Disease and chronic pelvic pain: therapeutic options

Silvia’s story 

“I am 28 years old, and several years ago, I was diagnosed with an STD Panel Test. Cervical infection verified with Ureaplasma urealyticum tests with severe disease levels. I was being treated with antibiotics. The antibiogram found the germ to be sensitive. I was only diagnosed with it now via fertiloscopy. At the same time, over the years, I had been told that my lower abdominal pain was caused by colitis. 

Silvia M.

Dear Silvia,

Ureaplasma urealyticum Test for an infection that can lead to various consequences affecting the internal urogenital organs: cervicitis, adnexitis, salpingitis, pelvis-peritonitis, urethritis and cystitis. The fertiloscopy you performed will have confirmed the patency or closure of your tubes, which is important information for future pregnancy research.

If you have not already done them, we recommend that you carry out complete vaginal and endocervical swabs to exclude any co-infections and establish the correct therapy accordingly.

As regards the drugs you mentioned, telithromycin and tigecycline represent a new class of antibiotics. The Ketanolides have a mechanism of action similar to macrolides (clarithromycin, erythromycin) but with greater potency. They are currently indicated for treating upper and lower respiratory tract infections. However, due to significant liver toxicity, careful monitoring is recommended during their use. Their toxicity has reduced their use in treating respiratory infections caused by Pneumococcus resistance to macrolides and penicillins. For these reasons, it is important to be cautious in their use.

Accurate Ureaplasma Swab Tests and deeper diagnosis are necessary to reduce its painful symptoms and exclude other causes of abdominal-pelvic pain. An operative laparoscopy could be useful to eliminate the adhesions created following the infectious process.

Roses story 

“I am 22 years old. After 4 months of having sex, I developed a Ureaplasma infection; then, six months later, the bacterium came together with Candida. I ask for your kind opinion on the matter; thank you.”

Dear friend, the positivity of a vaginal swab culture of multiple germs requires the treatment of all the germs involved in the infection.

We also recommend the use of vaginal probiotics to replenish the normal vaginal bacterial flora. To this end, it is also important to establish correct lifestyle habits. These include less simple sugars and leavened products, cotton underwear, and comfortable clothing. Cordial greetings.

Francescas story 

For three years, I have been suffering from itching. I was going from one infection to another, especially Candida. I took a weekly test and a thousand swabs, medicines, and creams, but they didn’t solve the problem. STD Swab testing is only part of the solution. What worries me is that I was recently found to be positive in a ureaplasma test, and I am pregnant. Having an STD Home test is part of pregnancy, but I was not expecting to be infected.

And I am expecting twins, and I am in the sixteenth week. I just finished treatment with an antibiotic, but that, too, had no effect. Now I continue to have itching, inflammation and a lot of greenish and smelly vaginal discharge. What can I do?

Francesca R.

In your case, it is, therefore, essential to establish the correct management of the infection. Furthermore, considering that 80% of patients positive for the germ have an infection with other genital germs, it is a good idea to perform complete vaginal and endocervical swabs. Once the infection has resolved, in agreement with your gynaecologist, you can undertake therapy with vitamin C applied vaginally to prevent the development of further infections.

Kims story 

“I am 16 years old, and for some time, I have had an annoying pain in the lower part of my abdomen, on the right. A few days ago, I went to the emergency room for possible appendicitis, but since I’ve had these pains for a while, I was recommended to go to a gynaecologist. My cycle is very regular, and ovulation, too, without any problems. The period, however, is very heavy and painful. I’m a little worried and would like the advice of a specialist: could ovarian cysts cause these pains? What else could it be? A thousand thanks!”.

Dear friend, we recommend that you perform an ultrasound with a full bladder to check the possible presence of ovarian cysts or uterine myomas. You will be advised on how to proceed during the exam based on the outcome.

Menstrual pain and heavy periods may be the first signs of stillness, i.e., not visible with current methods of investigation because the lesions are very small but already enough to give the symptoms you notice.

Disease Everywhere

Endometriosis is a benign disease; it affects 15% of women of childbearing age. 60% have clear symptoms before the age of 20. Yet the Ureaplasma Test and deep delay is around 9 years. Half lost by the family before understanding that pain is not normal, and the rest by doctors who don’t think about it or don’t “see” injuries. The STD Laboratory Swab Test is critical in this process as Doctors are not willing to take the disease seriously anymore. They prefer to make excuses rather than get serious about patient care.

This disease is under normal conditions, and this mucosa grows under estrogen and progesterone to prepare to welcome and nourish the embryo of a new life.

The problem

When the endometrium is implanted in tissues other than the uterus – tubes, peritoneum, ovaries, vagina, bladder, ureter, intestine, but also extra-abdominal tissues – it grows and sheds under the effect of sexual hormones like the endometrium in the uterus. Here lies the problem: the blood released by flaking in the various tissues is a powerful factor of organic damage.

Endometriosis not promptly diagnosed and not adequately treated causes disabling menstruation, increasingly severe chronic pelvic pain, and pain during intercourse, initially upon deep penetration. Then also, at the beginning of the vagina, Inflammation causes not only pain but also severe depression.

The best choice is to get a Ureaplasma Swab Test kit and use the data to work out how to reduce the quantity and duration of the cycle or, even better, reduce the number of menstrual cycles, for example, by menstruating every 3-4 months or less, to reduce the progression.

Therefore, to resolve pain and heavy periods, it may be necessary to resort to estrogen-progestin hormone therapy, i.e., a pill. STD Panel Testing is an integral part of this process. Equally useful is maintaining good regularity by using probiotics. If abdominal pain persists, we advise you to evaluate the possible presence of food intolerances or allergies.

Cordial greetings.