Overview

Mycoplasma genitalium is a bacterium associated with urethritis, cervicitis and pelvic inflammatory disease. It can be asymptomatic and may be resistant to some antibiotics.

Causes and transmission

  • Transmitted through sexual contact.
  • Associated with urethritis and reproductive tract infection.

How it is assessed

  • NAAT testing is used where available.
  • Testing may be considered when standard STI tests are negative but symptoms persist.

Management considerations

  • Treatment depends on local resistance patterns and test results.
  • Partner management may be needed.

Prevention

  • Condoms reduce risk.
  • Prompt treatment of urethritis helps prevent complications.

Key points

  • Can cause urethritis or cervicitis
  • May be asymptomatic
  • Testing is specialized
  • Resistance affects treatment

When to seek care

  • Persistent urethritis
  • Pelvic symptoms after chlamydia/gonorrhea excluded
  • Partner diagnosis