- Is a sexually transmitted bacteria
- has a 2 -3 week incubation period ( time till symptoms)
- Causes 25% of Non Gonococcal Urethritis ( NGU), but many men have no symptoms.
- Can cause epidydimitis or prostatitis in men
- Can cause Pelvic inflammatory disease ( PID) in women and this can lead to infertility.
- Can be difficult to diagnose and is not tested for by the NHS or on routine STI screens
- I recommend PCR testing ( urine or sperm in men, vaginal swabs in women) for MG especially in men with persistent symptoms of urethritis, who have tested negative for other STI’s and women with unexplained vaginal symptoms
- There is a high level of resistance to the usual antibiotics used for treating STI’s and we recommend you do a test of cure 3 weeks after treatment
- I usually also recommend PCR testing for Ureaplasma Urealyticum and Trichomonas at the same time.
Symptoms in women
- Contact bleeding (pain or bleeding during or after sex,)
- Dysuria (painful/burning sensation when urinating)
- Vaginal discharge
Symptoms in men
- Frequently asymptomatic (no symptoms)
- Dysuria ( painful/burning sensation when urinating)
- Penile discharge
- Is a bacterial pathogen transmitted by sexual contact
- Contact transmission to baby during vaginal delivery
- Can cause Pelvic inflammatory disease (PID) and ectopic pregnancy and possibly pre term birth and even miscarraige
- Symbiotic relationship with Trichomonas Vaginalis and BV, thus we recommend testing for all of them if there is an indication
- Symptoms vary from nothing to dysuria and discharge
- I usually recommend a vaginal culture swab for women and PCR urine or sperm testing in men
- We recommend that you do a test of cure three weeks post treatment
- Ureaplasma U. is sometimes found in the genital tracts of healthy subjects
- However when someone has it in the genital tract, it can be transmitted sexually
- It can be asymptomatic or cause issues such as discomfort and discarge
- It can also be passed from mother to baby during birth ( vertical transmission)
- Frequently asymptomatic (40-80 % of sexually active women )
- Recurrent Non-specific Urethritis ( burning, discharge)
- Pelvic discomfort and discharge
- Pregnancy complications
It is worth testing for this infection, especially if you have recurrent NSU symptoms /vaginal symptoms which cannot be explained . The NHS doesn’t routinely test for this infection.
I normally recommend a urine or sperm PCR test in men There is some evidence that it can affect sperm motility and therefore fertility, although this is still being studied.
- We are now treating all patients diagnosed with Mycoplasma or Ureaplasma, as there is evidence that it can cause salpingitis ( inflammation of the fallopian tubes) and because it can be passed on to babies during birth
- I advise treatment for patients with a two week course of antibiotics
- Contact testing and treatment is advised
- A test of cure is recommended 3 weeks post treatment
I have over 16 years experience providing sexual health screening and I offer a completely confidential, professional, non judgemental service from start to end.
If you are not sure if you have been at risk, then I offer a normal consultation to discuss the possible risks and whether screening would be appropriate.
We will always provide you with clear and accurate advice based on current British Association for Sexual Health and HIV (BASHH )guidelines.