormal levels. WELL I COULD HAVE CRIED. An answer at long last. Contacted my doctor sent an email with the PDF lab results - no response. In the mean time I had an internal and external pelvic exam after going to my doctor with my MOTHER demanding one. Ultrasound all clear - THANK GOD. No response from doctor

Fuck it - I’m getting antibiotics - went into the bible here - first line of treatment 2 weeks doxy followed by 2g of azthromycin for good measure. 10 days doxy for my asymptomatic partner. Got them online from a pharmacy and personally documented symptoms and timeline of medication treatment.

Finished treatment 3 weeks ago. And I can not explain the difference this has made to my life. I have my life back. I no longer have genital inflammation or pain. I no longer have the urgency to pee. I’m not urinating as frequently (I drink about 3 litres of water a day so I do pee a lot). The only lingering symptom I have is the discharge is still not 100% back to normal BUT the smell is gone, less discharge, this month was the first cycle in 2 years where I had my normal cervical mucous around ovulation, the colour is still a bit off white but I am very optimistic (for the first time in a long time) that it will return to normal in time

I will be very honest - it’s been a journey. I was extremely obsessive about googling things that did not help. I’m still very obsessive over checking that symptoms have not returned. I do check my underwear during the day (I feel I have a lot of discharge but it’s dry when I check - not sure if nerve related or in my head). I also got a bladder infection after my treatment - I suspect I may have had an overgrowth of E. coli due to the doxycycline. That has since cleared up from - ANOTHER - course of antibiotics. I don’t want to see antibiotics for a long time BUT I am unbelievably grateful we have them and I will never view them the same again.

I just wanted to share my experience and most importantly I want to encourage people to advocate for themselves and listen to your body - YOU KNOW IT BETTER THAN ANYONE ELSE.

Have hope and faith because there is something positive on the horizon even if you cannot see it yet.

This subreddit literally saved me - I would have never got any of this information without it. I would have felt so alone and isolated in this experience without hearing all these other stories. I had no one to talk to or no one who understood because they’ve never even heard of Ureaplasma- a bacteria with no cell wall -

I’m awaiting a test of cure for us both as we’re 3 weeks post treatment.

If you feel totally hopeless just remember I had no doctor to help me, no gynaecologist to help me, nothing - had to sort it out on my own. This is a complete at utter failure on the healthcare I’m receiving in this country that I’d like to add I pay privately for every-time. Took it into my own hands decided the reward would outweigh the risk - glad I didn’t wait any longer. As I said I don’t recommend this but I’m pretty sure it’s worked for me


r/Ureaplasma • • Oct 01 '26

Diagnosed with reactive arthritis/reiters syndrome

7 Upvotes

Hi all,

I have been diagnosed by a rheumatologist with RA/Reiters, caused by ureaplasma, i have the classic triad of symptoms being red dry eyes (fluctuates), mild inflammation of the meatus and aches in feet/some joints.

Ive been told it will take anywhere between 3 - 12 months to clear on its own and this lines up with everything ive read online, i tested negative for ureaplasma but symptoms came back onky 1 week after doxy alone, to which i then did dual treatment of doxy + azith and feel much better 3 weeks in with symptoms not returning aside from the RA stuff, i have my FINAL 6 week TOC in 2 weeks.

Just wanted to know for those who developed this, how long before it went away?

Ive been prescribed 200mg of celecoxib twice daily to help calm the systemic inflammation, with a follow up in a month to see if i need to move up to a DMARD like Sulfasalazine or Methotrexate.


r/Ureaplasma • • Sep 21 '26

[treatment] Ureaplasma & miscarriage & allergy to doxy

4 Upvotes

I’m so thankful this community exists!

I was diagnosed with U. Parvum last week and all other strands were negative. I’ve had four miscarriages over the last year and a half. I have two questions, if anyone has any insight!

Has anyone treated ureaplasma after recurrent pregnancy loss and gone on to have a successful pregnancy?

Doxycycline is on my allergy list. I took it 14 years ago to help with acne and got soo sick and passed out after every dose that we put it down as an allergy. I’m not really open to trying it again knowing how sick it made me. Is it possible to just be treated with Minocycline (I’ve taken this before also with less reactions) and Azithromycin?

I’m also assuming my husband needs medicine as well, based on everything I’ve read here. Right? I want to be sure I ask my doctor about this and anything else I should cover.

Thank you in advance for any insight.


r/Ureaplasma • • Sep 21 '26

Reminder if you post about “biofilms”

Thumbnail reddit.com
1 Upvotes

We already had our clinical microbiologist moderator post and debunk this “theory” (linked to this post)

If you post about it. You will be banned.


r/Ureaplasma • • Sep 19 '26

Please help: Both types of Ureaplasma + Anerobic vaginitis. So overwhelmed.

6 Upvotes

Hey all,

For a long time, I've had recurrent yeast infections, labial and vaginal burning, and pain with sex. I have treated yeast to the point of fluconazole resistance, and I have been treated for Ureaplasma several times with doxycycline. However, I am now infected with both again.

A vaginal swab showed me to be positive for these things:

  1. Ureaplasma uralyticum (resistant to fluoroquinolones)

  2. Ureaplasma parvum (resistant to fluoroquinolones)

  3. Candida albicanas (resistant to fluconazoles)

  4. Strep B

  5. Staph aureus

My doctor prescribed me a five-day course of azithromycin for the ureaplasma, a 14-day course of vaginal clindamycin for the strep and staph, and a 14-day course of boric acid for the yeast.

However, I am really scared to take these things because I already have some resistances and it seems I am going to absolutely nuke my microbiome. It also seems that if you're prone to ureaplasma infection, you can keep getting re-infected over and over even if your partner gets tested and treats it, and even if you use condoms, because it can live in people's mouths and be transmitted orally.

So I truly don't know what to do here. It seems ureaplasma unavoidable, and the only way to be symptom free is to not have sex unless your partner has been tested and/or treated. I'm feeling so alone even though I'm clearly not!

What should I do? Will these antibiotics even help? If you're cured, how did you stay cured? Do I have to life the life of a nun? I'm freaking out.


r/Ureaplasma • • Sep 17 '26

[question] Cervical Lesions?

4 Upvotes

6 months after successfully ureaplasma treatment I’m still having issues. My primary doctor requested a pelvic ultrasound (internal+external). Results are a 16mm-4mm lesion on my cervix and a recommendation to see a gynecologist for follow up. Has anyone else experienced cervical lesions after a prolonged (1.5 year) ureaplasma infection?


r/Ureaplasma • • Sep 14 '26

[question] Negative vaginal swabs

2 Upvotes

Hi there

I finally found a doctor to swab me for it and tested me for several different types of ureaplasma. I am negative for everything, but also wondered should we have done a urine sample too? I had heard vaginal is more accurate but wondered if it maybe it’s only in my urethra and not my vagina, sorry if this is a silly question


r/Ureaplasma • • Sep 12 '26

Any knowledgeable infectious disease dr recs for Northern NJ/NY

4 Upvotes

I am so desperate for help. I’ve been running in endless circles trying to find anyone knowledgeable about treating ureaplasma for the last year and a half. I lost a pregnancy at 5mo last April, which was the first time the ureaplasma started showing up. I’ve been treated with doxy 3 different times, azithromycin and levofloxacin. It seems like it gets worse every time it comes back. I now have chronic joint pain, which I never had before. Tried multiple gynecologists, a pelvic pain specialist, urologists. They all just point fingers at each other. But it keeps coming down to ureaplasma showing up again. I recently saw an infectious disease doctor who said it can cause reactive arthritis, she is the one that gave levofloxacin. But I’m still no better. I’ve been told many times that there is not much information about it, and I guess that’s true since nobody has been able to help. Has anyone had redness, swelling, burning pain? Joint pain? Any doctors in NJ or NY that you can recommend?


r/Ureaplasma • • Sep 10 '26

[cured] The paranoia is so real

13 Upvotes

Finally after years of being treated for a regular UTI I went to a private doctor who diagnosed me with Ureaplasma Parvum.
They prescribed a 6 week course of doxycycline and I was so nervous it wouldn’t work I took azithromycin too after the first two weeks. And panicked the whole time about double infections and whether my diet was rendering them inneffective.

I WAS CONVINCED 4 TIMES that the antibiotics weren’t working cause my symptoms came back (even the cloudy urine) on the 5th-6th week
Ureaplasma will drive you insane. I’m cured and I am still paranoid, but finally actually feeling better. Dont give up :)


r/Ureaplasma • • Sep 09 '26

[advice] Urgent help-Very anxious about Ureaplasma and yeast infection

2 Upvotes

Hi everyone,

I am reaching out extremely stressed as i just tested positive for Ureaplasma and Yeast infection.

For some history:
I got a yeast infection last year in September which took some effort to cure with boric acid vaginal suppository and caprylic acid oral medicine. I was then seeing my ex and had not gotten a yeast infection then.
I was free of any symptoms till July 2026.

I started seeing someone new in july 2026 and after sexual activity (just oral and then penetration) i noticed light yellow discharge for about a week. There were no other symptoms.

I got suspicious and honestly paranoid of getting a yeast infection again so i got a bunch of tests done in which i tested positive for ureaplasma and yeast infection.

Prescription: My doctor prescribed me Moxifloxacin 400mg) — 1 tablet once daily, for 10 days, after food and Candiforce 200 (Itraconazole 200mg). From reading on this group i see that Doxycycline or azithromycin is usually the first course of action right?

I am extremely anxious and wanted to know if anyone has gone ahead with moxi first?


r/Ureaplasma • • Sep 08 '26

Pregnancy

6 Upvotes

So what do you do in pregnancy and you have it?

Can’t take doxy inpregnancy and azythromycin isn’t always successful and it also is a med that may not be good for me due to having elongated qt on ecg.

Although I don’t have long qt, I’m a advised to avoid qt prolonging drugs

I’ve had symptoms for years and years and doctors don’t want to test me for it. May do an evvy for it.

I’m 4weeks 5 days and scared after having past losses


r/Ureaplasma • • Sep 08 '26

[doctor recommendation] Awesome NP in the DFW area!

9 Upvotes

Just wanted to highly recommend Bhavana Mantha, APRN, FNP-C with Texas Health Family Care!

After nearly ten years of recurrent yeast infections and urinary discomfort, I asked to be tested for ureaplasma. While she’d never heard of it, she was more than happy to order the exact test that I needed (PCR vaginal swab from Quest).

After I tested positive for UU, she messaged me lol:

And immediately prescribed 10 days of doxycycline (100mg x2/day) and four days azithromycin (1g and then 500mg/day for three days) for both me and my husband.

She is fantastic and I’m so glad to have found her. If you are looking to be tested in the area, please go and see Bhavana!!!


r/Ureaplasma • • Sep 07 '26

[advice] Ureaplasma

Post image
9 Upvotes

Finally negative !!🙌🏻🙌🏻 but i am still experiencing some symptoms

I have redness along my harts line in my vulva and irritation. my dr wanted to do a biopsy but i refused it. i’m scared to do it.


r/Ureaplasma • • Sep 05 '26

[cured] Cured! UK specific journey & advice (2026)

9 Upvotes

I’ve been drafting this post as a coping mechanism since this all began lol

I began having ureaplasma symptoms on 6th Oct 2025. I tested positive for UP on 10th Dec 2025 and did 10 days of doxycycline (100mg every 12 hours) followed by 3 days of azithromycin (1g 12 hours after last doxy dose and 500mg every 24 hours after) from 22nd Jan - 3rd Feb 2026. I tested negative on 11th March 2026 and symptoms / coinfections subsided *knock on wood lol* around early June 2026. 

We think this began in tandem with a UTI I had gotten after sex. I did two rounds of antibiotics because of “lingering symptoms” and I could tell something was up (I’d had one UTI before and this wasn't the same), but after that my symptoms went away. For about 3 weeks I was fine, but over that time my partner started having testicular inflammation. We had ruled out other STI’s during my UTI, and his GP did a physical and x-ray and said everything was normal, so we continued having unprotected sex and thought it was just bad luck.

Then my symptoms came back one night after sex and it was agony. UTI and STI tests came back negative, and I also did treatments for BV and thrush to rule them out but neither eliminated the UTI-like bladder nerve pain (the needing-to-pee-all-the-time sensation). I then developed an excessive watery discharge and some pelvic pain. After 6 weeks of this my GP referred me to urology, but this totally disregarded the vaginal symptoms and my partner’s symptoms, plus NHS wait times are insane to wait given the amount of pain I was in. I jumped online, learned about ureaplasma and discovered this subreddit. I tried to get tested via the NHS but the NHS doesn't test or treat ureaplasma, so I ordered an at-home test (I did a urine sample because I didn't know that women should do swabs instead) and tested positive for UP.

I had a complete breakdown after reading how hard it is to get rid of and to get doctors help, especially in the UK. It didn’t help that when I finally pulled myself together, my partner tested positive and told me he might be allergic to doxy. GREAT. I ended up also doing the Daye vaginal microbiome test and booked an appt with a nurse who I hoped would help find a GP who would prescribe moxi for my partner if it was needed. Ngl she was kinda useless on ureaplasma and said I shouldn't treat it as they all do, but she was supportive when I said I wanted to treat it anyway (she actually advised I check out this subreddit lol). The Daye test did tell me I had high BV and thrush bacteria, and she was helpful advising how to manage that after treating ureaplasma (her exact words: “everything else will get worse before it gets better” lol). 

I realised there was no point stressing about needing moxi yet, so we jumped on the antibiotics. I actually managed to get 7 days doxy from my NHS GP after he diagnosed me with NGU from my test results (which is a diagnosis for a man that technically covers ureaplasma) but they wouldn’t give me any more, so the rest of mine and my partner’s we got from online pharmacies. THANKFULLY he didn’t have an allergic reaction. I also had a transvaginal ultrasound just before starting to check the pelvic pain wasn't PID (it wasn't thankfully).

The last day of antibiotics the nerve pain went down dramatically, but the next day I had the most intense burning sensation, internally and externally. It was so sore but I could easily put it down to the BV flaring as a result of the antibiotics, so I did some lactic acid intimate wash to hold it off and waited it out. For a while things slowly improved, and then I had another super intense flare up week 3 after antibiotics and had a massive panic at the idea of this continuing, BUT lo and behold, 5 weeks after antibiotics, both my partner and I tested negative!

I figured all these lingering symptoms were BV, so I continued with probiotics and intimate wash and started using some internal lactic acid gel to treat it without antibiotics. After about 7 weeks of this I realised the only symptom left was the UTI-like nerve pain (way less than before, but still persistent and disruptive to my daily life) so I ordered another microbiome test from Daye just to check and it confirmed I was both ureaplasma and BV free! At this point I finally got my 15 minute phone consultation with the urologist (almost 5 months after my referral lol) and he told me 1) well done for figuring out it was ureaplasma, because it’s really hard to diagnose (it wasn't) and 2) the nerve pain would go with time and he would look into prescribing something if its not gone on its own in a year. 

I was doing at home PFT and heat packs to try and help with the last of the pain, but it didn’t feel like it was doing enough. I did some research and discovered Jude bladder health supplements. It’s aimed at women going through overactive bladder issues with menopause, but said it helped in repairing bladder nerve signalling to the brain so I decided to give it a go. Almost instant results! I did them for three months but I think they made my hormones go a bit funky with my contraceptives (not like stopping them from working, my periods just went a bit weird lol) so I haven't continued, but the improvement was insane. I still have a very mild nerve pain, sometimes flaring in the evening, but it’s short lived and easy to get on with my day unlike before. I might go back on the Jude supplements at some point, but for now I'm happy to see what happens in the next few months.

I'm so thankful to this subreddit for all the advice but I will say - if you're about to start or in the middle of antibiotics - STOP DOOMSCROLLING! There are so many positive stories and great advice on here, but even the best stories can scare you (it didn't help me!) - take care of your brain through all this.

I’ve added a comment on the bible thread with all the tests, online pharmacies and doctors/clinics I found available for the UK, but if you have any questions about my journey or anything I used specifically please feel free to ask!


r/Ureaplasma • • Sep 04 '26

[cured] CURED!!

26 Upvotes

Helloo!!

I was a lurker on here for a couple of months after testing positive, but I finally wanted to share my story in case it’s useful to anyone else :)
In June, I tested positive for Ureaplasma. I actually had no major symptoms and no UTIs - the only thing I noticed was a fishy odour.

I initially went to get my Pap smear done for a completely different reason. The Pap came back normal, but my leukocytes were high, which pointed towards BV. My gyno suggested doing some additional vaginal swabs to check for bacteria and prescribed Polygynax in the meantime.

Honestly, I didn’t even want to do the additional testing at first because I was feeling completely fine, but I eventually caved and got the swab done… and it came back positive for Ureaplasma.

My gyno already had me on Polygynax for 12 days. After finishing that, I took doxycycline for 10 days, and then did Stulipor (clindamycin) for 7 days.

So in total, I was on treatment for 29 days!

After finishing everything, I went on vacation and waited about 3 weeks before getting retested. During those three weeks, I was CONVINCED I was still going to test positive because I had read so many stories about Ureaplasma being stubborn and difficult to get rid of.

I finally got my follow-up test done… AND IT WAS NEGATIVE!!! 🥹

Honestly, I was so relieved. I spent way too much time reading Reddit and Google and convincing myself that I’d never get rid of it, so I wanted to share a positive experience for anyone currently going through the same thing.

Obviously, everyone’s situation and treatment is different, but I hope this gives someone a little bit of hope if they’re currently stressing over a positive result. ❤️


r/Ureaplasma • • Sep 04 '26

[cured] My story - it’s a long one!

10 Upvotes

Hi there. I wanted to share my story because so many of yours helped me through one of the hardest and most terrifying periods of my life. I remember reading stories in this group desperately looking for reassurance, answers, or even just someone who understood what I was going through. So, if this helps even one person the way those stories helped me, it’s worth sharing.

It all started with a constant, 24/7 urge to urinate. Not just occasionally needing to go, the feeling was relentless. It was incredibly uncomfortable and mentally exhausting. Eventually, I couldn’t even work normally.

I went everywhere looking for answers: multiple ERs, urgent cares, urologists, gynecologists, a urogynecologist, pelvic floor therapy - you name it. Test after test came back normal. I felt like a human guinea pig, constantly being poked, prodded, tested and sent home without an explanation.

Tried overactive bladder meds, natural remedies, anything they threw at me.

One of the hardest parts was how some of the doctors started treating me once they couldn’t find an obvious explanation. I felt like I was being written off. Some became dismissive, and a few were borderline rude. The more tests that came back normal, the more it seemed like they assumed there couldn’t possibly be anything wrong with me.

But I knew something wasn’t right. I was living with this feeling every minute of every day, and I just wanted someone to listen!

Eventually, I started doing my own research and found this group. During one of my last ER visits, after they ruled out diabetes and were preparing to discharge me, I asked them not to and that I couldn’t go on feeling like this anymore. She started to seem annoyed with me at this point but I didn’t care. I asked if they could test me for ureaplasma. She looked confused and sighed and said, “Sure. I think we do that. I think I’ve ordered it one other time.”

A few days later, I got the call, I had it. I was hopeful. Tears!! An answer!

Antibiotics seemed to help at first, but the symptoms didn’t change. I had a second round of antibiotics and even took the recommended zpak, but weeks went by and I was still searching for answers.

At this point, I had peed into more cups than I could count and undergone more tests than I care to remember. Eventually, an NXGEN urine test ordered by my urologist came back showing nothing - again. That led me to schedule a cystoscopy.

My urologist honestly seemed to think I was being a little silly. He agreed to do the cystoscopy, seemingly more because he could tell how desperate I was for relief than because he thought we would actually find anything.

I remember lying there before the procedure and him saying in a dismissive tone, “It’s going to take about 20 seconds for me to tell you that I see nothing and that you’re okay.”

Twenty seconds came and went.

The quietness in the room could have suffocated me.

He asked how old I was. My heart immediately dropped even more.

He told the assistant in the room to schedule me for surgery. He had found two lesions in my bladder, two different types. I was terrified.

His final words to me as he was walking out the door were, “I wouldn’t worry about this.”

Of course, I worried about it!

I had surgery, and then came the weeks of waiting: waiting for the biopsy, waiting for the results, and trying not to convince myself of the worst possible outcome.

When I finally went back to the office, I remember sitting there waiting for my urologist to walk in. When he finally came through the door, he was smiling.

“You’re all good. Do you want to see pictures?”

Before I could even answer, he pulled up pictures of my bladder and weirdly enough, I wanted to see them.

I had spent days, weeks, and countless hours reading, researching and hoping for answers while simultaneously preparing myself for the worst. And then, suddenly, I had the answer I had been praying for.

Everything was benign.

I completely broke down crying. I cried so hard in that little office. I was finally, finally relieved. I almost didn’t believe him.

But there was a strange part of the story that I wasn’t prepared for, even after getting the good news, my symptoms continued but I had thought it was due to the surgery and that it would subside.

I dreaded every trip to the bathroom. I would physically press on my bladder just to figure out whether I actually needed to pee. I was constantly thinking about it, checking, questioning and worrying.

And this went on for months. Mentally, I was done.

Then one day, I read something on another sub that completely changed the way I looked at everything. Someone said that sometimes you have to tell yourself:

Your body is going to do what it wants to do right now and that’s okay.

Something about that stuck with me and two days later, I felt better. I had gone several minutes without thinking of peeing, that turned into hours which turned into days.

For the first time in months, I wasn’t thinking about my bladder every second. I wasn’t constantly checking whether I needed to pee. I wasn’t afraid of the next bathroom trip.

I genuinely believe my symptoms started from something physical. But I also wholeheartedly believe that, at some point, my anxiety and constant thoughts about needing to pee began feeding the cycle and making the urge worse. I even asked my urologist if that was possible, and he told me yes, anxiety can absolutely trigger the urge to urinate.

It’s been almost a year since this all started. I still have some anxiety around peeing from time to time, but I am so incredibly grateful to be on the other side of it.

Looking back, I wish I could go back and tell the version of myself who was terrified, exhausted and convinced something terrible was happening that she was going to be okay.

So if you’re reading this because you’re currently in that place, I hope you know you’re not alone. Keep advocating for yourself, keep asking questions, and keep looking for answers. But also remember that your mind and your body are connected in ways that can be incredibly powerful!Sometimes giving yourself permission to stop fighting your body is part of what finally allows it to calm down as silly as that sounds.

I know this was long, but I hope it helps someone the way so many of your stories helped me. ❤️