Mycoplasma genitalium

Question 1

How does Mycoplasma genitalium symptoms present ?

Answer 1

Very similiar to chlamydia, usually asymptomatic however can present with ….

Men
Urethral discharge
Dysuria
Penile irritation
Urethral discomfort
Urethritis (acute, persistent, recurrent)
Balanoposthitis (in one study)

Women
Dysuria
Post-coital bleeding
Painful inter-menstrual bleeding
Cervicitis
Lower abdominal pain (see Complications: PID)

Question 2

What is the treatment for Mycoplasma genitalium ?

Answer 2

Doxycycline 100mg bd for seven days followed by azithromycin 1g orally as a single dose then 500mg orally once daily for 2 days where organism is known to be macrolide-sensitive or where resistance status is unknown