Mycoplasma genitalium symptoms

An infection with Mycoplasma genitalium does not always cause symptoms. Many people therefore do not know that they carry the bacterium and can unknowingly transmit the infection to a sexual partner. When symptoms do occur, they often resemble those of chlamydia or gonorrhoea.

Because the symptoms are not specific to Mycoplasma genitalium, a laboratory test is needed to determine which bacterium is causing the problem.

What are the symptoms of Mycoplasma genitalium?

Symptoms vary from person to person. Some people develop symptoms within a few weeks, while others experience no symptoms at all.

Common symptoms include:

• A burning sensation during urination.
• Discharge from the penis.
• Changed vaginal discharge.
• Lower abdominal pain.
• Pain during sex.
• Bleeding after sex or between periods.
• Urethral irritation.

These symptoms can also occur with other STIs or urinary tract infections. Only a laboratory test can provide a definitive diagnosis.

Symptoms in women

In women, Mycoplasma genitalium does not always cause symptoms. When symptoms do occur, they may include:

• Changed or increased vaginal discharge.
• Lower abdominal pain.
• Pain during sex.
• Bleeding after sex.
• Intermenstrual bleeding.
• A burning sensation during urination.

The bacterium can cause inflammation of the cervix. Without treatment, the infection can sometimes spread further to the uterus or fallopian tubes.

Symptoms in men

Men are more likely to experience urethral symptoms.

Common symptoms include:

• A burning sensation during urination.
• Clear or white discharge from the penis.
• Urethral irritation or itching.
• An irritated feeling in the penis.

Men can also be infected without experiencing symptoms.

Can you have Mycoplasma genitalium without symptoms?

Yes. A large proportion of infections occur without noticeable symptoms.

Despite the absence of symptoms, the bacterium can still be transmitted during sexual contact.

When do the first symptoms appear?

The first symptoms can appear several weeks after infection. The exact period varies from person to person.

Because the bacterium often causes no symptoms, an infection is often only discovered when someone gets tested due to persistent symptoms or an infected partner.

When should you get tested?

A test for Mycoplasma genitalium is advisable when:

• You have symptoms consistent with an STI.
• A sexual partner has tested positive.
• Symptoms persist after other STIs have been ruled out.
• A doctor suspects Mycoplasma genitalium is the cause.

The bacterium is not routinely included in every STI test.

Why is a quick diagnosis important?

A timely diagnosis makes it possible to start the correct treatment and prevent further spread of the bacterium.

In addition, prolonged symptoms or complications can be prevented if the infection is treated in time.

Frequently asked questions about Mycoplasma genitalium symptoms

Does everyone with Mycoplasma genitalium have symptoms?

No. Many infections are completely asymptomatic.

Are the symptoms similar to chlamydia?

Yes. The symptoms of Mycoplasma genitalium are very similar to those of chlamydia and gonorrhoea.

Can you have the bacterium without knowing it?

Yes. This is common.

Can women experience bleeding?

Yes. Some women experience bleeding after sex or between periods.

How do I know for sure that I have Mycoplasma genitalium?

Only a laboratory test can determine if the bacterium is present.

Don't delay seeking help for symptoms

Do you have symptoms that could indicate an STI, or do your symptoms persist while other STIs have been ruled out? Then discuss with a doctor whether a test for Mycoplasma genitalium is advisable. A quick diagnosis helps to start the correct treatment and prevent further spread.