What is a positive Ureaplasma urealyticum test in females?

Generally, a positive result for Ureaplasma urealyticum in women does not necessarily indicate disease. The main causes of a positive Ureaplasma urealyticum test in women include temporary imbalance of vaginal flora, transmission through sexual contact, bacterial vaginosis, cervicitis, pelvic inflammatory disease, and others. If discomfort symptoms occur, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. Detailed analysis is as follows:

1. Temporary Imbalance of Vaginal Flora

The normal vaginal flora may be affected by external factors, disrupting microbial balance and leading to a temporary increase in Ureaplasma urealyticum, resulting in a positive test. This condition often presents without obvious symptoms. No specific medication is usually required. Avoid frequent douching with gynecological cleansing solutions, maintain regular作息, keep the external genitalia dry, and repeat testing after 1–2 months.

2. Transmission Through Sexual Contact

Ureaplasma urealyticum can be transmitted through sexual contact. Unprotected sex with an infected partner may lead to infection and a positive test result, possibly accompanied by mild discomfort in the external genital area. Both partners should seek medical evaluation together. Avoid unprotected sexual activity during treatment, maintain good sexual hygiene, and use condoms to reduce transmission risk.

3. Bacterial Vaginosis

Bacterial vaginosis damages the vaginal mucosal barrier, allowing Ureaplasma urealyticum to multiply rapidly and cause a positive result. Symptoms often include increased vaginal discharge with a fishy odor. Under medical guidance, oral medications such as metronidazole tablets, clindamycin capsules, or azithromycin dispersible tablets may be prescribed, along with topical metronidazole suppositories. During treatment, frequently change cotton underwear and avoid tub baths.

4. Cervicitis

Inflammation of the cervix caused by pathogen invasion leads to congestion and fragility of the cervical mucosa, creating favorable conditions for Ureaplasma urealyticum proliferation and resulting in a positive test. Symptoms may include yellowish vaginal discharge and postcoital bleeding. Under medical supervision, medications such as doxycycline tablets, levofloxacin tablets, or roxithromycin capsules may be used. Regular follow-up examinations of the cervix are recommended after treatment, and unhygienic sexual practices should be avoided.

5. Pelvic Inflammatory Disease (PID)

PID causes inflammatory spread throughout the pelvic tissues, affecting the cervix and vagina, thereby worsening Ureaplasma urealyticum infection and leading to a positive result. Symptoms may include lower abdominal pain and soreness in the lower back or sacral region. Under medical guidance, medications such as ceftriaxone sodium tablets, metronidazole tablets, or azithromycin tablets may be prescribed. If a pelvic abscess forms, laparoscopic drainage surgery may be required. Postoperative rest is essential, and physical exertion should be avoided.

In daily life, maintain good external genital hygiene while avoiding excessive cleaning that may disrupt natural flora; maintain regular作息 to boost immunity; practice safe sex and avoid multiple sexual partners; and undergo regular gynecological check-ups to detect and treat gynecological infections early.