mycoplasma infection in female usually causes cervicitis, endomeritis, fallopian tube infection, tubal obstruction,
pelvic inflammatory disease,
endometriosis and female inferility. Most of the patients are unconscious of that for it is asymptomatic in general. However, in some grave patients, it sometimes presents overt symptoms, such as hypostatic distension of lower abdomen, burning heat sensation, excessive vaginal fluid, edema and bleeding of cervix, cervical erosion, etc. Besides, while the infection of female mycoplasma affiliates with urethritis, the patients would also appear the symptoms of urinary frequency and urgency.
The
pelvic inflammatiory disease caused by infection of
mycoplasma principally presents hypostatic distension of lower abdomen, lower back pain, and sometimes accompanied with hypostatic distension and discomfort of anus, dysmenorrhea, abnormal menstruation, infertilitas, urinary urgency and leukorrhagia, that, if it is diagonosed with annexitis by gynecological examination, by palpation, thickening streak tissue in uterus unilateralis or bilateralis can be felt or homotopic pain can be made; or if fallopian tube hydrops or cyst, cystic enclosed mass can be felt; or if inflammation of pelvic connective tissue, the tissues in both sides of uterus will growth thicker lamellarly as well as tendeness in various degree.
When the endometrium inflames,
pelvic inflammatory disease might induce phlogotic effusion. And if the slightly icky fluid exuding from the oncotic cells of intimal tissue is encapsulated by acroteric tissue, from which cystic enclosed mass will emerge gradually, as a result of pelvic cavity spindylosis induced by untimely treatment for pelvic imflammation. For example, the tissue, such as uterus, fallopian tube, ovarium, etc. has been infected by mycoplasma, it might provoke endomeritis, fallopian tube infection, oophoritis, induce tissue-type hyperemia, edema, excessive secretion, and cause metrosynizesis, fallopian tube spindylosis, adhension of ovarium and fallopian tube, and so on, collectively called pelvic adhensions which might obstruct fallopian tube, disadvantage the peristalsis of fallopian tube and induce elevation and bend of fallopian tube. For that the adhension of these organs would affect the abnormal union of the sperm and egg, and that phlogistic infection would cause excessive secretion that usually damage the normal combination of the germ and egg, it might finally induce female infertility, fetal anomaly, abortion and ectopic pregnancy, etc.
Fallopian tube infection caused by
mycoplasma usually induces fallopian tube spindylosis, thickening, and fiberosis that presents funicular. And then, the ovarium and fallopian adhere to acroteric organs which causes scleroid and nonvolatile lump customarily. When the fallopian tube is infected, the serous fluid exuding from vessel wall of fallopian tube would retain in lumen due to the fimbriated extremity of fallopian, and induce hydrops and empyema of fallopian bube. Likewise, after liquor puris being absorbed, it might also result in hydrosalpinx. If it influences the ovarium in the same time, it would induce cyst of fallopian tube and ovarium.
Endometriosis caused by infection of
mycoplasma is a kind of most complicated gynecopathy that usually induces viscidity and rheological change all around. The symptoms of endometriosis customarily manifest as follow:
1. Pain and dysmenorrheal in various degree; Partial pelvic pain due to the compression of endometrium by intestinal tract, bladder or nerves; Algopareunia and constipation; Serious abdominal pain on account of cyst induced by endometriosis and accretion of endometrium; Intestinal obstruction and colicky pain in the part of intestinal tract; Abdominal pain caused by tubal blocage when endometriosis emerges in the tubal region.
2. Anomalous bleeding. Adenomyosis usually manifests itself as the increasing of menstrual blood volume(MBV) and menostaxis, or un-menoplipsis completely with bleeding, heavy bleeding in menstrual period, and light bleeding not at the usual time.
The focus of allotopia of endomembrane in the non-uterine region might emerge abnormal bleeding or hematonephrosis, hydronephrosis, etc, due to ureteral blockage. Besides, it might be manifest as excessive vaginal secretions and postcoital bleeding in the region of vagina or cervix; and as urine blood in the stool or urination in the region of rectum or bladder in the period of menstrual onset; and as hyperaemia and rubeosis of nasal mucosa and partial nasal derma in the region of nasal mucosa and derma in the menstrual period, and even bleeding from the nose in serious situation, called vicarious menstruation in Chinese indigenous medicine.
Therefore, the
diagnosis for endometriosis should require comprehending the thorough medical history of the patient, performing gynecological examination and
mycoplasma cultivation strickly.
Key words: mycoplasma; mycoplasma infection; symptoms of mycoplasma infection; treatment of mycoplasma infection
