Mycoplasma genitalium
Mycoplasma genitalium is a lesser-known but nonetheless important sexually transmitted infection (STI). This microorganism infects the urinary and genital tract, which can cause symptoms but also often remains without clear signs of infection.


Symptoms of mycoplasma genitalium
Mycoplasma genitalium infection can manifest with different symptoms in men and women:
Men may experience:
- Inflammation of the urethra (urethritis)
- Burning sensation or pain when urinating
- Discharge from the penis
- Itching or irritation inside the penis
- Pain in the testicles (although this is less common)
Women may experience:
- Inflammation of the urethra (urethritis)
- Inflammation of the cervix (cervicitis)
- Painful urination
- Bleeding after intercourse
- Abnormal discharge
- Abdominal pain
Similarities and differences with chlamydia
Mycoplasma genitalium and chlamydia are both sexually transmitted infections that can cause similar symptoms such as pain on urination, irregular vaginal discharge and abdominal pain. It is also possible for both infections to occur without clear symptoms.
Although they share similarities, there are significant differences. Mycoplasma genitalium is caused by a different type of bacteria than chlamydia, and it requires a special test to be diagnosed as standard STI tests can't detect it. Treatment for both infections involves antibiotics, but Mycoplasma genitalium has been shown to be resistant to certain antibiotics, which can make treatment more challenging.
Chlamydia is one of the most common STIs and is better known and regularly screened for, while Mycoplasma genitalium is lesser known and often overlooked.
For both cases, prevention is key, and that includes practicing safe sex and getting regular tests. If you have symptoms or have had unprotected sex, it's important to consult a doctor to get the correct diagnosis and treatment.
Diagnosis and testing
Diagnosis and testing for mycoplasma genitalium is essential for timely treatment and prevention of any complications. This sexually transmitted infection can be difficult to identify, as symptoms are often similar to those of other STIs or may even be absent.
Specific test methods
To correctly diagnose mycoplasma genitalium, a specific test designed to identify this particular microorganism is needed. Standard tests for sexually transmitted infections (STI) cannot identify Mycoplasma genitalium as it requires a more sensitive and accurate diagnostic method. If you have symptoms that match those of Mycoplasma genitalium or have had unprotected sex and are concerned about your status, seek advice and have this specific test performed.
After diagnosis: Next steps
A positive test for mycoplasma genitalium will require prompt medical intervention. Once diagnosed, your doctor or healthcare professional will recommend an appropriate treatment plan, which typically includes antibiotics. It's essential to strictly follow the recommended treatment and complete the full course of medication, even if symptoms disappear prematurely, to ensure the infection is completely eradicated. In addition, your doctor will also advise appropriate precautions to prevent further spread of the infection and protect the health of your sexual partner.
Treatment of mycoplasma genitalium
It is crucial to initiate treatment against Mycoplasma genitalium as soon as possible to prevent further complications and spread of the infection. The treatment of this infection requires an approach tailored to the patient's individual needs and symptoms, as the bacterium has developed resistance to various antibiotics.
Antibiotic treatment
Typically, treatment of mycoplasma genitalium involves the use of antibiotics. However, the bacterium that causes mycoplasma genitalium has developed resistance to several types of antibiotics, making the choice of the right antibiotic crucial. Your doctor will choose the antibiotic that best suits your situation based on the resistance patterns in your region and your medical history. It's crucial to complete the full course of antibiotics, even if symptoms disappear before the course is finished, to ensure that all bacteria have been eradicated.
Follow-up and monitoring
After you've completed your course of antibiotics, follow-up and monitoring is important to ensure the infection is completely cured. Your doctor may recommend further tests at the end of treatment to confirm that the infection has been eradicated. In addition, it's important to inform and protect sexual partners by notifying them so they can also be tested and treated if necessary. Following the doctor's advice and recommendations during and after the course of treatment is crucial for a successful recovery and to prevent the spread of the infection.
Prevention
To minimize the risk of Mycoplasma genitalium infection, it is important to take proactive steps towards prevention and have an understanding of the potential risks associated with this infection.
Safe sex and protection
Practice safe sex by always using condoms correctly during all sexual activities to minimize the risk of transmission.
Regular screening and tests
Undergo routine STI testing, especially if you have multiple sexual partners or belong to a risk group, for early detection and treatment.
Risk understanding and behavior
Be informed about the risks and symptoms of Mycoplasma genitalium to make safe sexual health decisions and protect yourself and your partners.
Follow-up and partner communication
Communicate with sexual partners about testing and treatment to prevent mutual reinfections and ensure joint sexual health.
Ready to book an appointment?
If you have symptoms or if you simply want to discuss preventive measures, we recommend that you book a consultation with one of our experienced doctors. Our team is ready to offer advice and guidance, as well as the necessary testing and treatment to help you feel safe and protected against Mycoplasma genitalium.
Frequently asked questions
Mycoplasma genitalium is a sexually transmitted infection (STI) caused by a bacterium. It can infect the genital and urinary tract in both men and women, often with few or no symptoms.
Since the infection often doesn't cause symptoms, it's best to get tested if you've had unprotected sex, have a partner with the infection, or experience symptoms such as pain when urinating or abnormal discharge. A laboratory test is necessary for an accurate diagnosis.
The infection is typically treated with antibiotics. As Mycoplasma Genitalium can be resistant to certain antibiotics, your doctor may need to adapt the treatment to your specific situation.