What you need to know about Mycoplasma genitalium

It's mostly asymptomatic in women

Mycoplasma genitalium is a recently identified STI that is strongly associated with urethritis.

Some epidemiological studies also suggest an association with cervicitis and pelvic inflammatory disease.

Optimal treatment is still unclear. Most patients will have been pre-treated with azithromycin 1g as presumptive therapy for urethritis.

This is usually effective, and only those with persisting symptoms should have further treatment.

Here’s what you should know:

  1. M. genitalium is mostly asymptomatic in women.
  2. It can cause dysuria, vaginal discharge, pelvic pain, intermenstrual bleedin bleeding and post-coital bleeding.
  3. In men, it causes symptoms more often than chlamydia.
  4. These include dysuria, urethral discharge, testicular pain and proctitis.
  5. M. genitalium is treated with azithromycin 1g. It may be resistant