Mycoplasma genitalium in men

Mycoplasma genitalium is a sexually transmitted bacterium that can primarily cause inflammation of the urethra in men. The symptoms often strongly resemble those of chlamydia or gonorrhoea. However, a large proportion of men experience no symptoms of an infection, meaning the bacterium can be unknowingly passed on to sexual partners.

Timely diagnosis is important. With the right treatment, symptoms usually disappear, and further spread of the bacterium is prevented.

What is Mycoplasma genitalium?

Mycoplasma genitalium is a bacterial STD that primarily settles in the urethra. The bacterium can cause irritation and inflammation, but not everyone experiences symptoms.

Because the symptoms closely resemble those of other STDs, a laboratory test is needed to make an accurate diagnosis.

Symptoms of Mycoplasma genitalium in men

Many men do not develop symptoms. When symptoms do occur, they may include:

• A burning sensation during urination.
• Clear or white discharge from the penis.
• Itching or irritation of the urethra.
• An irritated feeling in the penis.
• More frequent urination.

These symptoms can also be caused by other STDs or a urinary tract infection. Only a laboratory test can determine if Mycoplasma genitalium is the cause.

Can you be infected without symptoms?

Yes. Many men with Mycoplasma genitalium experience no symptoms of the infection.

Despite the absence of symptoms, you can still transmit the bacterium to a sexual partner.

Are there possible complications?

In some men, an untreated infection can cause long-term inflammatory symptoms of the urethra.

Although serious complications are less common than in women, timely treatment is important to reduce symptoms and prevent further spread.

When should you get tested?

A test for Mycoplasma genitalium is advisable when:

• You have symptoms consistent with an STD.
• A sexual partner has tested positive.
• Symptoms persist after chlamydia and gonorrhoea have been ruled out.
• A doctor suspects Mycoplasma genitalium is the cause.

The bacterium is not routinely screened for in every STD test.

How is Mycoplasma genitalium diagnosed?

The bacterium is usually detected with a PCR test on a first-void urine sample. In some cases, a urethral swab may also be taken.

This laboratory test is very reliable when performed at the correct time.

How is the infection treated?

Mycoplasma genitalium is treated with antibiotics. Because the bacterium is increasingly resistant to certain antibiotics, the choice of treatment may vary per person.

Always complete the full course of antibiotics and inform recent sexual partners if an infection has been diagnosed.

Can you get reinfected?

Yes. A previous infection does not provide protection against a new infection.

Practising safe sex and having sexual partners tested helps prevent reinfection.

Frequently asked questions about Mycoplasma genitalium in men

Do men always have symptoms?

No. Many men experience no symptoms of an infection.

What are the first symptoms?

These often include a burning sensation during urination, irritation of the urethra, or discharge from the penis.

Is Mycoplasma genitalium routinely tested for?

No. The bacterium is usually only screened for when there is a medical reason.

Is Mycoplasma genitalium treatable?

Yes. With the right antibiotics, the infection is usually easily treatable.

Can I get reinfected?

Yes. A previous infection does not provide lasting protection.

Don't suffer in silence with symptoms

Do you have a burning sensation during urination, discharge from the penis, or other symptoms that could indicate an STD? Discuss with a doctor whether a test for Mycoplasma genitalium is advisable. A timely diagnosis helps to start the correct treatment and prevent further spread of the bacterium.