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What Is Mycoplasma Genitalium? - MG Symptoms, Signs, Treatment

  • A new STD is on the rise in the U.K., according to Public Health England and the British Association for Sexual Health and HIV.
  • Mycoplasma genitalium (a.K.A., MG) is an STD trasmitted mainly through genital-to-genital contact.
  • MG is typically asymptomatic in women; left untreated, it may cause pelvic inflammatory disease or even infertility.
  • There's a new STD to add to your list of Super Scary Sex Diseases—you know, because herpes, chlamydia, and gonorrhea aren't enough to worry about.

    It's called mycoplasma genitalium (a.K.A., MG), and it's on the rise in the U.K.. Oh, and P.S., sometimes it's resistant to antibiotics.

    Public Health England listed MG as an emerging STD to watch this summer in a new report, released in June. Now, the British Association for Sexual Health and HIV announced last week that they're working on national guidelines for the management of MG.

    So, MG isn't exactly a brand-new STD. It was first discovered in the early 1980s, according to the Centers for Disease Control and Prevention, which reported on it in 2015.

    In women, MG is typically asymptomatic (a.K.A, it doesn't show symptoms), but can sometimes show up as pelvic pain and post-coital bleeding, and end up causing cervical infections and pelvic inflammatory disease, says infectious disease expert Amesh A.Adalja, M.D., senior scholar at the John's Hopkins Center for Health Security. In men, it can cause a painful inflammation of the urethra which can leave them with a burning feeling when they pee, he adds.

    Like pretty much every STD, MG is—you guessed it—transmitted through unprotected sex, says Adalja, typically through genital-to-genital contact, according to the BASHH; though it may also be passed through anal and oral sex.

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    It's usually treatable with antibiotics but, again, some cases have been shown to be resistant to antibiotics. For the record, that doesn't mean there are people walking around with untreatable MG—it just means that doctors may have to cycle through several different types of antibiotics before someone is cured, says Adalja.

    Left untreated, however, MG can result in infertility or pre-term delivery, according to BASHH and the CDC.

    The good news: Right now, this is not a huge threat in the U.S. About 1 percent of American young adults have MG, Adalja says, noting that chlamydia's numbers are about four times higher than that.

    Still, it's important to at least be aware that this exists, especially since Adalja expects that the number of cases will go up over time. "Almost all STI infections have been on the upswing for several years," he says. "This is no different."

    Korin Miller is a freelance writer specializing in general wellness, sexual health and relationships, and lifestyle trends, with work appearing in Men's Health, Women's Health, Self, Glamour, and more. She has a master's degree from American University, lives by the beach, and hopes to own a teacup pig and taco truck one day.


    Symptoms Of Mycoplasma Genitalium, STD Linked To Infertility - Business ...

    Scientists warn Mycoplasma genitalium, a little-understood sexually transmitted disease linked to infertility, could be silently spreading amid a lack of testing and research.

     The STD isn't tracked by health officials, so it could be spreading undetected and possibly causing harm, according to experts.

    Dr. Irene Stafford, an associate professor of maternal-fetal medicine at McGovern Medical School at UTHealth Houston, said on Tuesday during the Centers for Disease Control and Prevention (CDC) STD Prevention Conference that Mycoplasma genitalium infections were a "real concern."

    "Why are we not looking into this?" Stafford said, per NBC News.

    Mycoplasma genitalium has been around since 1981, but FDA-approved testing for it only became available in 2019, and people aren't routinely screened for it, according to the CDC. This means that we don't know how widespread it is, who it affects most, or the long term consequences of an infection. 

    Lisa Manhart, a professor of epidemiology at the University of Washington School of Public Health, estimated that as many as 20% of sexually active women and 17% of sexually active men aged between 15 and 24 could be infected with Mycoplasma genitalium, per NBC News.

    For comparison, chlamydia is the most common STD in the US, and 5% of sexually active women aged between 14 and 24 are infected with it, according to NBC News.

    Mycoplasma genitalium can cause pain when peeing

    Mycoplasma genitalium doesn't cause symptoms in most people, but some experience symptoms from 2 to 35 days after becoming infected.

    In men, Mycoplasma genitalium can cause inflammation of the urethra — the tube that carries urine out of the penis — causing watery discharge from the penis, or pain when peeing. 

    In women, Mycoplasma genitalium can cause: inflammation of the cervix —the opening to the womb — which can cause: unusual vaginal discharge, discomfort when peeing, and bleeding between periods, often after sex.

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    The infection can then spread to the fallopian tubes that connect the ovaries and the womb, causing PID pelvic inflammatory disease (PID). PID causes symptoms like: fever, low abdominal pain, and pain during on intercourse. 

    If left untreated in women, PID can lead to fallopian tube scarring, which increases the risk of ectopic pregnancy and infertility.

    The choice of antibiotics to treat Mycoplasma genitalium currently depends on the strain. Mycoplasma genitalium is  resistant to at least one antibiotic commonly used for STDs, called azithromycin.

    Simon Clarke, associate professor in cellular microbiology at the University of Reading, UK, told the DailyMail.Com that it was "entirely feasible" that Mycoplasma genitalium could become resistant to all existing antibiotics, though this was probably "some way off."

    Clarke said its "silent spread" was a problem, as people don't know to get tested for it and then pass it on.

    We don't know the long-term effects of an infection

    More research is needed to know the long-term risks of Mycoplasma genitalium, including in those who don't have symptoms, experts told NBC News.

    According to NBC News, Stafford wanted to raise public awareness of Mycoplasma genitalium to try to boost research efforts.

    "The implications of untreated Mycoplasma genitalium on fertility and sexual health is real," she said.


    The Efficacy Of Azithromycin For The Treatment Of Genital Mycoplasma ...

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