Mycoplasma Genitalium (Mgen)

Overview

What is Mycoplasma genitalium, or Mgen?

Mycoplasma genitalium (or Mgen) is an STI that can cause infection among people who are sexually active. Mgen can infect the cervix (opening to the uterus), inside the penis (the urethra), or the rectum.

Signs and symptoms

How do I know if I have Mgen?

People with Mgen often have no symptoms.

Someone with symptoms may notice:

Vaginal discharge
A burning sensation when peeing
Discharge from the penis

See your healthcare provider if you notice any of these symptoms.

You should also see a provider if your partner has an STI or symptoms of one. Symptoms of an STI can include:

An unusual sore
A smelly discharge
Burning when peeing
Pain/bleeding after sex
Bleeding between periods

Risk factors

Am I at risk for Mgen?

Sexually active people can get Mgen by having vaginal or anal sex without a condom with someone who has the infection. Researchers are still determining whether sex partners can spread Mgen through oral sex.

A person with Mgen can pass the infection to someone even when they have no signs or symptoms.

If you are sexually active, have an honest and open talk with your healthcare provider. Ask them if you should get tested for Mgen or other STIs.

How it spreads

How is Mgen spread?

You can get Mgen by having vaginal or anal sex without a condom with someone who has the infection. Researchers are still determining whether sex partners can spread Mgen through oral sex.

A person with Mgen can pass the infection to someone even when they have no signs or symptoms.

Prevention

How can I reduce my risk of getting Mgen?

The only way to completely avoid STIs such as Mgen is to not have vaginal or anal sex.

If you are sexually active, the following things can help lower your chances of getting Mgen:

Being in a long-term mutually monogamous relationship with a partner who does not have Mgen; and
Using condoms the right way every time you have vaginal or anal sex.

Testing and diagnosis

Should I be tested for Mgen?

Although people with Mgen often have no symptoms, someone with symptoms may notice:

Vaginal discharge
A burning sensation when peeing
Discharge from the penis

See your healthcare provider if you notice any of these symptoms.

You should also see a provider if your partner has an STI or symptoms of one. Symptoms of an STI can include an unusual sore, a smelly discharge, burning when peeing, pain/bleeding after sex, and bleeding between periods.

If you are sexually active, have an honest and open talk with your healthcare provider. Ask them if you should get tested for Mgen or other STIs.

How will my healthcare provider know if I have Mgen?

Laboratory tests can diagnose Mgen. Your healthcare provider may ask you to provide a urine sample for testing. In some cases, they may use (or ask you to use) a swab to get a sample from the vagina or cervix.

Treatment and recovery

Is there a cure for Mgen?

Yes, the right treatment with antibiotics can cure Mgen. It is important that you take all of the medicine your healthcare provider gives you to treat the infection. Do not share medicine for Mgen with anyone. Your sex partner(s) should also see a healthcare provider who can test and treat them if needed. When taken properly, treatment will stop the infection and can decrease your chances of having problems later. Although medicine will stop the infection, it will not undo any permanent damage caused by the disease.

It is becoming harder to treat some Mgen infections, as drug-resistant strains of Mgen are increasing. Return to a healthcare provider if your symptoms continue for more than a few days after completing treatment.

What happens if I don't get treated for Mgen?

Left untreated, Mgen can cause serious and permanent health problems in women, including pelvic inflammatory disease (PID). Some of the complications of PID are:

Formation of scar tissue that blocks fallopian tubes
Ectopic pregnancy (pregnancy outside the uterus)
Infertility (not being able to get pregnant)
Long-term pelvic/abdominal pain

During pregnancy, Mgen may be associated with preterm (early) delivery or pregnancy loss.

We do not know if men develop long-term health problems from Mgen.

Topic Menu

Fax: 573-751-6447

Key points