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Learn more about infertility from Dr. John David Gordon, a Reproductive Endocrinologist and Co-Director of Dominion Fertility in Arlington,VA. This blog contains a wealth of information including some excerpts from Dr. Gordon's book "100 Questions and Answers about Infertility, 2nd Edition." Please read the disclaimer at the bottom of the page before reading this blog or posting questions to Dr. Gordon.
Thursday, July 24, 2008
Ureaplasma, Mycoplasma and Cervical Cultures
Years ago when I was in practice in Long Island I was doing an examination and sonogram on a new patient. I carefully explained each step and while doing the speculum exam I said that I was going to take some swabs of the cervix to check for infections that may be related to or cause infertility. She said fine and then after the exam left the office. An hour later she called irate. How dare I do such a test on her without her consent! She was going to report me to the Board of Medicine for being such a lousy doctor!
Needless to say I was completely unprepared for this assault. I reminded her that I had asked her permission to do the test…That doesn't count, she said, because I had her in a compromised position and how could she say no? When I told her that I could just throw out the samples and not send them she was suddenly relieved and much happier.
I have always wondered exactly what set her off. Perhaps she had STD risk factors that she didn't want to share with me?? Who knows. In any case, sometimes the simplest things can be blown up into major issues. I do not take any testing lightly, but seemed like a bit of an over-reaction.
So here is today's Question of the Day from 100 Questions and Answers about Infertility.
13. What is ureaplasma, and how did I get it?
Most reproductive endocrinologists routinely obtain samples from the cervix (cervical cultures) to assess their patients for gonorrhea, chlamydia, ureaplasma, mycoplasma, and other bacteria. Gonorrhea and chlamydia are sexually transmitted diseases that can cause tubal damage and infertility when these infections are passed back and forth between sexually intimate partners. Patients with gonorrhea may have a yellowish discharge associated with pelvic pain and fever. Although chlamydia can be associated with these symptoms, chlamydial infections are often silent; despite their lack of symptoms, these infections may result in significant tubal scarring and damage.
Ureaplasma and mycoplasma are somewhat more problematic to label as reproductive tract pathogens, because they are often found in fertile, healthy couples in addition to those
with infertility. These bacteria have been hypothesized to play a role in both infertility and miscarriage, but the specific mechanisms by which they alter fertility are unclear. Whether
ureaplasma or mycoplasma can cause reproductive tract damage or whether their presence increases the rate of miscarriage is controversial. As a consequence, many clinics do not test
for ureaplasma or mycoplasma routinely. If the cultures for ureaplasma and mycoplasma are positive, both the patient and her sexual partner are treated with antibiotics. As these bacteria are may be present for many years without causing any symptoms, the finding of ureaplasma and mycoplasma on cervical cultures does not in any way indicate infidelity or sexual misconduct.
117 comments:
Are there any side effects, at all, to be reported that might lead one to seek professional testing for this bacteria?
- August 7, 2008 at 9:09 AM
Hi , I had been detected with Ureaplasma in my cervical culture when I went for a problem check up as we have been TTC for almost a year. The doctor prescribed doxycyclin for me and husband for 10 days, twice a day. I went for a check up after that and it still showed positive for Ureaplasma and the doc tells it means iam a chronic carrier and I should consult a fertility specialist to see if further treatment is needed. What does this mean and please tell me if Ureaplasma causes infertility , cause any damage to my tubes? I am worried . Pls give me some information as iam not able to find any useful info on this anywhere on internet
- March 19, 2009 at 11:23 AM
- DrG said...
Good questions and no real satisfactory answers available. Clearly fertile patients may carry this bacteria so is the relationship one of association or causation?? No one knows. Not sure I would go to extremes to eliminate ureaplasma but have heard of patients using IV antibiotics to try and clear ureaplasma but that seems excessive to me.
Good luck
- March 25, 2009 at 11:02 AM
My daughter was told Urea Plasma was found in her culture, now she finds she is newly pregnant. Are there any dangers to the unborn? She had been given an antibiotic (doxycycline) and was told to start it after her next period...well her next period never came cuz she is pregnant so she has never taken the antibiotic. Please let us know if there are any addtional risks to the unborn
- April 14, 2009 at 4:41 AM
I was diagnosed with mycoplasma after nine months of not conceiving. My doctor gave me and my husband each one pill of zithromyacin to take to clear it up. He said we did not need to be retested. A lot of what I read online says that it is usually treated with several doses. I am wondering if we should be retested? I hate to second guess my doctor because of the internet, but what should I do?
- May 5, 2009 at 12:08 AM
When I had it I had to twke two different Antibiotics together to kill it. I doubt that one Zithro would do it.
- May 9, 2009 at 5:39 AM
Thanks for posting this. It really helps to have a grounded explanation out there.
- July 28, 2009 at 6:35 AM
This is one of the clearest sites that I have gone to get an explanation on what ureaplasma is. I was told that I had ureaplasma. I have never had sex but I have gotten pretty close a couple of times. Can ureaplasma only be transmitted through sex or sexual activity?
- October 4, 2009 at 8:36 PM
I just got back from my Fertility Dr office and I tested postive both my partner and I for mycoplasma.
The drug that we are taking for 28 days is APO_DOXYCYCLINE 100 MG.
I was told by my Dr that this is common and mot people dont realize they have it. It also can prevent the embryo from inplanting into the uterine lining because of the infection and swelling it causes. In men its also coated on their sprem, so they ca n reinfect you.
We have to use a condom the whole time while on this medication as well as no oral sex.
Hope this helps anyone .
- October 21, 2009 at 10:40 AM
- DrG said...
Agree but have not usually recommended condom usage...
- November 2, 2009 at 12:35 PM
We just found out we're 6 weeks 1 day pregnant with our first child. Our fertility dr. told my husband and I that today we both have ureaplasma. I am now on erythromycin for my entire pregnancy starting today. Will the baby be okay if I'm only starting them today? I'm so nervous after reading about miscarriage and preterm labour. Any advice will help!
- December 2, 2009 at 3:05 PM
- Sharon said...
1 in 4 sexually active teenagers become infected with an STD every year, in the United States alone. Now, more than ever, we need to join together to fight this growing issue. As I read through your website, it is clear that you share the same passion for STD/STI awareness. We here, at Disease.com, understand the importance of STD/STI prevention and treatments. If you could, please list us as a resource or host our social book mark button, it would be much appreciated. We can not reach every teenager, but together we can try.
If you need more information please mail me with the subject line as your URL.
Thnak You,
Sharon Vegoe
- December 8, 2009 at 8:51 AM
That's BS... I have Fibromyalgia because of Ureaplasma/Microplasma diagnosis.
Why is that?
- December 28, 2009 at 1:17 PM
Mysituation is that my husband and I have tried for years to get pregnant and after many doses of fertility pills (clomid), finally 2 years ago I got pregnant. Then after 2 ultrasounds they noticed that there was the babys sac but the baby did not grow.. 3 weeks later i had a miscarriage. Then we got pregnant last July..after goingt through many and i mean many ultrasounds and testing everything was going perfect we were having a baby boy..well we thought.. One night i woke up at 24 weeks and went to the washroom when my water broke.. we went straight to the hosp.. when 4 days later i dialated and delivered my son..who was 15oz 1 os short of a pound. he lived for 55 hrs and then passed way.. we went to a fertility clinic where i just received results back that i too have Ureaplasma/Microplasma, this does explain alot, i have researched this alot and now i understand a bit more what happened with my son Brady.
- March 6, 2010 at 3:54 PM
does ureaplasma go away with antibiotics or is it something that lingers around? im curious/nervous becuase i am reading alot of infertility on this topic and my husband and i still want 3 more children.
- March 17, 2010 at 1:32 PM
After 2 years of trying to get pregnant, we decided to get a referral for a fertility doctor. before getting the referral my ob/gyn said I had to be tested for mycoplasma and I tested positive. we took medicine and i was tested again, still positive...then different medicine and it was gone...1 month later I found out i was pregnant! I would be tested cause why not...you never know if it really is related to infertility or not, but it saved a lot of stress and money since we didn't need the fertility doctor after all. I wish I would have known earlier to ask for the test.
- March 28, 2010 at 11:08 PM
I have been diagnoses with both of these and am taking antibiotics to clear it up.
Does it cause infertility and pregnancy whilst you have it- or as long term damage?
How long must one of had it for it to cause fertility issues. I'm so unclear about it all :(
- April 28, 2010 at 8:07 AM
As a Nurse working with Women's health. You can test positive for Ureaplasma Mycoplasma and get full treatment and still test positive at followup. Some people can have it reoccur the rest of their life. Also its important for the partner to be tested too. Its important to ask for the test when getting a annual exam, because most physicians will not test for it.
- September 16, 2010 at 8:46 AM
- Gwen said...
i have been back and forth to my OB/GYN for vaginal bacteria infection, yeast infection, etc. after doing my annual pap smear my doctor told my i had Ureaplasma. she said she would call me in an antibotic. But after reading all the stuff on the internet it appears that my husband needs to be treated as well. Is this true? Could it be that i continue to get yeast infections and these sort of things because my husband is not circumcised?
- September 30, 2010 at 7:38 AM
ive been diagnoised with ureaplasma my husband and i have one son and weve been trying for about a year to conceive but at my last visit they told me i had this..... i would like to know wat our chances are of getting pregnant again im really worried and confused. can someone hlp me!?
- October 10, 2010 at 9:47 AM
- DrG said...
Usually mycoplasma and ureaplasma infections are without symptomes so doubt that the vaginal discharge is from either of these....
We always treat both members of the couple....
- October 19, 2010 at 9:03 AM
Dr G,
I have been pregnant 3 times and have had preterm labors during 16 -21 weeks. After my 2nd one my doctor sent of a culture of my placenta in which it came back + for Ureaplasma. He treated me for 7 days, months later I concieved again. My doctor would randomly do cultures of my cervix to see if Ureaplasma was detected. I ended up having preterm labor again at 16weeks but the placenta was not tested to see if that was the reason again. Now 2 years later I am pregnant again, I am seeing a different doctor she is treating me with Clindamycin 300mg once a day for my entire pregnancy to suppress the growth of the bacteria. She is also going to stitch my cervix, do you think that is can work?
- December 27, 2010 at 1:48 PM
Dr. G,
I have been pregnant 3 times and have had preterm labors during 16 -21 weeks. After my 2nd one my doctor sent of a culture of my placenta in which it came back + for Ureaplasma. He treated me for 7 days, months later I concieved again. My doctor would randomly do cultures of my cervix to see if Ureaplasma was detected. I ended up having preterm labor again at 16weeks but the placenta was not tested to see if that was the reason again. Now 2 years later I am pregnant again, I am seeing a different doctor she is treating me with Clindamycin 300mg once a day for my entire pregnancy to suppress the growth of the bacteria. She is also going to stitch my cervix, do you think that is can work?
- December 27, 2010 at 2:11 PM
Hi I had my annual appt. And I informed my doc that we were going to try and conceive after my test came back. And I told her that I have been having a discharge and she checked and immediately she said it looked like ureaplasma mycoplasma. I also was informed a had a mass on my ovary. I have to go for further testing on that but she took a sample of the discharge and is sending it for testing. I am very upset. I. Was wondering if it was still ok to try and conceive even though I may have this. I have an 18 month old son already will this affect him and a unborn child if I get pregnant?
- January 20, 2011 at 7:44 AM
- DrG said...
Not a risk for any child and the association with pregnancy loss is very tenuous so I would not hit the panic button!
Good luck
- January 20, 2011 at 8:40 AM
Hi, I previously told you they suspected this infection, and I tested positive for Ureaplasma. They gave me doxcyclome 100mg 2x a day and my husband is also taking the same, I was wondering what he likely hood of this killing it for me and my husband. If it does not go away would I still be able to conceive a healthy child, I also read it can be passed on to your child if it is delivered. Should I worry about my son having it? Very worried because my husband has "advanced" signs of it, he has been tested for several things and they could not figure out what is causing his testicle pain among other symptoms, any answers to this strange infection would be helpful
- February 7, 2011 at 8:12 AM
- DrG said...
I have never heard of problems with infants from Mom's carrying ureaplasma. Mycoplasma is not an infrequent cause of "walking pneumonia" in adults.
Usually the doxy does the trick and I usually dont recheck to make sure unless the patient really wants me to.
Good luck
- February 7, 2011 at 11:02 AM
Do you know if when the test the cultures for these bacterias, do they do susceptibility test for choosing the drug the subscribe?
- February 7, 2011 at 7:00 PM
Hi, after more than a year TTC, they found mycoplasma in my husband's tests, causing a 100% morphologically unhealthy sperm. They gave us both 10 days of doxycicline ( twice a day), but the same day we started the treatment I got tested myself, and they didn't find anything on me. How is this possible? And would the morphology of the sperm improve if we get rid of the mycoplasma?
- February 11, 2011 at 5:12 AM
- DrG said...
I have not heard of any lab doing sensitivities....we asked last month and were told no.
I have never linked myocoplasma with sperm morphology. Have no idea how sperm morphology which is most likely mainly genetic would be altered by mycoplasma but i am willing to be educated!
- February 14, 2011 at 12:40 PM
Hi, I have had 3 premature ruptures ranging from 21weeks to 16 weeks. I am currently pregnant with twins and taking Clindamycin 300mg once a day. Started taking when I was 3 weeks pregnant. My doctor went with Clindamycin vs Erythromycin because she said my stomach would not have tolerated Erythromycin for that long. What is your opininon? BTW the only time I was positive for Ureaplasma was after my 2nd PROM, positive in the placenta. Negative any other time even during my pregnancy.
- February 14, 2011 at 1:31 PM
- DrG said...
Obviously having PPROM 3 times between 16-21 weeks is very distressing. Not sure if anyone really understands what to do in this type of case so treating with clindamycin sounds reasonable. I had a patient with this exact history..she just delivered a full term healthy baby. She did nothing different that last pregnancy. Go figure.....
- February 14, 2011 at 2:03 PM
Thank you very much Dr. G, I have been so nervous but at this point all I can do is have faith. All the information I find online states that Clindamycin does not work against Ureaplasma. Which makes it more stressful, thank you for your quick response. It made me feel much better. I will pray that I have the same luck as your patient.
- February 14, 2011 at 3:13 PM
- DrG said...
I'll keep you in my thoughts and prayers...
Good luck
- February 14, 2011 at 5:20 PM
I have taken my treatment of doxycycline for 2 weeks I am getting retested in a couple days, but I am STILL having discharge! I am worried that it is still there =( if it is I will have to take another round of antibiotics right? I was wondering how long doxycycline stays in your system because it causes birth defects, is there a timeline after you take that you should wait to start trying again? If I have this still and get pregnant do u think it will harm my unborn child? If the dr. Makes me take antibiotic while I am pregnant will that hurt the baby? I am wanting another child so badly, this infection is tearing me up there are no solid answers on the web, half of dr. Think it is naturally living in your body and the other don't, and think u need to kill it. Any answers would help me I can't seem to get any for sure from my doc thank u
- February 18, 2011 at 8:26 AM
- DrG said...
Doxycycline can affect the development of calcium in the baby's bones and teeth. So use of doxy is usually prior to pregnancy. Patients who conceive on doxy should not worry as long as it was not taken too late in pregnancy.
Not all discharges are infectious. Not all infections are ureaplasma or mycoplasma...in fact these 2 are usually asymptomatic
Good luck
- February 18, 2011 at 9:06 AM
From previous comment) I see. My discharge was the reason that they thought it was, one of these, I did test positive for UU. I am getting retested tue. But the discharge is still there after my 2 week course of antibiotic. It is white to color. Could it be part of my bodies natrual flora? they also tested for the whole panel of stds, and yeast infection. I have never even had a yeast infection before which is why I think it is strange that I have this. My hubs took the meds too. He gets tested next week also. Have u had patients with this UU and had healthy pregnancies? Thank u for your time
- February 18, 2011 at 9:31 AM
- DrG said...
Not all discharges are infectious. I certainly have had a lot of patients with positive ureaplasma who ended up with healthy babies.
Good luck
- February 18, 2011 at 9:34 AM
Thankyou so much for your straight forward and practical information. I am 33 weeks and before I got pregnant I went to the fertility clinic and was diagnosed with ureaplasma. Both my partner and I took the doxycylin and when i became pregnant i tried to ring the fertility clinic drs every day but no-one got back to me.Because I was worried about the antibiotics affecting the pregnancy I went to my GP who told me to stop taking them so I did... towards the end of the course.
I didnt know the ureaplasma would be a concern for the pregnancy as my Dr did not say it was any concern and I no longer had urinary discomfort (like urinary tract infection) symptoms. It wasn't until I was discussing weather or not I needed to have tests for Strep B with my midwife last week that I mentioned it to her. She had never heard of it... so she googled it and advised me to see the fertility obs. again to ask his advice.
I am not really sure what to do...
It seems the evidence is non-conclusive.
I think I will go and get tested again now to see if I present with ureaplasma now and then ?? Im not sure...
I was planning on a home birth.
Is it too risky now... some of the evidence seems to suggest ureaplasma may cause pneumonia or menangitis... is this evidence inconclusive as well or should I be more cautious and go to hospital?
- April 3, 2011 at 7:22 AM
- DrG said...
I would not panic at this point. The association with early pregnancy ;loss and infertility is not definitive and some clinics dont even check cultures. I can't imagine that this would prevent you from doing home birth (although I am not a fan of that approach in any patient)...
Good luck
- April 10, 2011 at 12:51 PM
- kurt said...
im a 31 year old male i have just been told i have ureaplasma.my partner of 6 years thinks ive been cheating on her which of course is rubbish could u please explain how i might of got this.thank you so much
- May 19, 2011 at 12:57 AM
My husband and I have been TTC for 2.5 yrs. We're finally pursuing IVF and I tested positive for Ureaplasma. He and I have only ever been sexually active with each other. Is it possible to contract the infection some other way?
- June 1, 2011 at 5:22 PM
My doctor routinely tests fir ureaplasma each time I have a pap smear. My test was neg 2 years ago, and again in Jan this year. But after trouble falling pregnant and strange abdominal pains, he did another STI check, and it came back pos in May.
How could I have got this if I have only slept with my husband? Is there other ways to contract/develop this besides sex? After our 10 day treatment with doxy, we would like to resume trying to conceive, so this is very important to me... I dont want to jump to conclusions, but I am having trouble figuring out how else this is possible besides infidelity?
- June 7, 2011 at 7:12 PM
- DrG said...
Hi Kurt,
Sorry for the delay. Hopefully your relationship has survived this stress.Ureaplasma is carried without symptoms in men and women. If you were both virgins when married then may be harder to explain where it came from although it has been found in Nuns and they are not known for their sexual escapades!
Good luck
- July 6, 2011 at 1:00 PM
I just found out last week that I have a mycoplasma infection. My dr gave me oxfloxacin 400 2x a day for 7 days (my fiance also). Is that an effective treatment or should I ask for something else? I am also worried because we are having sex taking it ( no one told us not to). Also, how long after treatment can we ttc again? Thank you we are desparate to have a baby
- July 17, 2011 at 11:31 AM
Dr. G... Please help. I dont know who to go to be tested for this. I had one UTI in highschool. I am now 27 and last year i came down with this horrible horrible infection. They gave me cipro then macrobid without identifying any bacteria. Then they gave me doxy and i improved. But a yrar later and i am still having vaginal, urethral and bladder pain, frequency and urgency and dont know what to do. The doxy made me significantly better as i was in bad shape and i was on it for a month and a half. Still in so much pain though... Could it be ureaplasma/mycoplasma?
- July 26, 2011 at 3:08 PM
- DrG said...
Anonymous #1 and #2,
Ofloxacin should work fine. As long as both partners are taking the antibiotic it is fine to be intimate.
Not sure what caused the bad infection that you describe but since ureaplasma and mycoplasma are pretty much without symptoms I doubt that this was the etiology.
Good luck
- August 5, 2011 at 12:37 PM
I've been diagnosed with ureaplasma but my doctor said it's impossible to know how long I've had it for. Is this true?
- August 8, 2011 at 11:11 AM
- marta said...
Dr. I have reccurent pregnacy loss-12w and 18w.done allmost all test.Did HSG today. My ob/gin told me is very hard to culture bacteria for ureoplasma and rrst is most of the time negative even if you infected,so he gave me doxycycline for 14days. I took it because I read it's to
Prevent infection after HSG but it will kill ureoplasma bacterias as well? Do I nees to give doxycyline for my partner? Where I can go test for ureoplasma in nyc?
- August 25, 2011 at 6:39 PM
- marta said...
Hello Dr.
I have pregnacy loss at 12weeks and second 18w. Have done some test no reason for losses found. I asked my gin to test mi 4 ureaplasma but he said the test is hard to do and most of the times come back negative even if u have infection. He gaveme doxycycline for 14 day twicea day witout testing. I had HSG done today and I read to preven infection after HSG is good to take it so i did but after xray.
What u think Dr. Will this medicine kill ureoplasma if I have it? Where can I go to do test in nyc?( i asked already 3 ob/gin dr. To do it but they refused- not needed said!) .
Can we have sex this month- should be well protected until next period(9th day of cycle- stareted doxycyclinefor 14 days) please help.
- August 25, 2011 at 6:50 PM
- DrG said...
Anonymous and Marta,
No way to know how long someone has carried ureaplasma as it is usually without any symptoms.
Some doctors treat empirically without any cervical cultures. I have no problem with this approach but suggest that both members of a couple be treated simultaneously.
I personally believe that it is very unlikely that this bacteria plays a big role in recurrent miscarriage.
Good luck
- September 5, 2011 at 5:16 AM
Hi, I was diagnosed with Ureaplasma Urealyticum, whilst working abroad in Hungary, and I was given a 28 day course of antibiotics called Ofloxacin Sandoz (200mg) having read everything on here I am concerned that this medication isn't right? I see alot of Erythromicin but not a single mention of the Ofloxacin? I'm 12 days into my treatment and would hate for it to be for nothing! I just want this over with so I can forget about it! Thank you!
- September 21, 2011 at 3:50 PM
- DrG said...
Hi LokiRae
THat antibiotic should work. My want to consider repeat culture as a test of cure!
Good luck
- October 1, 2011 at 6:31 PM
by faith
hi my husband was tested positive for ureplasma and we had been treated twice. we have been trying so hard to get pregnant for over 2years. i was tested positive also recently. my question is " can antibotics really cure this' am really worried.
- October 11, 2011 at 7:50 AM
Hi Dr, I am 5 weeks pregnant and my cervical culture tested positive for Ureaplasma Urealyticum. The Dr wants to put me on Doxycycline 100mg twice a day for 10 days but I am concerned about the safety of the fetus during this important stage when organs are developing. Is there really a risk if I don't treat this bacteria?
- October 19, 2011 at 2:45 PM
Dr G-
A doctor I saw a couple of days ago said there was a record of Ureaplasma infection from a urine sample I had given 10 months ago, and for some reason, I was completely unaware of this... I asked her if it was something serious, and if it caused infertility and she said no, and made it sound like it was nothing... I get UTI's occasionally, but normally only if I don't go to the toilet straight away after intercourse. I do get abdominal pain, but not usually without PMS... The only time I experience stinging when I urinate is when I have a UTI, and if I take an antibiotic disappears.
Is ten months long enough for this pathogen to cause serious harm to my reproductive organs? Does it ever clear up on its own? I am absolutely terrified that my insides have been ravaged.
Is Ureaplasma contractable without sexual conduct? I am so worried- I contacted my x boyfriend about this, and he said that he had been tested for chlamydia but his results were negative... I know it's not the same, but is it at all similar?
Is Ureaplasma detectable in a pap-smear? If it can't be tested, are there obvious visual signs of infection on the cervix which would alert a doctor of a need for a test? I had a pap test just recently and the doctor didn't mention anything abnormal looking, and my test results were clear and normal!
Also, since this doctor alerted me of supposedly having Ureaplasma (of which re-test results are pending) I have only very recently been feeling drowsiness and flu-like symptoms, and my abdomen is a little tender.. I also embarrassingly enough have possibly come into contact with HSV-1 virus on my genitals, of which I am being tested for too... I have hardly any external symptoms of this aside from one very small tear, tenderness and slight stinging. I wonder if the abdominal pains I am Please help me, I have no one to talk to and I am so scared.feeling are more aligned with herpes than Ureaplasma?
Please help me, I am so scared, I have no one to talk and this has been the most helpful blog I have read online so far.
- October 25, 2011 at 6:09 AM
Hi Dr G,
I have had a couple of abortions while in college (with my then lover)and there was one that caused profused bleeding. Some months later I got married and ve been trying to get pregnant. My gyn tested me + for Mycoplasma U. 10000counts. We took Josacin and still ve nt been pregnant. Could it be the abortions or the mycoplasma? Can pregnancy come immediately after treatment of Mycoplasma?
- November 3, 2011 at 12:06 AM
Hi, I was diagnosed with Ureaplasma and mycoplasma in February, took doxycycline and macmiror for 18 altogether, and felt completely better. However, I had repeat contact with the person who infected me about a month and a half later (he hadn't been properly treated), and got reinfected. I took doxycycline and got a negative test for ureaplasma afterward. I still had symptoms, so was given macmiror and cipro, with no improvement. Gradually over time, my symptoms were almost unnoticeable. In September, I got a sudden and severe UTI that hasn't seemed to go away (I have taken 4 different antibiotics in the last 2 months to try and help this). I think I should get retested for Ureaplasma and Mycoplasma. My symptoms are urinary frequency, pelvic pain, and burning upon urination (this improved when I took Sumamed--I felt normal for 6 days, but now I feel like I'm having symptoms again even though I'm currently on a low dose of Clarithromycin. An at home urine test showed that I have some protein in my urine. Would you suggest retesting for ureaplasma and mycoplasma? I have a new sexual partner since June. Is it dangerous for my health that I took so many antibiotics this year? Thank you for your insight.
- November 3, 2011 at 6:18 AM
- DrG said...
Hi Anonymous #1 (10/11/11)
Usually antibiotics will cure ureaplasma. But need to treat both members simultaneously!
Good luck
Hi Anonymous #2 (10/19/11)
Probably not much risk to the fetus so not sure that I would treat and if I treated I might use erythromycin instead given that you are pregnant.
Good luck
Hi Anonymous #3 (10/25/11)
Sorry for the delay in getting back to you as you are clearly very distressed. As we have indicated in the book section dedicated to this infection its impact on fertility is uncertain at best and many clinics dont even test for it. Ureaplasma does not cause tubal damage or any problem that cannot be reversed with treatment and even that is controversial as this bacteria is found in many normal fertile individuals!
Good luck
Hi Anonymous #4 (11/3/11)
Although first trimester terminations can rarely cause problems it is worth seeing an RE to allay your fears and concerns...Pregnancy can occur anytime!
Good luck
Hi Anonymous #5 (11/3/11)
Well not sure what to make of all this...I see no harm in retesting and I would have your MD evaluate the protein in the urine issue...
I personally think that the antibiotics were not a big deal but who wants to take all those meds if you don't need to...
Good luck
- November 3, 2011 at 6:34 PM
Hi I am 24 weeks pregnant and had been treated for ureaplasma 3 times before I got pregnant. My cervix was bleeding and inflammed causing me to see my gyno which had discovered he ureaplasma. I have been having contractions for over 3 weeks n and off and have ended up in the hospital 2x. The OB gave me procardia and told me to drink lots of water. I am on bed rest now. He didn;t mention the ureaplasma as a possibility for the contractions. I am very nervous after reading some horrible stories of preterm births of women with UP. Should I be retested and ask for antibiotics?
- November 5, 2011 at 8:47 AM
- DrG said...
Hi Anonymous (11/5)
Well not sure about the horror stories that have implicated ureaplasma in obstetrical issues. As it is found in many fertile couples and is tested for by a minority of MDs I just dont know what to say except hang in there and let's hope you stay pregnant
Good luck
- November 10, 2011 at 2:18 PM
I have tried to get pregnant for the past year, my first pregnancy ended with miscarriage at 13wks, and my second one ended with complications like ruptutured membrane at 23wks, i was devastated, but my nurse ask me to get checked for ureaplasma, my test came back positive for mycoplasma, so i got treated i go for another test soon, but i was wondering if I would still be able to bear and have children ??
- November 29, 2011 at 2:23 PM
- DrG said...
Hi Anonymous
Sorry for your losses. I would be very hopeful that you can have success but understand how emotionally devastating this must have been. I agree with treating the mycoplasma and suggest that you meet with a maternal fetal medicine specialist to discuss management of future pregnancies...
Good luck
- December 5, 2011 at 12:28 PM
I have two children but have been unable to conceive for the past 5 years.
I was never diagnosed with a specific bacteria but I had a post-coital exam and the doctor said that he suspected bacteria and put my on antibiotics. That was three years ago. I had a urine test done 2 years ago (different doctor) and it was negative for ureaplasma.
My husband just had a sperm analysis done two months ago. His results were "really good." If I had this bacteria would it have shown up on his analysis?
I was wondering if I needed to be tested if my husband came back with a good analysis?
What is the best test to find out if I might have this bacteria? Is a urinalysis the best test or do I need a culture? What is the best antibiotic?
Thanks for your advice.
- January 29, 2012 at 7:56 PM
Hi, My husband and I have been trying to get pregnant for almost 2 yrs (via natural and 5 IUI cycles with clomid) after having my first pregnancy end in a miscarriage. I am pregnant again, but the fetal heart rate is too low at 7 weeks, 80bpm. The doctor said the outcome is very low and I may miscarry next week. My friend just mention test for Ureaplasma/Mycoplasma. I have two questions:
1) Can I test for that now? While I'm pregnant?
2)Also, my husband and I are each others ONLY sexual partners ever, can we still contract Ureaplasma/Microplasma?
- February 15, 2012 at 4:30 PM
- DrG said...
Dear Anonymous (1/29/12)
Since many REs do not even test for Ureaplasma the issue of the best test is clearly not well defined. We treat all patients going through IVF with doxcycline and I now only test recurrent pregnancy loss patients for ureaplasma but not sure if that is really the best way to think about it...
Remember that 20% or more of infertility is unexplained but that doesn t mean untreatable!
Good luck
Dear Anonymous (2/15/12)
Sorry to hear about the slow heart rate. Remember that most pregnancy losses are genetic in etiology and thus ureaplasma is usually a moot point. Since ureaplasma can be found in nuns who are virginal I would not think of being positive for ureaplasma as a smoking gun for marital infidelity!
Try to test the tissue from the miscarriage (if it occurs) to determine genetic cause of pregnancy loss..
Good luck
- February 25, 2012 at 11:33 AM
if a couple was both virgin when got togheter (and consumed) and then only one is tested positive after a 6month long distance relationship is it a proof of a cheat?
- March 10, 2012 at 12:33 PM
I am over 40, have given birth to 3 children and do not plan to have any more, and have just been diagnosed with eureaplasma. We are given antibiotics to clear it up, can this turn into cancer because of my age or if it does not clear up?
- March 14, 2012 at 11:06 AM
Hi Dr. G-
I'm following up after a previous post (Dr wanted to put me on Doxy at 5 weeks pregnant following positive Ureaplasma infection). I decided to decline any antibiotic treatment... I am now just about 27 weeks pregnant and baby is fine although I do get a lot of Braxton hicks contractions and crampiness now, but it always goes away. I have a lot of vaginal discharge but no other symptoms that indicate a vaginal infection... so this all could be normal pregnancy stuff. Do you think I am at risk for preterm labor, just based on the fact that I never treated the Ureaplasma?.
- March 18, 2012 at 5:51 PM
- DrG said...
Hi LM (3/10/12)
I really do not consider ureaplasma as a true sexually transmitted disease and I believe that just like Group B Strep, some people simply carry this bacteria. So I see no reason to think that anyone has been going out of bounds…so to speak
Good luck
Hi Anonymous (3/14/12)
I see no reason to treat if you have no symptoms….not sure why you got tested. There is no long-term health implications to being a carrier as far as I know…
Good luck
Hi Anonymous (3/18/12)
Not sure what to say in the setting of known positive status and lots of preterm contractions. I would discuss with your MD and I guess that I would consider treatment with erythromycin or repeat the cultures. This suggestion is completely without supporting evidence but you did ask my opinion!
Good luck
- March 27, 2012 at 5:59 AM
- SDC said...
Hi there,
I have tested pos for ureaplasma and am currently finishing up my 2 a day for 10 days of doxy. My question is can you get this from shared razors, towels, etc, or is it strictly sexual contact? My friend is all scared that she caught it from me just from using my razor and towels after me. My partner has had urethritis and frequency to urinate for years now and they are known symptoms of ureaplasma in men. He has never been tested for it until mine came back pos. But his came back neg. We were positive that this was his ongoing issue that has never been properly diagnosed. Can the tests be flawed? Should he get swabbed again? My trust in swabs has taken a beating now. I am going to have swabs done until I get 2-3 negatives in a row before having unprotected sex again. I only have one working ovary and I would like to keep it healthy, as I know there are infertility issues.
- March 30, 2012 at 11:00 AM
Am a 49 year old male who was diagnosed with IC though the scope showed no damage to bladder. My fiance's doctor recently informed her that she has Ureaplasma and started us both on doxy for seven days. Could my doctor misdiagnosed me as having IC when in reality it's Ureaplasma? Thanks
- May 3, 2012 at 10:07 AM
- DrG said...
Hi SDC (3/30/12)
Sorry but I guess I missed your post…..
I cannot imagine how ureaplasma would be transmitted via razors or towels. I think that empirically treating the partners of those with ureaplasma makes sense…Remember that the association of ureaplasma and infertility is weak at best…
Good luck
Hi Anonymous (5/3/12)
Since ureaplasma is often asymptomatic I guess I would stick with IC diagnosis but if she is positive then I would treat you as well and if symptoms resolve then "Bob's your uncle" and the culprit may have been ureaplasma all along I guess…
Good luck
- May 7, 2012 at 12:14 PM
Hi doctor
I am six weeks pregnent and i was recently told that my high vaginal swab has shown ureaplasma. My doctor really didnt give me any great advice about this and has said its my choice as to weather i would like treatment. I can not get an apppointment with my OB for a couple of weeks, so i am confused as to what to do. I have read all the information online and have now become very distressed what would your recommendations be for treating ureaplasma in pregnency? some of the websites suggest long term antibiotic taking but how much could this affect the baby? I have had one miscarrage already and now i am concerned that this may cause another.
- May 9, 2012 at 6:45 PM
Hi Dr G,
Firstly, thankyou for this blog - it is the most informative and non-sensationalised I have found on the net!
I am 29 weeks pregnant and have just been diagnosed with a ureaplasma infection. I presented to my doc with a burning sensation in my lower abdomen that was making me quite breathless, as well as some odorous discharge. My doc performed a urine test for a UTI but it was -ve, but due to my pain she sent me to hospital. The hospital did a further urine test that was +ve for a UTI, and took swabs that came back showing a high level of ureaplasma growth. I have since learnt that the urine test done at hospital was incorrect. I am now on erythromycin 400mg for 10 days for the ureaplasma. My doc did not seem too concerned about the infection, and said my partner would not require antibiotics.
My question is, at this stage of pregnancy, how dangerous is the infection to the baby? I have read that it can lead to preterm birth, but why is this? My doc told me that the infection will not reach the baby unless my waters break. I understand that the antibiotics should help to minimise the bacteria but may not eliminate it totally - so if the baby does contract it at birth, what are the risks to the baby's health? Apart from my physical discomfort (now sharp pains in lower abdomen rather than burning), what is the real risk of having such an infection?
Thanking you.
- May 18, 2012 at 5:06 PM
- DrG said...
Dear ricki and 29 weeks,
First of all as an RE I am a bit loathe to wander into obstetrics in terms of giving advice. However, it seems to me that there is little down side to giving a course of E-mycin given positive cultures. The risk of pneumonia following preterm delivery of a infant is real. If antibiotics could reduce that risk I see no reason not to treat. But I would treat both partners if there is sexual activity taking place...
Good luck
- May 21, 2012 at 4:31 AM
- DrG said...
Dear ricki and 29 weeks,
First of all as an RE I am a bit loathe to wander into obstetrics in terms of giving advice. However, it seems to me that there is little down side to giving a course of E-mycin given positive cultures. The risk of pneumonia following preterm delivery of a infant is real. If antibiotics could reduce that risk I see no reason not to treat. But I would treat both partners if there is sexual activity taking place...
Good luck
- May 21, 2012 at 4:31 AM
Just wanted to share my story...
At the start of the year I fell pregnant within weeks of having the implant removed.
Everything was ok, except the doctor was concerned that the HCG level were raising very slowly and as it was my first pregnancy I didn't really know what symptoms were normal and I had some burning sensation during urination.
Unfortunately while at the supermarket one day I suddenly had some bleeding, so I rushed to the hospital and the ER doctors did some tests and took internal swabs but were concerned that I was bleeding from the uterus and that at that point it looked as though I would miscarry.
Unfortunately I miscarried at just 6weeks, and the result came back afterwards that I had a uraplasma infection.
The ER Doctor and my GP agreed that although they could not say for certain, that it was highly likely that the infection had caused the spontaneous abortion of my pregnancy.
I was treated with two anti biotics, one for a week and the other for a month.
Unfortunatly thanks to the traumatic experience I have put off starting a family, but i am also concerned that the infection, not knowing how long I had it may have caused damage.
- May 23, 2012 at 9:00 AM
Hi Dr. G.,
First let me please thank you for such an informative blog!
My husband was diagnosed with epiditimis in December and was given antibiotics. In the meantime, we had been TTC. In March, he was feeling discomfort again and got a culture done in which he tested positive for uritis. He was then given another round of antibiotics. I then went to my ob/gyn to get tested and I was positive for ureaplasma mycoplasma. I was given 2 antibiotics
(Zithromax) and unfortunately, continued to test positive in April. I was then given Doxycyclin 100mg 2x for 7 days. I am going back to my ob/gyn next week for another culture (fingers crossed). My husband recently went back to the
urologist and was clear of all infections.
Could you please explain to me the impact of ureaplasma mycoplasma on ovulation and pregnancy as we would love to have a second child?
Also, could you please explain the effects on the male reproductive system?
Thank you so much for your help! I am looking forward to hearing your response.
- May 26, 2012 at 5:00 AM
Dear doctor,
I just lost my baby girl at 19 weeks due to 2 weeks of bleeding episode and uterine ureaplasma and macoplasma infection with no pain associated whatsoever. after receiving 3 days iv azithromycin, I gave up the treatment and went for D&E since all my ob docs were highly concerned about the outcome I would have. Pathology after D &E found out baby's liver and the placenta were positive for both ureaplasma and macoplasma. My ob said we can try after 1 to 2 normal cycles. She is not concerned about the infection at all, didn't give me and my husband any antibiotics even though we asked for the treatment. But we are nervous and highly afraid of this infection could happen again.
My question is should we get teated and antibiotics to cure before we start TTC? should we get doxycycline for macoplasma and azithromycin for ureaplasma? looking forward to your reply.
- June 22, 2012 at 11:55 AM
- DrG said...
Dear Anonymous (5/23/12),
Ureaplasma should not result in any lasting damage to the reproductive system. Also, although I hate to contradict other doctors without benefit of the whole story, I am not convinced that your 6 week loss was the result of a ureaplasma infection. Most pregnancy losses are the result of an abnormal genetic blueprint for that pregnancy leading to the miscarriage. Hang in there…
Good luck
Dear Anonymous (5/26/12),
The impact of these particular infections is unclear. Ureaplasma does not cause tubal damage. It could cause inflammation in the endometrial lining and reduce implantation or possible contribute to pregnancy loss (see reply above) but this is controversial. In men, it can cause symptoms like your husband's but again should not result in infertility in men per se….
Good luck
Dear Anonymous (6/22/12)
So sorry to hear of your loss…
I personally would treat you both with doxycycline given this tragic outcome. It may not be scientifically proven but after losing a baby at 19 weeks I don't see why we would not treat empirically….
Good luck
- June 27, 2012 at 5:20 AM
Hi Dr G,
I am approaching 36 weeks of pregnancy and so far, the baby development is fine. I am tested positive for mycoplasma and ureaplasma recently (while doing the strep B test). I requested to do a detailed test as I have infections often and recently during sex, both of us experience burning sensations And my partner's tip swelled up immediately.
Woulesteeming tested positive means my baby is affected in any way? Is she safe inside? Should I avoid vaginal birth and go for c-section Instead? Confused and worried.
Really hope to hear from you.
- July 10, 2012 at 5:59 AM
- DrG said...
Hi Ling
Well those are good questions but no clear answers...clearly if you chose to do a primary elective cesarean delivery then the risk of infection of any sort in the baby will be lower but your chance of infection after major surgery would be a bit higher....
I would discuss with your OB and raise the question of elective c-section and see what he/she has to offer.
- July 11, 2012 at 7:37 AM
Hi Dr. G,
I am 27 weeks pregnant and found out in first trimester that I have Ureaplasma. My doctor checks all his patients for this. I did a one day treatment of Azithromycin (2 pills) and that did not kick it, so I then did a second round at 18 weeks pregnant (ten day dose) and it was not kicked then. I am now on my third round of antibiotics, Azithromycin, for ten days. Should I be concerned about pre term labor now? My doctor said everyone of his patients who couldn't kick Ureaplasma have had 35 weeks and up pregnancies since he watches his patients so closely. I am still nervous since this is my first pregnancy. Thank you!
- July 12, 2012 at 7:56 PM
- DrG said...
Hi Anonymous (7/12/12)
Well it seems like your doctor is monitoring closely. I would try to remain very hopeful that all will work out just fine. Have seen this once or twice but would not go overboard on trying to eradicate the ureaplasma…
Good luck
- July 25, 2012 at 6:55 AM
Hi Dr G,
Just to give u an update.. I went for c-sec at 39 wk, just to be on safe side. Baby is all well and healthy. Tested No ureaplasma and mycoplasma! So means one can hv healthy babies even with positive ureaplasma and mycoplasma!
- August 14, 2012 at 12:34 AM
i got tested positive of urea plasma last yr upon some abnormal symptoms i was havin i jus dint know it was when de doc mentioned it to me i bcame very nervous n afraid.ater 6months 0n herbal drugs de symptoms were still der i hav also taken some antibiotics yet still no improvement.i am scared my liver or kidney or bladder wil b affected.normally put on condom but my problem has to do de oral sex(saliva.apparently it has stayed on me for long so i am scared n i doubt if it can b treated.heaviness in de chest drowsiness weakness in joint swollen of tip of pen.. pls any relation to cancer.can masturbation cause dis since i went into it some time ago my ex has had a baby but my fiancee now is a virgin i don want to sex since am scared of infectin her but upon readin from net is lyk i av passed it on to her already as saliva can transfer it we hav bin kissin though doc i need ur advice.
- August 15, 2012 at 5:50 AM
- DrG said...
Hi Ling (8/14/12)
Congrats on your happy news! Glad it all worked out.
Best wishes,
Hi King (8/15/12)
I guess that I would recheck cultures and if negative then I think you are OK. Not sure what to make of the symptoms if cultures are negative…
Good luck
- September 5, 2012 at 7:52 AM
I have been having frequent bacterial vaginosis. My doctor would keep prescribing me Flagyl, Cleocin or Clindamycin. She finally checked me for Microplasma and Ureaplasma. I was positive for both. My partner and I both took a Zpack. A few weeks later, another BV. My doctor checked me out again. The microplasma came back negative but the Ureaplasma was still positive. I have now been prescribed Doxcycline.I have my fingers crossed. My question is, does urea plasma cause bacteria vaginosis? Also, can the IUD Mirena that I have some what be the cause of all the bad bacteria?
- September 5, 2012 at 2:33 PM
- DrG said...
Hi Anonymous (9/5/12)
Good questions. Ureaplasma should not cause BV as best I can figure....Not sure why the Mirena would have an impact. If nothing else seems to be working I guess you could remove the Mirena and if the symptoms resolve then you are home free....
Good luck
- September 18, 2012 at 6:40 AM
Dr G. I misscarried at 7 weeks and then i was diagnosed with ureaplasma. Now I Just had my pap smear done and it came back normal. Does the pap smear show the ureaplasma or I have to do a specific test for it. Thanks.
- October 2, 2012 at 9:58 PM
Dear Dr G,
I just got.my pap smear results back and everything seems normal. I had have ureaplasma and i misscarried after the misscarriage i took some.antibioticas and ureaplasma was negative for both of us me and my husband. Although my question is do i have to be tested for ureaplasma or the pap show it if im still infectes. Thanks
- October 3, 2012 at 10:21 PM
HI I was diagnosed with ureaplasma 4 days ago. My partner and I are both on antibiotics for it. We are trying to get pregnant and I am supposed to ovulate tomorrow. Should we refrain from unprotected sex? Please let me know. My dr never responded.
- October 5, 2012 at 4:15 PM
- DrG said...
Hi Anonymous (10/2/12),
The Pap smear is a test for cervical cancer and by itself will not usually be helpful in testing for cervical infections. Many MDs perform cervical cultures at the time that they perform a Pap smear so I would ask your MD. Many patients call any speculum exam a "Pap smear" but that is not necessarily correct as just placing that metal speculum in the vagina allows a health care provider to visualize the cervix but what happens after that point depends on the purpose of the exam…
Good luck
Hi Anonymous (10/3/12)
See above.
Good luck
Dear Anonymous (10/5/12)
Well too late now for my advice but I would have said to "go for it!"
Good luck
- October 10, 2012 at 6:59 AM
Hi DrG
I was told I had ureaplasma (but not mycoplasma)in August. The doctor tested for it after I bled during a routine pap smear. I had also experienced bleeding during intercourse a couple of times in the past few months. She told me it was my choice if I wanted to treat it. I decided to treat it and took 100mg doxycycline twice a day for ten days. Around this same time I started experiencing pain in my abdomen almost constantly, like dull menstrual cramps. Having just moved to the US from Australia I was unable to see my usual doctor, so I went to a new doctor who unfortunately had never heard of ureaplasma and told me not to worry about it until I returned to Australia in December. When the pain continued I went to an STD clinic, and was given a one-time dose of antibiotics and told they would stay in my system for a week. Three days after taking the antibiotics the pain is no better but I'm not sure if it will take the whole week.
I'm not trying to conceive at the moment but I am wondering if this can cause infertility, especially since I may have had it for a long time. I have read that it can cause Pelvic Inflammatory Disease and lead to scarring in the fallopian tubes that can prevent successful ovulation/conception.
I am very nervous about this because information on the internet seems contradictory and doctors I have seen have so far given conflicting advice, one telling me I don't even need to treat it even though I am having symptoms, and another telling me it can lead to infertility and may have already lead to damage.
Sorry for the long post, I appreciate your reply!
- October 28, 2012 at 9:34 PM
Dear Doctor,
Just want to follow up with you.
I post a massage on June 22 about my tragic loss of pregnancy at 18weeks due to the myco and ureaplsma infection.
My husband and I both got doxycyline for 7 days although we had no symptoms. this is my 5th normal cycle after D&E (one note: I found I have much lighter period flow compared to before). and I am 35+.
My specialist doc told me wait for 1 year to TTC in order to get better outcome although we both are mentally ready. I really want to get your opinion on this since you have seen more cases.
Thank you very much for your attention.
- November 9, 2012 at 11:39 AM
I have recently been diagnosed with ureaplasma. I have not had sex with anyone but my boyfriend. Should I be worried that this is from an infidelity? What is the likelihood that it was in my body from before I met him 3 years ago? I recently gave birth in July and had cultures done when I found out I was pregnant and it was negative at that time.
- November 12, 2012 at 1:23 PM
I just gave birth to our second baby at 22 weeks, five days less than a month ago. Our first baby was born at 22 weeks, four days. At first my OB thought I had an incompetent cervix after our first loss. With the second preganancy I had a cerclage and we later found that my cervix was not the issue. A culture of my cervix came back positive for ureaplasma. I was treated with zithromycin but the ureaplasma was still present in a second culture.
My question is this... how can I be pregnant for 22 weeks and then give birth? What happens at this time, this far in the pregnancy to cause preterm birth?
- December 5, 2012 at 8:09 AM
7 years ago I was tested for uu and was negative. I just got tested again this month and I am positive. I don't understand how it is possible given that I have been with the same partner for 15years?
- January 18, 2013 at 7:24 PM
I am 30 weeks pregnant and found out two months ago that I am positive for ureaplasma after having chronic uti symptoms with no actual uti. I was put on zithromax 500mg the first day and then 250 for the next 9 days. Still had symptoms so did another round of the same thing. Went back to get retested a week after finishing the second round of antibiotics and it came back positive again. The doctor said not to worry because it could be a false positive and I should have waited longer for the infection to fully clear out of my system. She thinks that the bacteria is dead but is not fully washed out of my system yet or something along those lines. However, I have still been having the same symptoms come and go that I have been having since before I found out I had this.. Just wondering if this is part of the healing process and it is still going to go away? Also, is there a risk to my baby having this during pregnancy.. it seems as though this is very controversial and I just don't know what to think
- February 25, 2013 at 12:57 PM
Hi DrG
Im nett and I have had two misscarages n one year I went to my Gyno and found out that I have ureaplasma I was given.doxycycline for 7 days twice a day my question is, is this long enough?? I have read how some people took it for 10 or a whole month I really want a baby and I fear the miscarriages are from the ureaplasma
- February 27, 2013 at 7:48 AM
Could it be possible that I got ureaplasma from a female that I had sex with if she was tested negative(a month after last sex)?
- March 8, 2013 at 6:11 AM
Can ureaplasma be treated with flagyl? Or what other antibiotics can cure this infection besides, azythromycin, and doxy?
- March 13, 2013 at 6:24 PM
- DrG said...
Hi Anonymous (2/25/13)
Sounds like you are doing everything appropriately. THe risk to your baby is really the issue of preterm labor. Is ureaplasma a cause of preterm labor or just associated with PRL…..I am not sure that we really know the answer….
Hope you are still pregnant and doing well.
Hi Nett
I guess I would recheckk the cultures. If it is gone then the 7 days were enough!
Good luck
Hi Anonymous (3/8/13)
Seems unlikely if she was negative….
Good luck
Hi Anonymous (3/13/13)
I am not an Infectious Disease specialist so I pretty much punt if zithromax and doxy don't work….
Good luck
- April 9, 2013 at 6:53 AM
Hi Dr. G
I was tested for Ureaplasma Urealyticum and it came back positive. I just finished 500mg 2 tablets daily of Biaxin (i think thats what it was called) and I am curious how long after the antibiotics are done should I expect to not feel these irritating symptoms. And when should I be tested again?
Is this something people have to live with? Or will it go away!!
- May 3, 2013 at 8:55 AM
If I contract chlamydia with and IUD can this cause infetrility even after myself and my partner has been treated.
- May 15, 2013 at 8:13 PM
- Katya Tishkova said...
Im 10 weeks pregnant. I was just told by my doctor that I tested positive with Ureaplasa. Two weeks prior to my pap I was taking Zithro for 5 days for my sinus infectiong. And then tested positive and she gave me another 5 days of zithro. Im terrified about what I have read about Urea and wondering is there still a chance to have a normal pregnancy and a normal baby? Is there a percentage you know of? Ive read that most doctors dont even test for it and its very common and not to worry about it and other that they deliver at 18-22 weeks and miscarry also. I just need some advice and a little relief.
- May 24, 2013 at 12:39 PM
Liz asks:
I was just diagnosed with ureaplasma and microplasma. I have had reoccuring bacterial infections so I was surprised in your comments that you don't think they are connected?
Anyway, I don't want to take the antibiotics. I'm taking strong probiotics and would like to address this holistically if possible. What do you think of hydrogen peroxide douches? Any other naturalist suggestions you can make for people who don't want to introduce strong antiobiotics into your system that may or may not work and will probably cause a killer yeast infection?
Thank you.
And FYI: this really is THE only place on the Internet that provided much needed info re: this topic. You wrote a book as well about it?
- May 28, 2013 at 8:57 PM
Its has been 44 days since I started my Antibiotics. I tryed Doxy and was also given Biaxin. How long does it take for the symptoms of UU to go away? Please It is taking over my entire life! I had a follow up when i was done my antibiotics and the results came back "inconclusive" so I will be getting checked again.. but I am curious how long it can take? And if I should try a stronger antibiotic. I have even tryed taking natural methods. And keeping up on my vitamins.
Help please
- June 4, 2013 at 11:38 AM
Hi Dr G,
My question is not about babies so I apologise for that, I am a healthy 28 year old man with a beatiful 21 year old fiancé , she is studying overseas and we only see each other every 3 months, but after spending time together she gets very sick and usually get cystitus, the last time we were together she started urinating blood and it hurt her very much to go to toilet, when she returned overseas she was admitted to hospital and they performed lots of tests on her, the results came back positive for ureaplasmosis and she is being treated for this, my doctor in Australia took a test on me but instantly put me on antibiotics because she tested positive, but he also told me that this bacteria would not be the cause of her illness, I am waiting for the results of my tests. What are your thoughts on this case ? Any advice would be greatly appreciated, once again I apologise for the long question not regarding fertility but it is very difficult to get information about this bacteria.
- June 10, 2013 at 1:00 AM
- DrG said...
Hi Anonymous (5/3/13)
Sorry for the delay….Again I would emphasize that most patients with ureaplasma do not have symptoms as you may find with another cause of vaginitis such as bacterial vaginosis or trichomoniasis. I guess I would review with your GYN to look for other sources of irritation…
Hang in there \.
Hi Anonymous (5/15/13)
Chlamydia can certainly impair fertility but not all chlamydia infections cause tubal damage. Gotta treat of course but once you are interested in pursuing pregnancy you may want to get a hysterosalpingogram to confirm normal tubes. Also, I would suggest that you get close follow up in early pregnancy to identify possible ectopic (tubal) pregnancy since you are at a higher risk than the general population (perhaps 10% vs 2%).
Good luck
Hi Liz (5/28/13)
Cant really comment on the H2O2 douches and the book is about Infertility not just about Ureaplasma but given the popularity of this topic on my blog website maybe someone should write a book!
Good luck
Hi Anonymous (6/4/13)
Sorry that you are still having issues…..see my first post above….may need to consider alternative diagnosis for your issues….
Hang in there
Hi A.S. (6/10/13)
Sounds like a case of "honeymoon cystitis" and doubt that the ureaplasma is the culprit here.
I would have her speak with her GYN about taking prophylactic antibiotics (nitrofurantoin or ciprofloxacin) following intercourse…..
Good luck
- June 26, 2013 at 5:36 AM
- DrG said...
Hi Katya (5/24/13)
There is every reason to be optimistic about your chance for a good outcome. Hopefully the treatment has worked and you are still pregnant and doing well.
Good luck
- June 26, 2013 at 5:43 AM
- Katya Tishkova said...
Now I'm 18 weeks. I was retested about two weeks ago and came back positive for Ureaplasma, again! after two treatments. Waiting on doctor to call back with new antibiotics. Some people I guess naturally carry it and can't get rid of it I guess with my symptoms. Hopefully all will be ok.
- July 16, 2013 at 12:18 PM
- DrG said...
Well hang in there and let's hope for the best....At some point we may have to decide that further treatment is worse than the problem...
- September 4, 2013 at 5:56 AM
- Ashlggurl said...
June 2013 I gave birth to two boys 19+3 they didn't survive I was diagnosis with chorioamnionitis. So then in August went to dr (mfm) found out baby b had infection worst then baby a from autopsy so they Took another culture they found out I had ureaplasma microplasma (sp?) but didnt tell me til my appt 3 weeks later. I got the z-pack took it. 2 weeks later I went to RE to discuss trying again and come to find out I'm 5 weeks with one seed this time. But this means I got pregnant before or while I took z Pak do you think this baby may have it as well
- September 29, 2013 at 4:39 PM
Is Ureaplasma linked with an abnormal pap smear result?
- October 15, 2013 at 7:54 AM
- DrG said...
Hi Ashiqquri (9/29/13)
Hopefully all is well with this pregnancy. Taking the Z pack was fine in early pregnancy given the situation and I am sure that they had probably repeated the cultures to make sure that the infection has cleared.
Good luck
Hi Anonymous (10/15/13)
Ureaplasma should not routinely cause abnormal Pap smear results. Detection is through an actual cervical culture.
Good luck.
- January 5, 2014 at 5:36 AM


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StoneWorld carries tiles, mosaics and pavers from Brazil, China, India, and Mexico in 1x1, 1x2, 4x4, 4x8, 8x8, 12x12, 16x16, 18x18, 24x24, and random sizes.
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subset: commoncrawl


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Printable View
I found the picture on a site called quickmeme (dot com) that has many photos, it just up to you to come up with your own captions!
In response to the "N" word thread.
Just saw this image on the Daily Beast and of course I had to share:
Attachment 17701
We updated Stephen's press photo today. I love his expression. It made me think...
Attachment 18449
Love the tshirt.


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|80 Physicians in "Ophthalmology"
|View on Map
|Sanchez, Cecilia
|Texan Eye, P.A.
|Sargent, Julia
|Texan Eye, P.A.
|Sargent, Kristin
|Texan Eye, P.A.
|Shepler, Maria
|Austin Diagnostic Clinic
|Shepler, Todd
|Hill Country Eye Center
|Shore, John
|Texas Oculoplastic Consultants
|Smith, Randolph Todd
|Eye Institute of Austin, P.A.
|Smith, Stephen
|Central Texas Retina and Vitreous
|Stancey, Corina
|Lakeway Eye Physicians & Surgeons
|Thorne, George
|Eye Physicians of Austin
|Varu, Divya
|Solo Practitioner
|Vendal, Zarmeena
|Westlake Eye Specialists
|Wagner, Theresa
|Texan Eye, P.A.
|Walters, Thomas
|Texan Eye, P.A.
|Welch, Jonathan
|Central Texas Eye Center, PA
|Wollan, Peter
|Eye Physicians of Austin
|Wong, Mitchel
|Austin Eye Clinic
|Wong, Robert
|Austin Retina Associates
|Wong, Shannon
|Austin Eye Clinic
|deSabra, Ximena
|Westlake Eye Specialists
Views on political or religious issues expressed by medical staff may not necessarily represent the views of the Seton Healthcare Family.


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Holy Roman Emperor Charles V enters Naples, which is currently under the government of his viceroy Pedro di Toledo. The city readily supplies him with money.
Please log in to consult the article in its entirety. If you are not a subscriber, please click here to read about membership. All our articles have been written recently by experts in their field, more than 95% of them university professors.


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Rick Sigliano is the Vice President of Kyocera America, Inc. .
Kyocera America, Inc. filed as an Articles of Incorporation in the State of California filed on Friday, August 18, 1978. This corporation is approximately thirty-seven years old according to documents filed with California Secretary of State. Kyocera America, Inc. also lists William J. Edwards as Chief Financial Offi.
Rick Sigliano is connected to other officers through these corporate roles. One of the top connections is William J. Edwards .
Key roles for Rick Sigliano
Kyocera America, Inc.
Vice President


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Carlos Delgado is the greatest Blue Jay in club history.
If you were growing up & following the Jays during the early 2000's like I was, you probably agree with the previous statement. From 1996 until 2004, Delgado owned Toronto. An offensive powerhouse, the long time Blue Jays 1st baseman had 8 consecutive seasons of 30+ HR's, 6 straight seasons of 100+ RBI and frequently found himself atop the American Leagues leader boards in On Base Percentage.
I was 13 in 2000. Having both watched the Blue Jays and played this game since I could remember, I was only beginning to understand the statistical side to Baseball. What Carlos Delgado did between the months of April and October of that year was single handedly the strongest raw performance I have ever witnessed on a baseball diamond.
.344 (Batting Average. Good for 2nd highest seasons total in Blue Jays history)
.470 (On Base Percentage)
115 (Number of Runs Scored)
41 (Number of Home Runs)
137 (Number of Runs Batted In)
711 (Total of Plate Appearances)
162 (Number of games played)
7.5 (Wins Above Replacement)
Without question, Delgado's 2000 campaign is the greatest single offensive season put forth by a member of the Blue Jays since their inception in 1977. Personally, I still get blown away when I see these totals and although he would later top his Run, RBI and HR totals in 2003, 2000 stands alone as his greatest overall year in the MLB.
When his career with Toronto came to an end following the 2004 season, Delgado would leave the team having set franchise records in 11 of the 19 categories listed in the Blue Jays Media Guide. Page 272 of the 2012 guide practically reads as Carlos Delgado's Greatest hits as the 3 time Silver Slugger ranks #1 in the following all-time records.
Games played as a 1st baseman (1168)
Slugging Percentage (.556)
Runs (889)
Doubles (343)
Extra Base Hits (690)
Home Runs (336)
Walks (827)
Intentional Walks (128)
Hit By Pitch (122)
Total Bases (2786)
Delgado will join a list of Blue Jays greats including Dave Stieb, Tony Fernandez and Roberto Alomar when his name is affixed to the Toronto's Level of Excellence this July in what is sure to be a moving ceremony.
Personally, I believe that Delgado put forth a career worthy of an induction into Cooperstown and I know for a fact that he will join the legends within the walls of the Canadian Baseball Hall of Fame. In time, Delgado's 25 should find a place next to Alomar's 12 that now hangs from the rafters at SkyDome as Toronto should strongly consider retiring the slugging 1st baseman's number following his appearance under the 500's.


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Our Mission
The Reynolds School of Journalism and Center for Advanced Media Studies is committed to fostering media innovation.
In a climate of disruptive transformation, we strive to link enduring values and practices to emerging forms of journalism and strategic communication. We prepare students for success and leadership in legacy and emerging media sectors through our teaching, our research and creative activity, and our engagement with the media professions and the community. Our educational emphasis is high tech, high touch, experiential and ethical.
Through our Center for Advanced Media Studies (CAMS), we analyze the changing media environment, and develop and document experiments in new models of media practice. In so doing, CAMS connects the Reynolds School to the broader global conversation about the future of news and strategic communication.


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Maryland is poised to become the only state on the East Coast to issue driver's licenses to immigrants here illegally under a bill passed by state lawmakers Friday.
The legislation, which Gov. Martin O'Malley plans to sign, would revive a two-tier licensing system that was set to expire in 2015. It would grant new licenses to more than 100,000 people, legislative analysts said.


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Thin, light and portable, the Nexus 7 is a no compromise Android tablet that's designed to go where you go. With a stunning 7" display, powerful quad-core processor and up to 9 hours of HD video playback, 10 hours of web browsing or 10 hours of e-reading and up to 300 hours of stand-by time, Nexus 7 was built to bring you the best of Google in a slim, portable package that fits perfectly in your hand.
Condition: Scratch and Scuff devices do not have any technical defects and function as normal. Cosmetically, the screen and body of the items show some signs of scratches, scuffs, or other wear typical of normal use. The item does not have major dents or blemishes.
Examples for Scratch & Scuff Conditions:
Color may vary and is chosen at random.
Fully Functional with Cosmetic Damage


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The Euro Is Adopted
A recording of a hotline caller is representative of the confusion some citizens are feeling as 12 European nations prepare to switch their individual currencies for euro notes and coins starting at midnight on January 1, 2002.
Related Speeches & Audio (8)
The Euro Is Adopted
The Euro Is AdoptedAudio Clip (0:09)
Audio Clip (0:09)
A recording of a hotline caller is representative of the confusion some citizens are feeling as 12 European nations prepare to switch their individual currencies for euro notes and coins starting at midnight on January 1, 2002.
U.S. Financial Market Nears Collapse in September 2008
U.S. Financial Market Nears Collapse in September 2008Audio Clip (0:30)
Audio Clip (0:30)
In the wake of the worst financial crisis since the Depression, ABC News reports on September 14, 2008, on the impending collapse of the giant investment bank Lehman Brothers. Alan Greenspan, former chairman of the Federal Reserve, provides further analysis.
Google Goes Public
Google Goes PublicAudio Clip (0:26)
Audio Clip (0:26)
On April 29, 2004, Google, one of the most successful Internet search engines, filed for its initial public stock offering. A May 2 news report explains the company's plans for an online auction, an unconventional move that will make its shares available to individual shareholders.
Bernie Madoff Arrested in December 2008
Bernie Madoff Arrested in December 2008Audio Clip (0:27)
Audio Clip (0:27)
On December 12, 2008, ABC News' Chris Cuomo reports on the previous day's arrest of financial adviser Bernard "Bernie" Madoff, who was accused of running the largest Ponzi scheme in U.S. history. Convicted on June 29, 2009, Madoff was sentenced to 150 years in prison.
U.S. Credit Rating Is Downgraded in August 2011
U.S. Credit Rating Is Downgraded in August 2011Audio Clip (0:34)
Audio Clip (0:34)
An August 6, 2011, report describes the unprecedented decision by the debt securities adviser Standard & Poor's to downgrade the United States' credit rating from AAA to AA+.
Hoover on Unemployment Relief
Hoover on Unemployment ReliefAudio Clip (1:23)
Audio Clip (1:23)
On October 18, 1931, as the nation faces a deepening depression, President Herbert Hoover announces in his radio address the inauguration of a six-week campaign to raise local relief funds to aid the unemployed.
Franklin D. Roosevelt Handles Banking Crisis
Franklin D. Roosevelt Handles Banking CrisisAudio Clip (0:55)
Audio Clip (0:55)
On March 6, 1933, newly elected President Franklin D. Roosevelt orders the temporary closing of all banks in an effort to stem a financial crisis. On March 12, Roosevelt delivers his first fireside chat radio broadcast to assure the American people that their savings are safe.
Franklin D. Roosevelt's Labor Day Address 1942
Franklin D. Roosevelt's Labor Day Address 1942Audio Clip (1:23)
Audio Clip (1:23)
In an address to the nation on Labor Day 1942, President Franklin D. Roosevelt summarizes an earlier meeting with Congress in which he urged cooperation to pass his seven-point economic plan to fight inflation, which was presented to both houses on April 28.
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The Marine Casualty Investigation Board (MCIB) was established on 5 June, 2002 under Section 7(1) of the Merchant Shipping (Investigation of Marine Casualties) Act, 2000. All Board members are engaged on a part-time basis. ( Read More... )
The function of the MCIB is to carry out investigations into marine casualties that take place in Irish waters or involve Irish registered vessels. The main purpose of the Boards investigations is to establish the cause or causes of a marine casualty with a view to making recommendations to the Minister for Transport for the avoidance of similar marine casualties. It shall not be the purpose of an investigation to attribute blame or fault.
The MCIB is an independent body with its own funding provided for by the Oireachtas under Section 19 of the Act. The MCIB is independent of the Minister for Transport in the performance of its functions and, in general, shall be independent of any other person or body whose interests could conflict with the functions of the Board.
Freedom of Information
Click here to view a guide to the functions, records, rules and practices of the Marine Casualty Investigation Board.
Code of Conduct
Click here to view Code of Business Conduct for the board members and staff of the Marine Casualty Investigation Board.
Annual Reports
The Annual Reports published by the MCIB are available on the page "About the MCIB".
Email Alerts
You can now subscribe to our mailing list to be notified when new reports are published:
Latest Reports
Reports for the following investigations are now available on this site:
- Report into the the fatal incident off Inishowen Head, Co. Donegal
- Report of investigation into a fatal incident involving the capsized Drascombe Lugger Zillah
- HHL New York
- FV Napier
- Report of investigation into the fatal incident involving MFV Dean Leanne
- Arslan II
- FV Leonora Jacinta
A list of investigations currently being carried out by the MCIB is available in the Investigations section.
Please note that cookies must be enabled to use the MCIB website.


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Dominique Strauss-Kahn resigns, released from jail
Updated: May 20, 2011 - 05:33 pm
Dominique Strauss-Kahn, the former head of the IMF who has been jailed on sex assault charges, has been released from jail.
The 62-year-old Strauss-Kahn has been behind bars since Saturday after he was accused of trying to rape a hotel maid. He has denied breaking any laws.
The judge agreed to free him on bail — provided he's confined to a New York apartment, under armed guard and electronic monitoring.
Authorities have not said where Strauss-Kahn would be detained once he left jail, but police and media thronged around a luxury residential hotel on Manhattan's Upper East Side. Dozens of news crews set up metal barricades outside the high-rise on East 65th Street.
The Department of Correction said in a statement Friday that it will manage Strauss-Kahn's release following the posting of bail and all required paperwork.
Strauss-Kahn also resigned as managing director of the IMF, the powerful organization that makes emergency loans to countries in financial crisis.
In his resignation letter, he denied the allegations against him but said he would quit in order to "protect this institution which I have served with honor and devotion" and to "devote all my strength, all my time and all my energy to proving my innocence."
Would you like to contribute to this story? Join the discussion.


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June 6 2007
Sponsored by the American Legion Department of Indiana, Hoosier Boys State assigns delegates to either the Nationalist or Federal political party. They form a mythical 51st state and learn about the various aspects of the political process as they draw up party platforms, adopt caucus rules and nominate candidates for governor and other state and county offices.
This year's delegates will also sit it on an actual Indiana Supreme Court hearing. Justices will hear oral arguments in an appeal of a 1993 murder conviction in Lake County. The hearing is scheduled for 10 a.m. Monday in ISU's Tilson Auditorium.
U.S. Rep. Brad Ellsworth and Terre Haute Mayor Kevin Burke will address the delegates at 8 p.m. Saturday, also in Tilson.
Other highlights of the "week to change a lifetime,†as the Legion describes the event, include political rallies at 8 p.m. Tuesday, and a debate by candidates for governor and lieutenant governor at 10 a.m. Wednesday. An election will immediately follow the debates and winning candidates will be sworn in at 8 p.m.
This marks the 38th year Indiana State University has hosted Hoosier Boys State. More than 60,000 young Hoosiers have participated in the program since its inception in 1937. More than one million young men have taken part in Boys State nationwide since it began in Illinois in 1935.
Indiana State University will host Hoosier Girls State June 17-23.
Note to newsrooms: Media representatives wishing to cover the Indiana Supreme Court hearing should contact David Remondini, deputy chief executive director, Indiana Courts, (317) 233-8684 or email@example.com
Contacts for Hoosier Boys State: Susan Long, Americanism coordinator, American Legion Department of Indiana, (317) 630-1264 or firstname.lastname@example.com; Bill Jackson, director, Hoosier Boys State, email@example.com. From June 7-16, Boys State officials may be reached at (812) 237-8121.
Writer: Dave Taylor, media relations director, Indiana State University, (812) 237-3743 or firstname.lastname@example.com
More than 600 boys from throughout Indiana will get a hands-on experience in government and politics • plus a glimpse at the judicial process • during Hoosier Boys State, June 9 - 16.


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Home ⁄ Bike ⁄ Computers & Watches ⁄ GPS Watches & Heart Rate Monitors ⁄ Forerunner 220 (Item #010-01147-01)
Garmin Forerunner 220
Just like a coach, the Garmin Forerunner 220 provides the motivating feedback you need to guide your training. You can even get post-run encouragement from friends and fans, thanks to the 220's connected features like real-time live tracking and social media sharing via the Garmin Connect Mobile app.
Running Companion with Connected Features
- GPS running watch with high-resolution color display
- Tracks distance, pace and heart rate
- Identifies personal records
- Connected features²: automatic uploads to Garmin Connect™, live tracking, social media sharing
- Compatible with free training plans from Garmin Connect
Easy to Use
The 220 is one of the first Garmin running watches to have a color display, which makes it easy to interpret your data at a glance. It also features simple button operations and a sturdy, hinged wristband that's comfortable for any size wrist.
Get Connected
If you're like most runners, you want to analyze your stats after your run or race, but you may not be back at your computer right away. Forerunner 220 solves that by automatically uploading your data to Garmin Connect, our free online community where you can save, plan and share your activities. Just download the free Garmin Connect Mobile app to your smartphone and then pair your watch. When you save your completed run, it will automatically upload to Garmin Connect when you're in range of your phone.
What's in the box
- Forerunner 220
- Charging data cradle
- Manuals
No reviews have been written for this product.
Be the first one! – Write a Review


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September 17, 2012
Top gay travel destinations: Cape Town recognised in Out Now survey
Roy Barford
Roy Barford has lived in more than 10 cities and towns around the world, but decided to settle in Cape Town. He loves the fact that he can enjoy both urban and natural adventures every day, surrounded by creativity and tranquility.
He is a sports fanatic who can often be found at Newlands rugby and cricket stadiums, while he also enjoys outdoor adventure activities and exploring Cape Town's vast nightlife options.
Roy has written for publications such as the Sunday Tribune, Cape Argus and the Star, and has also blogged for websites such as Southafrica.net, Tablemountain.net.
Cape Town is among the top 20 gay travel destinations for 2013, according to a survey conducted by Out Now Business Class, who specialise in the lesbian, gay, bisexual, transgender (LGBT) market. This comes after Clifton 3rd beach was last year named among the top 10 gay beaches in the world by GayCities.com.
Cape Town is the only African city to make the list. In addition to its overall pink appeal, Cape Town is home to Table Mountain, one of the New7Wonders of Nature, and was chosen as one of Lonely Planet's Ten Best Beach Cities 2011.
The top 20 gay destinations for 2013, according to Out Now Business Class, are:
20. Miami
19. Cape Town
18. Rome
17. Mexico City
16. Berlin
15. São Paulo
14. Barcelona
13. Melbourne
12. Hong Kong
11. Las Vegas
10. Los Angeles
9. Amsterdam
8. Tokyo
7. Buenos Aires
6. Paris
5. San Francisco
4. London
3. Sydney
2. Rio de Janeiro
1. New York City
Earlier this year, USA President Barack Obama announced that he supported same-sex marriage and Cape Town Tourism welcomed LGBT couples to choose Cape Town as their honeymoon destination. Capetonians are very open-minded and easy-going, where LGBT events such as Cape Town Pride (March) and MCQP (December) take place every year. The video below sums up Cape Town Pride 2012.
Read about getting to Cape Town.


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Let's learn it.
Step 1: Step 1
Step 3: Step 3
Land on the front string.
Step 4: Step 4
This will get you a green triangle.
Keep the other segment (the one you didn't slide off) open using your index finger and thumb.
Step 5: Step 5
There should be one string segment between your thumb and index finger.
Step 8: Step 8
There should be two string segments on the side of your free hand finger nearest your throw hand, and 3 on the other side.
Step 10: Step 10
Step 12: Step 12
This is the one I like to do.
Bring the throw hand in a circle around the yoyo, starting towards you and behind the yoyo.


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Many web performance analysis tools use waterfall charts to show the timing of HTTP requests within a page download. Here is an example from the HTTP Archive showing the first two dozen requests that an IE 8 browser made while loading the CNN home page.
My own work on web performance has been focused on the time spent waiting for the network – i.e., the length of the bars in the waterfall chart, the number of bars, and the staircase patterns that emerge when synchronous HTTP requests are queued on a small pool of connections. In this waterfall, though, another phenomenon stands out: there is a short interval of no network activity right before the browser starts downloading six images in parallel at the end.
The page source shows the reason for this delay: there is a <script> block near the top of the page. Modern web browsers can download external scripts in parallel with other content, but running a script is a serialized operation.
The interesting question is: how common is this pattern of a waterfall "stalling" due to script execution? I'm working on a study of the HTTP Archive data to measure how many websites are affected by this phenomenon, and I'll post a follow-up when the results are ready.


text: ACE50 5pts No, No, No, What have you done FORD ? Why are you trying to make it look like a European car ?Owned a '72 Mach 1 - Outstanding - Own a 2012 GT - Outstanding - was looking to buy a 2015...But after the release - don't think so. AMERICAN MUSCLE - Sadly - just Camaro and Challlanger now until they go "Euro-Style".


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It's that time of year again! CBF volunteers can help restore the health of Virginia's rivers and the Chesapeake Bay by participating in our Grasses for the Masses program.
2008 workshops start February 13th.
« Chesapeake Bay Guitar Project - January 2008 Update | Main | CBF Gets a Chair at Virginia's Climate Change Table »
You can follow this conversation by subscribing to the comment feed for this post.
I'm very disappointed this is not offered in Maryland.
Bill -
We redirected our adult efforts in Maryland a few years ago to focus more strongly on education through our Volunteers as Chesapeake Stewards -- or VoiCes -- program. When deciding the most effective use of limited resources, we feel at this point in time it's most important to have an educated community who can be strong advocates for funding important state efforts to clean up the Bay. We continue to run a Grasses in Classes program in about 100 Maryland schools.
If you happen to live near the Magothy River in Anne Arundel County, the Magothy River Association conducts its own grasses restoration program. For more information send an email to firstname.lastname@example.com.
According to MD DNR, the Anita C. Leight Estuary Center in Harford County also runs a grasses workshop. Their email address is email@example.com.
I hope this activity was successful!
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