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My Journey to a Ureaplasma Diagnosis: What I Learned About an Overlooked Infection


By Audrey J.

Last Update On: 21 Jun 2025

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5 mins

The beginnings of a new relationship unexpectedly marked the start of a difficult health journey with Ureaplasma. Shortly after beginning to see my significant other in the winter of 2022, I started experiencing recurrent urinary tract infections (UTIs). What followed was a frustrating series of doctor’s visits, ineffective treatments, and lingering symptoms that eventually led me to uncover an underdiagnosed culprit: Ureaplasma urealyticum.

This story details my path to diagnosis, the challenges I faced, and why I believe medical professionals need to rethink how they approach this infection. 

The Onset of Symptoms

It started with recurrent UTIs that became a persistent issue. I sought help from two different doctors: first, a gynecologist and then a urogynecologist. The initial recommendation was a year-long course of daily antibiotics—a treatment plan I declined due to concerns about the impact of prolonged antibiotic use on the gut microbiome and overall health. Instead, the second doctor prescribed methenamine (also known as Hiprex) along with an expensive sublingual vaccine imported from Spain. Hiprex is a prophylactic urinary antiseptic, meaning it is intended to prevent future infections. So, I had to treat the UTI first with a standard dose of antibiotics before I could take Hiprex. However, once I could, the Hiprex worked very well.

The methenamine proved to be a game-changer for my UTIs. For anyone dealing with recurrent UTIs, I believe methenamine is worth considering as an alternative to antibiotics. Taking it immediately after intercourse and for one day afterward helped me immensely. However, while I was able to get the UTIs under control, I developed new debilitating symptoms.

Unbearable Pain and a Long Search for Answers

The most agonizing symptom I experienced was severe vaginal burning, which was a 9/10 pain that felt like a curling iron that was on the inside of my vagina. I sought out a pelvic pain specialist who prescribed a regimen of gabapentin, estrogen gel, and muscle relaxer suppositories and referred me to a pelvic floor physical therapist (PT). While these interventions provided some support, I knew deep down that the pain wasn’t solely related to pelvic floor dysfunction.

After three months of treatment with minimal improvement, I turned to my own research. That’s when I came across Ureaplasma, a bacterium often associated with recurrent UTIs and pelvic pain.

Illustration showing a magnifying glass examining bacteria, a uterus with ovaries, and a cell containing DNA, symbolizing reproductive health and microbiology, with emphasis on underrecognized infections such as Ureaplasma.

There are two main species of Ureaplasma, and it’s not uncommon to find either or both in the lower urogenital tracts of healthy adults. The clinical role of Ureaplasma parvum and Ureaplasma urealyticum in lower urogenital tract infections in females is understudied. Ureaplasma parvum has not been shown to be associated with symptoms, nor to require treatment, although more research is needed. Ureaplasma urealyticum, however, has been linked to urogenital symptoms, infertility, and pelvic inflammatory disease.

Overcoming Medical Resistance to Testing

When I first asked my doctor to test me for Ureaplasma, she strongly resisted. The rationale was that Ureaplasma is typically considered commensal, meaning it is thought to be a normal part of the healthy urogenital microbiome in some people.  It is not routinely tested for nor treated. Although Ureaplasma is considered commensal, it is not found in all urogenital microbiomes. 

But this reasoning highlights a significant flaw in the medical approach: if Ureaplasma is rarely tested for, how can we truly know how many people have these organisms in their microbiome, and whether they are associated with symptoms or other issues? Without widespread screening, the data remains inherently biased, potentially underestimating the prevalence and impact of Ureaplasma

For example, many women report having trouble becoming pregnant or struggling with recurrent miscarriages, only to finally be diagnosed with and treated for Ureaplasma, leading to the ability to have a successful pregnancy. These women were “asymptomatic” until they began to try to have children. 

I think it’s also important to note that research has linked Ureaplasma to endometriosis, which I was subsequently diagnosed with and treated for through laparoscopic surgery. Again, another symptom that doctors would not have considered as potentially related to Ureaplasma had they not tested.

Determined, I sought out another doctor and firmly insisted on being tested. The test itself is simple, requiring only a vaginal swab or urine sample, and is easily processed by labs like Labcorp. It’s important to note that Ureaplasma will not be detected by a standard urine culture. Detection requires a specialized culture or a PCR test. When my results came back, they confirmed I had Ureaplasma urealyticum.

Treatment and Recovery

Based on my research, I requested a specific treatment protocol: 14 days of doxycycline followed by one dose of 1 g azithromycin and then three days of 500 mg azithromycin. I opted for a 14-day course of doxycycline rather than the often-prescribed 7 days after reading about others who experienced incomplete eradication with shorter treatments. My goal was to eliminate the infection with a single, effective regimen while minimizing the risk of antibiotic resistance.

Four weeks after completing the antibiotics, I retested using both a swab and a urine sample. The results showed that the infection was cleared. 

While my quality of life has improved dramatically, I am still dealing with residual symptoms, including vaginal burning, dryness, and pain after intercourse. Imaging revealed that the tissue of my vaginal wall was badly damaged due to the untreated infection. I’ve started Platelet Rich Plasma (PRP) injections (which, I should note, is a new and emerging therapy and is very expensive) in hopes of promoting healing. I also continued working with pelvic floor PT and other specialists.

Illustration showing a laptop displaying a calendar, alongside a swab, test kit, and medication boxes labeled Azithromycin and Doxycycline, representing tools used in diagnosing Ureaplasma infection.

Lessons Learned

  1. Doctors’ Knowledge Gaps: Many healthcare providers are unaware of or reluctant to test for Ureaplasma. Unless you ask to be tested, it’s unlikely that you will be. I believe it’s a major blind spot in the medical world right now. This isn’t unique to my case; countless others have shared similar stories of resistance, leaving them feeling dismissed or helpless.
  2. Data Misrepresentation: The claim that Ureaplasma is largely asymptomatic cannot be accurately substantiated without adequate testing. Individuals suffering from recurrent UTIs, pelvic pain, infertility, or miscarriage may unknowingly harbor this infection. Without testing, these cases remain uncounted, skewing the perceived prevalence and symptomatology of Ureaplasma.
  3. The Cost of Delayed Diagnosis: If I had been tested for Ureaplasma at the onset of my symptoms in winter 2022, I might have avoided thousands of dollars in medical expenses, hours spent in appointments and therapies, and the lingering physical and emotional toll of untreated infection. The psychological impact of chronic pain is something that should not be ignored.

This journey impacted me not only physically, but also emotionally. Going through this process felt scary, lonely, and depressing. Having my body suddenly fall apart while “top of their field” doctors kept misdiagnosing me made me feel hopeless and like I was losing my mind. 

But by doing my own research and learning to stand up for myself more firmly, I found a real sense of empowerment. My ongoing symptoms still take a mental toll, but I’m making sure this emotionally challenging experience doesn’t go to waste by spreading awareness to help others who might be going through something similar.

Recommendations

For anyone struggling with recurrent UTIs or chronic pelvic pain, I urge you to consider screening for Ureaplasma as part of your diagnostic process. If you test positive, both you and your partner (if you have one) need to be treated to help prevent reinfection. The test is straightforward, and early detection may save you from prolonged suffering.

To medical professionals, it’s time to reconsider the standard approach to Ureaplasma. We need more robust testing protocols and a willingness to investigate this infection as a potential underlying cause for persistent urogenital symptoms. Only then can we gain a clearer understanding of its true impact on patients’ health.While my journey has been challenging, finding a diagnosis for Ureaplasma has brought me closer to recovery. I hope that sharing my experience helps others advocate for their health and pushes the medical community toward better awareness and treatment of this often-overlooked infection.

Ask Questions. Tell Stories

 

    1. Hi April, I’ve sent an email with information on practitioners in Georgia who may be able to help. Best wishes, Issy

  1. I (25f) have had issues with UTI’s and kidney infections since I was 1 year old. I had Vesicoureteral reflux. When I was about 5 or 6 I had burning sensations and urges to pee and saw countless doctors and eventually got the treatment I needed. When I met my current fiance in high school, back in 2016, and started to have intercourse, I noticed my UTI’s started back up again. I basically had a UTI several times a year and would constantly get treated. One time I had a UTI so severe, I was almost hospitalized for a kidney infection. This went on for years. It is 2025 now and I hadn’t had a UTI, or kidney infection in 4 years (that I was aware of or had detected). Up until a few months ago, I had noticed that whenever I got my period, it felt like I had slight UTI’s. With urges to pee, and some slight burning that would only last a little while and go away. 2 weeks ago, on my period on vacation, I had burning that lasted 3 days and caused so much discomfort and I had to pee every 5 minutes. When my period ended, the pain continued. I took some antibiotics for UTI and it went away. But a week after the antibiotics were done, the urge to pee and a burning sensation came back. I went to a new doctor and told her what I have been experiencing and told her what all doctors for almost 10 years have been saying to me. I have been told my whole life that these UTI’s and kidney infections are due to my Reflux issue when I was a child, that I am constantly fighting these battles. Which, yes sometimes it may be but I have learned through the years how to prevent them. Like how I went 4 years UTI free. I know not to wipe back to front, I don’t wear thongs, I don’t take bubble baths, and I sleep commando every night to air everything out. When I went to this new doctor she said ok I’m actually going to test you for Ureaplasma and we’ll go from there however your Rapid test is negative for everything else. I got the tests back today and tested positive for Ureaplasma. I do not know how long I have had it, don’t know if I caught it from someone, I don’t know anything.

    But I will say, all of these years, all of these doctors, tests, trauma and mental/physical/emotional exhaustion I have gone through, I have never felt so worthless as a human being for having doctors not care about my health all because they didn’t want to run another test. My body feels so violated for having such a bacteria in it that has taken over my body. I feel so horrible. Especially not knowing.

    Your story has made a huge impact on me today because I know I am not alone and there are so many other people out there that deserve the treatment they need to be healthy.

    So thank you for your story and getting the word out.

    1. Hi Kay, Thank you for sharing your experience. I’m glad that you found the story so impactful. If you have any questions, please feel free to reach out. Best wishes, Issy

  2. I was diagnosed with Ureaplasma parvum and Ureaplasma urealyticum after insisted my doctor to do more testing. I was treated with 1g of Azythromycin and the symptoms (urgency, full bladder, felt like my bladder was not emptied) went away, but 5 days later the symptoms came back mildly, on and off. I went back to the doctor and they did another PCR test and it came out negative. I don’t know what to do. I felt that the 1g Azythromycin was not enough for my treatment. I am mentally tired of the symptoms. I also read that the symptoms can linger for months? Any suggestions? Thank you!!!

    1. Hi Jane, thanks for sharing your experience. If you send us an email with your location, I can send over information on practitioners located near you. Best wishes, Issy

  3. Am a man, and each time after having sex with my women I experience burning sensation on my lower abdomen, itchy penis,heavy eyes,pain on my groin area, sometimes some back movements,my female partner doesn’t feel anything. I have done several rests and nothing has been found.
    What could be the problem and what can you recommend I do.
    Am sometimes prescribed antibiotics which I take and feel better but once we have sex again I feel the same way .

  4. Been here. (Hell) Get your partner tested and treated too!! My boyfriend’s primary refused because she was uneducated on ureaplasma. Fortunately, my urologist insisted. Sure nuff- he tested positive. We were swapping it back and forth. My treatments kept failing because he still carried it WITHOUT SYMPTOMS. We both had to treat it and abstain until it was clear. I’m shocked not everyone on earth has ureaplasma considering how little Dr’s diagnose it and treat it properly, and how easy it is to pass on and walk around with, without knowing. Men don’t show symptoms, women show ALL the symptoms. Both must be treated or it never ends. Ours finally ended because we both took the meds and abstained until it was gone. We only resolved this thing after seeing 10+ doctors, 25+ appointments, endless tests, multiple ER visits, and a crazy stack of bills. And me advocating for myself like a mofo. I had to fight to find a cure. SMDH

    1. Hi Pamela, I’m sorry to hear that you had this experience, but I’m glad you got to the bottom of it. If you have any questions please feel free to get in touch. Best wishes, Issy

  5. I broke up with the guy I was dating when I was dealing with recurrent UTIS. My body was rejected a covert Narcissist that I dated. My body knew he was not for me.

  6. Thank you for sharing your story. My 22 year-old daughter went through a similar experience. The urogynecologist we took her to instantly try to diagnose her with IC.
    We requested advanced testing and ureaplasma was discovered. My daughter has continued to have ongoing issues with vaginal burning being her primary issue . It is so disheartening that the medical world has not caught up with needed intervention, diagnostics and treatment for these type of issues. I read so many stories of women suffering. What can we do to help change this ?

    1. Hi Karen, I’m sorry to hear that your daughter has experienced this. I’ve sent an email with some information. Best wishes, Issy