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 Prostatits: Mycoplasma hominis & Ureaplasma Parvum 
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Joined: Sun Jan 20, 2019 3:25 pm
Posts: 18
Post Prostatits: Mycoplasma hominis & Ureaplasma Parvum
In October 2016, I had an unprotected ONS and had burning while peeing and discharge shortly after. During Ciprofloxacin, all pain and discharge were gone but returned shortly after.
Lots of different antibiotics after, nothing helped & most of the times all cultures showed up negative.
In February 2018, an urologist performed a cystoscopy, which didn't show any abnormalities, but after I also began to have pain in the bladder area, frequent urination, getting up at night, etc.

Now March 2019, I've been to an urology clinic, where they finally found two bacteria which could be the reason: Mycoplasma hominis & Ureaplasma Parvum
Don't know why they were never found before, but I'm glad that at least there is some sort of target now.

(whole story in my old post: viewtopic.php?f=2&t=2543)

The urology clinic advised me to take either Doxycline 10 days, Azythromycin 1 day, or Moxifloxacin 10 days. Problem is that I've already taken all of them, and even longer than stated now.

As I've taken many antibiotics before (more than 130 days in the last two years), I'd like the next one to be the right one. My urologist isn't really sure either, so I hope someone here has an idea what's best to take now. He'd advise me to take Minocycline + Levofloxacin for the next 3 weeks.

Some Ideas:

- Minocycline
- Levofloxacin (a bit scared, as Cipro I had to discontinue after 8 days due to side effects & Moxi I took 28 days, but had no improvement)
- Clindamycin
- Clarythromycin
- Pristinamycin.

Does an alpha blocker (Tamsulosin) improve anything in terms of killing the bacteria if I take them during the ABX, or is it just for the pain?


Wed Jul 31, 2019 1:46 pm
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Joined: Wed Mar 06, 2019 7:46 am
Posts: 14
Post Re: Prostatits: Mycoplasma hominis & Ureaplasma Parvum
Hi Paul

Did you culture also show the sensitivities to antibiotics? Levofloxacin is definitely the best at penetrating the prostate. It would be my first choice and i would probably look to take it for 2 to 3 months especially if it's showing signs of working (but obviously give up after a few weeks if it doesn't).

Quote:
The most common antimicrobials active against mycoplasmas are included in the three major drug classes: tetracyclines, macrolides-lincosamides-streptogramins-ketolides (MLSK group), and fluoroquinolones (57).


Regards
Simon


Fri Aug 09, 2019 11:56 am
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