Overview
Mycoplasma genitalium management is challenging because resistance is common. Testing and treatment should be guided by local patterns and clinical context.
Treatment approach
Targeted NAAT testing and resistance-aware treatment.
Common management options
- Antibiotic regimens chosen by clinician
- Test-of-cure may be needed
Medical supervision
A clinician should manage treatment due to resistance concerns.
Partner considerations
Partner evaluation may be recommended.
Follow-up
Persistent symptoms need reassessment and possible resistance testing.
Resistance considerations
M. genitalium resistance is a significant issue; avoid self-medication.
Key points
- Resistance affects treatment
- Testing guides choices
- May need test-of-cure
- Partner care may help
When to seek care
- Persistent urethritis
- Negative standard STI tests
- Partner diagnosis