Ok I have been diagnosed as having mycoplasma genitalium and prescribed Levotop500 (levofloxacin tablets) for a duration of 30days. What can you advise me? Thanks
@@brigitteebombo6131 In the UK, we advise doxycycline 100mg twice a day for 7 days followed by azithromycin 1gram on day 8 then 500mg of azithromycin on day 9 an 10. If you have symptoms then this can be changed to Moxifloxacin 400mg once a day for 14days. But depending which country you are in, resistances may be different. Levofloxacin is a different choice from the UK, but if your doctor has had previous success then see how it goes. You will need a test of cure 5 weeks after starting treatment. In the UK guidelines we don't use Levofloxacin. But which ever you use levo or moxi, do not do heavy lifting and if your joints or tendons ache then stop using and report back to your doctor ASAP. Hope this is useful. Take care Dr Bret Palmer
Hello doctor im 7 months pregnant and got diagnosed with this two months ago. OBGYN was only able to give me azithromycin since all other antibiotics to treat this aren’t safe during pregnancy. I’ve taken this medication twice already and I’m still testing positive: what other medication can I take? Or do I have to wait until after pregnancy?
What your doctor has done I agree with I'd do the same. You doctor may treat you again. After pregnancy you should be treated again but if you are breast feeding you must not use doxycycline as can cause discolouration of the babies teeth. Any antibiotics you take check with your doctor that ups safe to take either in pregnancy or during breastfeeding. I hope all goes well with the pregnancy. Take care and hope the advice above is helpful.
So Doc, I tested positive about a 2 month ago’s, Did treatment (partner did also) tested again and was having symptoms (dysuria). The results came back negative for mgen and other routine tests. I then had intimate moment with partner, tested again two weeks later and it came back negative for mgen and also other routine test. The symptoms of dysuria are still going on. Is this a lingering effect?
Hi Kreed, Thank you for your question. Dysuria can stay for a while. Apart from STIs, other simple bacteria from the body can also cause dysuria. As its the summer simple dehydration can also cause it as well..... something I've recently rediscovered in the hot weather! My advise is what is the colour of you urine... is it dark? Or worse in the morning. If so up your fluid intake and see if it clears up. Guys can also cause dysuria due to over self examination, too tight a grip when masturbating, and over interpretating pain signals then would have previously ignored. You have good reason to be concerned as you've just cleared an STI, but that's the past. Drink lots of water, stop all self examination and milking and it should resolve itself...... easier said then done. Hope this is helpful and your symptoms resolve. Kind regards Dr Bret Palmer
I was on doxycycline and moxifloxacin with an initial 3 day dose of azithromycin after a failed treatment using moxifloxacin alone for 2 weeks. After the doxy-moxi combo for a month it came back negative but I still have some discharge in the mornings and slight but diminishing testicular pain. My infectious disease doctor prescribed another 3 months of doxycycline and azithromycin as my test was negative. Thoughts on some lingering symptoms while others have disappeared?
Hi Doctor, I am about 12 days post my doxy/moxi treatment. The symptoms are no where near as bad as they were, but they certainly haven't dissappeared fully. Still get a few random pains during the day, and it's embarrassing to say, but masturbation really flares it up and causes burning. Do you think it sounds like it has gone? How long do residual symtpms generally last? Thank you.
Thank you for the question. Sounds like it is going. But aches and pains may last for 4-6 weeks. As long as the pain isn't staying and getting worse then should hopefully settle with time. Take care
Hi there, generally it is contracted by penetration with a penis. Unlikely to be passed on through kissing, but can be probably can passed via oral sex. Usual route is via penetrative sex.
Doctor, please help me with this question… would the presence of MGEN in a male who has a rare variant of Glucose-6-phosphate dehydrogenase (G6PD) deficiency be dangerous or deadly? MGEN showed in my blood test (I have no symptoms and must have had it for a year now) and I’m worried I past it to my new partner who has the G6PD deficiency.
Nope it doesn't. Also a blood test will not tell you anything apart from you have or had it in your life. You will need to do a urine test or swab test to see if you have it now.
Question for doctor: MGEN was tested negative after first having symptoms for 4 months. Now it has been 2 months from the negative urine test but the opening of my penis urethra is still red and too sensitive to touch. How can the urethra still be inflamed if MGEN has been negative for 2 months? The redness around urethra opening doesnt react to any hydrocortisone or tacrolimus so it seems to be an urethra issue and not just skin redness. Is it possible MGEN caused permanent damage to urethra and that is why its showing symptoms? Is there any medication that can heal the urethra?
Thank you for the question. MGen is negative so we know its not that. From what you have said, it sounds like there maybe a fair bit of self examination going on, would this be correct? If so, then stop all self examination for 2 weeks and see what happens. Also stop all coffee and alcohol as these can irritate the urethra and don't use any soap, just use water, can use an emollient. Take care
Doctor me detectaron Mg, mis síntomas son mínimos solo ligero ardor al orinar, me dieron docixilina 14 días y el día 15 , 2 pastillas de azitromicina 250mg lo ve bien?
Hi doctor. Thank you for your time spent helping in the comments section. I was tested positive for gonorrhea and m.g. After a getting 7 days doxycycline and a 500mg shot of ceftriaxone the gonorrhea was cleared. But the m.g did not. .My doctor put me on ciprofloxacin 14 day What do you think of the effectiveness of this protocol? Should I ask for moxifloxacin? Should I evoid excersice with ciprofloxacin as well? Thank you in advance
You can try the ciprofloxacin, Depends on the resistance profile of your country. However many places now recommend moxifloxacin. You can exercise but just go easier than usual. Good luck
Very rare to have oral MGen. Studies have shown that its not worth being worried about. If you had the urine or swab tests (different labs test for it differently) and you are negative then I'd believe the result.
Hi there, I am a male currently on treatment for MG taking a week course of doxycycline and then a week of moxifloxacin. Unfortunately I have transmitted this to my female partner. I will be seeing my long distance partner 2 days after I finish my full treatment. My partner may still be on treatment for her MG. My question is, if we use condoms for safe sex will be okay to give unprotected oral sex to one another? As it’s mycoplasma GENITALIUM I assume the bacteria is only in the genitals and not in the mouth? So my partner wouldn’t be able to give me MG again through oral sex? And I wouldn’t be able to contract MG by giving her oral sex despite her potentially still being positive. Only through vaginal sex? Please could you clarify thanks.
Hi there, this is a common question. We usually advise to not have any sex at all. While what you suggest is logical, usually most oral sex acts lead onto other different sex acts as our rational brain gets cut off. I'd recommend that you guys do something else. Sorry, I know this isn't what you want to hear. Kind regards Dr Bret Palmer
Hello doc Nice to see you on CZcams, This gave me a little hope and let me know that I'm not alone I have been suffering from mycoplasma infection for two years and did not receive any drug treatment for the first half year. It was only later that I started to receive drug treatment, and now the doctor prescribes the drug with 10 days of Doxycycline, then with 7 days of Moxifloxacin , But I still haven't cured it, and the test is still positive, My symbol is that every morning when I go to the toilet and squeeze the glans, a drop of yellowish liquid will come out. What is the wrong with me? Is this （MG) disease completely curable?
Hi there. It can be cured but can also be difficult to cure. If your doctor can run a resistance test on you result, this would help. Also was you tested 5 weeks after treatment. Takes time to clear out the dead bacteria. Try to to express as this can damage the inside and end up causing a discharge anyway. I hope this helps
I have mgen and have been prescribed doxycycline for 14 day and ciprofloxacin for 7 days and still have symptoms. My pain is mostly in my testicles and ive been referred to a urologist . Can i be cure still? Im very worried about this because sometimes its painful to walk.
@@DrBretPalmer i havent seen the urologist yet but i have had a ultra sound done about a month ago and everything came back good no cancer or anything abnormal. Is there any other medication i could ask my doctor for that would work i just scared because my i getting worse and i dont want to not be able to have kids ? I also have be prescribed fosfomycin tromethamine i took that yesterday
@josephhinton6579 you can ask for a 2 week course of moxifloxacin, depending on allergies etc. Supportive underwear and do kegal exercises. Has your prostate been checked as well? Take care
@@DrBretPalmer no i havent had my prostate checked yet but i will on my next doctor appointment and i will as my doc for moxi next time i see him but will i have to do doxycycline again with the moxi or just the moxi by itself?
Hello Doc, My partner and i got treated with 7 days of moxi, we had unprotected sex 4 days after completions of treatment, i was doing a TOC for gonorrhea that i got just before that when the nurse told me that they dont test again for Mgen and that it is ok to have unprotected sex after treatment, 99 % of my symptoms are gone but i still occasionnaly feel a stinging sensation on the tip of my penis, is there a risk of reinfection ( my partner has been asymptomatic all the time ) ? How long does it take for the treatment to fully eradicate the bacteria in the case the treatment worked ? Because i heard that it could be lingering effects from the infection I also have an appointment with the doctor in 3 days to ask for a cure test Thanks !
And it now has been 2 weeks since completion of treatment, is it too soon to get tested again ? And if a reinfection occured during this time, will it show on a test ?
Hi there. The antibiotic, moxifloxacin, will treat Mgen. It should kill all of the bacteria. However, the body take a little time to clear the dead bacteria from your system. So any test of cure for MGen, should be done ideally 5 weeks after the start of your treatment. There can be residual inflammation which may last longer. But also important to stop self examining and keep hydrated. I hope this is useful
@@DrBretPalmer Thank you for your answers, I live in Canada and the tests here are limited so they don't test you again except if you are showing symptoms
Hi there. Reviewing the treatment guidelines, for Canada, you should retest (test of cure), 3 weeks after the completion of treatment for people who remain symptomatic or who reside in regions with high prevalence. UK guidelines state everyone gets a test of cure. If you live in a city, your doc should retest you. Otherwise, have to see what they say. Good luck
Thank you Doc Palmer. I had recurred clear penile discharge but no pain 4 months after treatment. Got me worried. I already informed my doctor but NAAT in my area is unavailable.
NAATs are in short supply at the moment. But yes you do need a full screen. If family doctor doesn't have the test can always ask a sexual health center. Good luck
Hello doctor I live in Spain and I was disgnosed with Mycoplasma genitalium this January (2024) and I got it via oral sex because the person has it in the pharynx( or somewhere in the neck I don't really know). The symptoms were pain when peeing, discharge and inflamation on the prepuce (I still have a scar from it). After 4 months I am still fighting with it and the urologist told me that most probably I will have to live with it and this makes me feel really bad! So far I had 3 treatments: 22 Jan-28 Jan 》moxifloxacino 400 mg 1/day After 3 weeks and 2 days: 21 Feb- 1 March ( 10 days) 》 doxiciclina 100 mg 2/day After 6 weeks and 4 days: 17 April-30 April (14 days)》 moxifloxacino 400 mg 1/zi I don't know if I still have the mycoplasma but I still have pain when peeing (not all țhe time) and I have discharge in the pee ( like a white liquid). I made an appointment for the next week to redo the analysis/tests. The urologist told me that the next tratament (if I still have the mycoplasma) will be moxifloxacino for 1 month. Do you think that the Mycoplasma already has resistance to these antibiotics? What should I do? I am feeling really frustrated and I hope to cure it! I hope you will give me your opinion! Thank you!
Hola amigo,yo también he contraído el MG este año,ha sido y es muy desesperante,si te apetece que compartamos opiniones escríbeme,yo acabo de terminar otro tratamiento y sigo con síntomas.un saludo
Is there any information on how effective condom usage is in preventing the spread of m.gen? Is the efficacy different if the female is infected versus the male?
Yeap it is estimated that condom usage should decrease most STIs by 90% if used correctly. Unprotected sex, the chances of passing on any bacterial STI is higher from male to female as for males everything goes via the urethra.
@@DrBretPalmer So the fact that m.gen is so small doesn't increase the likelihood of transmission even with condom use? Is there a difference between latex and non-latex condoms?
I have no discharge or no pain on peeing. Had some dysuria and tingling in the tip of my penis. Took doxcycyline for 14 days now on day 15 taking Azithromycin 500 MG for 5 days. Doxycycline got rid of a lot of my symptoms, but some mild urgency and discomfort on the tip still remains. All my tests were negative (including mgen) but the doctor took a precaution and treated me anyways. My symptoms are 70% better. The doctor said some Symptoms linger after treatment and it's normal. Is this correct?
Yes that is correct. If the tip was inflamed then can take a month to settle. If you have a bruise on the arm or leg then can then can take many weeks to get better. Don't use soap to wash. Hope all goes well. Dr Bret Palmer
Hi doc, I caught Mgen from Thailand and its resistant to Azithromycin and also Moxifloxacin. My clinic has me on 10 days Moxi, and ive been on 10 days of doxicycline. What should I do going forward, I'm really worried so any advice would be helpful right now.
If in not much pain, then don't be worried. Good that you've taken some treatment. The majority of people can clear it naturally within 6 months, so hopefully you will get rid of it. Don't smoke, drink water..... stay hydrated, eat healthy, exercise and have a good night's sleep. You will be alright. Kind regards Dr Bret Palmer
@Dr Bret Palmer thank you for your reply doc, it's much appreciated. I'm 4 days into my moxi treatment, but my achillies area and my knees ligament are tender, so I'm ringing up tomorrow to say I can't continue this treatment. This is why I am worried.. I'm from the UK, so will I be able to get another treatment to combat the resistant mgen? Also, how long after the moxi treatment will it take for my ligaments to get better again? I really appreciate any advice or help here as like I said I'm really worried about the whole situation, to be honest and a tad scared.
No problem. The absolute risk of tendon rupture is very small and rare, and more common with other antibiotics. I'm assuming your not going to the gym and just done legs and calfs? They may just stop it and see how you go. Tenderness should go after a couple of weeks, may be prolonged 6 weeks but if you rest and swim, should recover quickly. Must discuss with your doctor, see what he says. Not many other treatments, may just wait for 5 weeks and retest. Other meds I'm the same class may also make the tendons tender. No gym, cycling, running. Swimming should be okay as takes the weight off the tendons. Hope all goes well. Kind regards Dr Bret Palmer
@Dr Bret Palmer no I haven't been to the gym and it's just started being tender on my achillies area on both legs plus my knee today. I'm just so worried as when my results came in the doctor at the clinic said it was resistant to moxi and also azithermycin so if this doesn't work I don't know what they will do. Do you have any idea what they may do or say? Sorry for all the questions I'm just really concerned right now and a tad scared in all honesty. Did you say this can clear it 6 months? Thank you for your replies.
Hi Steve, No problem. Most people can natural clear it, this is most acceptable to people who don't have a partner and not in pain. You could go onto an extended course of Doxycycline. Various reasons why they have put you on moxifloxacin. They are probably hoping the Doxycycline will get rid of the ones resistant to moxifloxacin, then given moxifloxacin to get rid of the ones resistant to Doxycycline.... thats the idea. Of course what do you do if some is resistant to both! From what you have said, I'd suggest speak to your clinic straight away, give them a call. You should stop the moxifloxacin if causing tendonitis, you may be called in to be examined. Let me know how it goes.
Yes there are depends on the symptoms and infection you are treating. Most people can use on of the following: Doxycycline Azithromycin Ofloxacin Hope this helps. Dr Bret Palmer
Thanks for the information, very helpfull, i have a question. I am now 4 weeks pregnant and i have mycoplasma Genitalium. My doctor already gave me azitromycine antibiotica, but it didn't work, now he wants me to use moxifloxacin 400 mg for 10 days. I am so scared to use it , because of my pregnancy. My midwife says do not use moxifloxacin, but my doctor says mycoplasma Genitalium will damage the fetus more then moxifloxacin. I really do not know what to do. Please can you help me. If the mycoplasma wont damage the fetus i would rather take no antibiotica. What do you think? Is it more harmfull if i took the antibiotica in my first trimester?
You are in a difficult position. I wouldn't use moxifloxacin and there are alternatives. Which country do you live in? Is your doctor a family doctor or a sexual health specialist? Kind regards Dr Bret Palmer
@@DrBretPalmer thanks for your fast response. I live in Holland. My doctor is a family doctor. He said there is no other antibiotica that i can use. What other alternatives can i use as a pregnant woman?
Okay, in the UK moxifloxacin is not used in pregnancy and most guidelines around the world say it is contraindicated as can cause arthropathy. However some medication websites say it can be used if the benefits out weigh the risks. The UK guidelines tend to just use Azithromycin and then leave it at that. Also general advice is if no symptoms then leave until after the birth. If you are in Holland the do have sexual health centres. I'd advise to contact: The Centre for Sexual Health (Centrum Seksuele Gezondheid Haaglanden) offers tests and check-ups for STD free of charge. A referral by your GP is not necessary and they should be able to assist. In the UK the harms of mycoplasma genitalium to the baby are not considered great as the evidence is very poor for such a common infection. I hope this is useful. Let me know how you get on. Kind regards Dr Bret Palmer
@@DrBretPalmer thank you so much for your advice!! I will contact Centrum Seksuele Gezondheid Haaglanden. One more question. My partner probably also have it, if we don't treat it and still have sex, would it make the mycoplasma worse? Like more bacteria and maybe in that way, it can harm the baby? I hope you understand what i mean. Hahha my English is very poorly.
Nope your English is better than my Dutch. Some people have extended Azithromycin course for 6 days. You won't make it worse but you are probably giving back to one another. There is also a possibility of naturally clearing the infection if no sex but this can take 6 or so months. The evidence is weak about mycoplasma genitalium affecting your baby, but there is a risk of pre-term deliver and a low weight baby. I hope this is useful Kind regards Dr Bret Palmer
@chanakamadusanka3696 yes, can be very hard. Take time for it to go, test 5 weeks after treatment completed. As early testing can give a false positive.
I am doing treatment with doxycycline 100mg twice a day for 7 days and Moxfloxacin 400mg for 10 days. Currently on my day 6 of Moxfloxacin. I don’t have symptoms but still can see some weird pigments in my urine. But not having discharge...is that comum?
If you have started to bleed or urine has become very dark, this could be a side effect of moxifloxacin so you should return to your doctor to ask if okay. Your doctor should review you.
@@DrBretPalmer today I woke up with discharge...it is like pre-cum! There’s no signs of blood...and an uncomfortable sensation in the tip of my penis. I have been worried about this bacteria! Worried to be untreated and there’s no much information about.
@@DrBretPalmer yes! And the test says it is sensitive to moxifloracin. I finish the treatment on Friday. My doctor told me yesterday that moxifloracin is very efficient and I shouldn’t worry. Sometimes even if the bacteria was killed some symptoms can remain for a while cause of the infection. He asked me to watch and if after 2 weeks after the treatment I am still having symptoms I should contact him again.
Hi. I am Vietnamese, I have been taking moxifloxacin 400mg for 14 days. Then in the morning, there was no more pus discharge, the symptoms were almost completely gone. I have been off the drug for 13 days now. but see inside the urethra there is still a little fluid, not much. Can I ask if this is normal?
If you have to open the end with your fingers to see fluid then yes this is normal. Don't open up the tip as this can irritate the penis. Leave along, if no pus, no discharge and no pain on peeing and your sexual partners have also been treated then that's all done. Please go for a repeat sexual health screen in about 5 weeks. Have a great week and hope that's helpful. Kind regards Dr Bret Palmer
@@DrBretPalmer I took Moxifloxacin 400mg for 14 days, stopped for 15 days, but now the symptoms of pus discharge at the tip of the penis have returned.
Hi there, thank you for your question. If you are sexually active did your partner get treated? Does it hurt when you pee? Have you been milking your penis or is the discharge so strong that its there is no need to milk (milking is not a good thing to do, as you can create you own discharge). Kind regards Dr Bret Palmer
@@DrBretPalmer My girlfriend treats like me. During treatment I use safe sex method. But when ejaculating is still a bit burning. I urinate without pain. During the treatment, I sometimes used my hand to examine the urethra and could not express milk.
@@DrBretPalmer I have stopped taking the drug for 23 days now. New symptoms reappeared 7 days ago. Morning discharge, slightly itchy. slightly painful ejaculation. There is no pain while urinating.
Hi there, after treatment, you should be back to normal with no discharge and a resolving pain on peeing. If not improving, then you may need to head back to your clinic for a review. Dr Bret Palmer
No not at all, when you have been successfully treated it is cleared from your system. But its very common so you can catch it again. That's why it's very important to inform your partners.
thanks for the informative content. i’m impressed how responsive you still are to new comments. one question. will taking levofloxacin increase bacteria resistance to moxi? i was prescribed levo but would rather take moxi as i’ve read of better results with the later
Thank you. Resistance usually comes from incomplete courses. Levo and Moxi are both good antibiotics and resistance in one may not guarantee resistance in the other but this also depends on the bug as well. The smaller the bug the quicker resistance can form (very general rule and depends on how many proteins are on the outside compared to the inside, gonorrhoea easily becomes resistant, syphilis with no outside proteins is still sensitive to the same antibiotic discovered in the 1940s). Important note always finish the whole course. Hope this helps. Thank you
Sup Dr. Palmer! I have taken moxi now for 14 days after a failed azithro treatment. I just took my last moxi pill. My pee is a lot clearer, I still saw 1 little organism floating in there just now. Still have some symptoms. You think everything is going ok?
I'm desperate. I am Mgen positive, test showed that I have NO resistance (Austria/Europe). My doctor still prescribed me moxifloxacin. An antibiotic that is very dangerous. I told the doctor that my resistance test was NEGATIVE. He said that I still have to take moxifloxacin. I didn't take it. I was diagnosed at the beginning of June 24, and for three days I have had a burning sensation when peeing. But not always. I have an appointment with another doctor in August and we will discuss treatment options. I won't take moxifloxacin until I'm admitted to the hospital :( I'm terrified of moxifloxacin :(.
If it has no resistances can do doxycycline 100mg twice a day for 7 days, some do 14 days, followed by azithromycin 1 gram (day 8, or 15, depending on length of doxycycline course), then azithromycin 500mg on day 9 and 10. I hope that makes sense. Alternatively can do minocycline 100mg twice a day for 2 weeks. This is want our clinic switched to due to the problems of moxifloxacin. Obviously all depends on allergies. I hope that helps. Dr Bret Palmer
@@DrBretPalmer Thank you soooo much! One last question: is it true that MG often will clear on its own (if you dont have symptoms) and you will not be prescribed treatment? Thx a lot!
Reactive arthritis is a condition that causes redness and swelling (inflammation) in various joints in the body, especially the knees, feet, toes, hips and ankles. It usually develops after you've had an infection, particularly a sexually transmitted infection or food poisoning. In most cases, it clears up within a few months and causes no long-term problems. Men and women of any age can get it, but it's more common in men, and people aged between 20 and 40. Symptoms of reactive arthritis The most common symptom of reactive arthritis is pain, stiffness and swelling in the joints and tendons, most commonly the knees, feet, toes, hips and ankles. In some people it can also affect the: genital tract - causing pain when peeing, or discharge from the penis or vagina eyes - causing eye pain, redness, sticky discharge, conjunctivitis and, rarely, inflammation of the eye (iritis). You should get a sexual health screen ASAP, if you think you may have SARA. I think I'll do an episode on this in March. Thank you Dr Bret Palmer
Salam, mən sizə Azərbaycandan yazıram. Mən evliliyə hazırlaşırdım və müayinə olunarkən təsadüfən mikoplazma aşkar olundu, lakin mən müqavimət testi vermədim, həkim mənə səfbaktam iynə yazdı 7 ədəd ancaq mən bunu araşdırdım və indidə sizin videonuzdan xeyli şərhlər oxudum və belə qənaətə gəldimki mənə yazılan səfbaktam tamamən səhvdir, mən doksisiklin və moksifloksasin qəbul etmək istəyirəm
Did anyone just get a redness on the head and around the peehole? I tested positive for Mgen but this is my only symptom, no painful peeing or discharge. I did doxy 10 day course and halfway through Moxi 14 day course. This redness has been here for 2 months now though
Redness can be a cause of many problems. Are you using soap to wash for example? MGen can cause a slight redness as well so lets see if the moxifloxacin clears the infection. Thank you Dr Bret Palmer
@@DrBretPalmer Thanks. I use soap but I'm not exactly scrubbing it. It was never red like this before. I will wait 5 weeks after I finish meds to do another test. Then il let you know ✌️
Hi Tristan, Only use water from now on or an emollient if you really need to use anything. Once you have inflammation soap can continue to aggregate. Should improve with the absence of soap. Best of luck Dr Bret Palmer
Great question You may have an infection but have no symptoms. Disease is where you have symptoms but may not know the cause of the symptoms e.g. an infection. That's why medics changed from using the terms Sexually Transmitted Disease (STD) to Sexually Transmitted Infection (STI). May do a video on that. Thank you Dr Bret Palmer
@@DrBretPalmer thanks for explaining.. Theres a lot of articles ive read and ive been on the mycoplasma reddit and it seems theres a lot of confusion. I read it as 'your immune system clears the disease from your body and its gone' Perhaps if you have time, you could jump on the reddit and clear up some confusion :)
Hello doctor I contracted MGEN from a female partner I had urethritis from it but after taking moxifloxacin it has gone away but I still get some light nerve sting around the pelvic area and have noticed occasional dryness in the rectum area. Is this a symptom of MGEN and can it spread to the rectum? Did not have any anal sex
Hi Andre, you can have mycoplasma genitalium in the rectum but usually you have to do some form of anal play. In any case the moxifloxacin would of treated it. Dryness isn't usually associated with mycoplasma genitalium, so feel free to moisturise the area as needed. I hope this helps. Kind regards Dr Bret Palmer
@@DrBretPalmer one last question. I have my test for cure in a few days after taking 7-day moxi. It cleared my ureathritis but I occasiobaly get slight sting around groin and pelvic area an couples time a day. That horas after after a second. Could this be nerve damage from Mgen/antibiotics or just a lingering symptom. Also moisturizing help my bum hole.
@@DrBretPalmer still awaiting test for cure but been noticing my anus becoming irritated and sore after hard stool bowel movement. Could this be mgen in rectum or something else like after effects of antibiotics?
Hello Doctor. Thanks for all this exhaustive vidéo and for all the help you provide. I have persistant mucopurulent urethritis since 1 month. First, my doctor was thinking about chlamydia and gave me 10 days of doxy. It makes stop all symptoms, except a veryyyy discret White discharge only after multiple penile milking. Infection was starting Alain 1 week after and I was tested m.g postive. I took 1g of azithro thé first day, then 500mg days 2,3 and 4 and then 14 days of josamycin. What do you think about this protocol ? Is that smart to continue with à C16 macrolide in order To avoid acquired treatment résistance with azithro ? Is it normal to see a persistant minimal clean discharge after pénis milking (résult of irritation even if m.g is eradicated) ? Best regards
First of all sorry to hear you are having a difficult time. I wouldn't advise continually milking as you will end up getting a discharge regardless. Different countries have different protocols, the UK and many other countries tend to use doxycycline followed by azithromycin for three days or 14 days of moxifloxacin. You will need a test of cure for mycoplasma genitalium in about 4-5 weeks. Good luck
@@DrBretPalmer thank you so much for this so fast answer and kindness. Doxy has been selected because I just ended used it 1 week before without success and because I was having a purulent discharge and string discomfort in just one night (all ôter STD's tests are négative). I Will just milk one time à day, at morning. You're right, it induces anxiety. I Will do a control test 5 weeks after thé start of this new treatment. As nutritionist and working in research, I can just recommand To complete antimicrobial therapy by highly dosed probiotics (idealy 80 billions of microorganisms dailly) in order To préserve our microbiome... and To add natural fresh plants extracts supplements (only during thé time of treatment) as uva ursi and calluna, which have traditional use and évidence based facts for urinary tract infections. It could surely be a good synergy. Never Forget To add bioavailable magnésium (as citrate or bisglycinate) To your regimen when on antimicrobial, especially quinolone which are known for potential myo tendino toxicity. If someone starts To Feel muscular and tendon pain while taking it, adding silicium and type 2 collagen could be usefull. Drink a lot of water. Take care and be safe guys. And thanks you again dear Doctor. Wé are Lucky To have you🤘🤗
@@ochirsumgankhuyag2361 this protocol doesn't work. After improvment, pus discharge came back. So I take 10 days of Moxifloxacin. I've seen a great improvment, but I was still having a discrète discharge deep in thé uretra, only visible by milking on morning or when getting hard, while blending with pre-seminal sécrétions. I'm still worried because thé color is White. So, I've done a first TOC day5 after moxi and I just complète 15d of minocycline. White mucus is still there. So I don't know if I have To use pristinamycin in order To be sure to eradicate m.g. it would be thé last weapon against it...
@@DrBretPalmer , what do you think about it ? Is this discrète White mucus normal ? Have I To wait and do a TOC in 2 weeks or more, or to take pristinamycin ?
Hello, this is a good video. I have a question DO YOU HAVE TO TAKE DOXICLINE TOGETHER WHITH MOXIFLOXACINE OR MOXIFLOXACINE IS AFTER YOU FINISH THE DOXICICLINE?
Thank you. Doxycycline 100mg, twice a day for 7 days should then be followed by Azithromycin for three days. OR Moxifloxacin 400mg OD for 10days.... 14 days if more complex infection. I hope that makes sense 🙂
No. Masturbation is fine as you won't pass it on to anyone else. Get treated znd have a repeat test in 5 weeks to make sure out of your system. Partners aldo need to be treated otherwise just get it back again. Enjoy.
@@DrBretPalmer thank you doc. I'm partner free, STD panels negative but in U.S. they don't test for mgen. It's just my best guess that I've got mgen. Some dang clinics here just throw antibiotics at you before you even get test results (happened to me, got the rocephin in the bum and 7 days 2x daily 100mg doxy...didn't do anything, and tests were neg for gon, chlam anyway). Lost insurance due to the pandemic mandates forcing my employment to terminate me ;/. Heck, can it be e. coli UTI from unprotected backdoor sex with my previous female partner? Idk but it's stressful 🤣
Could be, but what exactly are your symptoms? The antibiotics you had should resolve most things. Could you go to a family planning centre, in the US they should be free, can go for a second opinion but yes I've heard M.Gen tests are difficult to get in the US.
@@DrBretPalmer no burning, no chills, no fever. - Just minimal white looking but actually yellow tinged discharge (using toilet paper as white background) in the morning. Would represent itself on my boxer briefs after a full night sleep. Not much during waking hours. - testicular ache like someone lightly tapped it and has the dull ache sensation - possible groin area ache a few times but very minimal, can't tell if I'm just hyper aware of every little thing now making me assume it's related Planned Parenthood was the one who shot me up with antibiotics without a diagnostic confirmed diagnosis. Still waiting on a call back from another health clinic that did a repeat test and mentioned microscopic viewing of urine catch (however appt was at afternoon, it was not first void first catch)
Yeap you will need microscope examination, ideally from a sample direct from the penis. Genitourinary Medicine only seems to be a specialty in the UK and Australia. I'm surprised US doesn't do these examinations. Would be good to test for MGen, didn't if just ruling out.
All humans have genitals, so being investigated for mycoplasma genitalium (if you have a discharge or pelvic pain), it is important to rule this and other infections out. Kind regards Dr Bret Palmer
@@DrBretPalmer There are countries that only have two tests Mycoplasma huminis and ureaplasma But I discovered that there are many other types, such as Mycoplasma genitalium, Ureaplasma genitalium, and Ureaplasma parvum. The question is whether eliminating the first two types means eliminating the rest of the types or not
@user-dk9kw3qg8z nope. You shouldn't really be interested in these tests as some are and should, be found in humans. Provided everything is normal and you are negative for Chlamydia, gonorrhoea, syphilis and HIV, then don't be concerned. If you have symptoms then your doctor should treat you accordingly.
Hello doctor, I had a chlamydia/gonorrhea test in 14/3/2022. My doctor prescribe an injection of ceftriaxone and azythromycin orally 4 tablets for 1 time, after 2 weeks the symptoms don’t go away, I went again to the doctor and he prescribed doxycycline 100 mg twice a day, and after 4 days of suffer from symptoms I call another doctor and he prescribed metronidazole 500mg twice a day, i am now in day 8 of doxycycline and i have a discharge just in the morning ( when getting up ) and also feeling uncomfortable in the penis for all the day. Please i want your advice about my situation.
Thank you for your question. You are having a tough time. Good that your tests are negative. Is the discharge starting to ease with the doxycycline? Did you get a follow up test for mycoplasma genitalium? As well as syphilis and HIV? Important to get everything ruled out. Which country are you based in? Can you get to s sexual health clinic for a review? You will need to get a mycoplasma genitalium test though. With regards to sexual history, many partners in last few months, with condom or without? Also any anal intercourse? But the metronidazole hasn't helped by the sounds of it. Let me know some of the answers above. Take care Dr Bret Palmer
@@DrBretPalmer thank you for fast responding. The discharge now only when i milking in the morning, and a very litle amount when i milking before pissing. ( before taking doxy i can notice the discharge in my underwear ) Actually I didn’t test for mycoplasma genitalium yet. I had syphilis and hiv test and all are negative. I am Saudi Arabian, it is hard to go to a sexual health clinic. I had tsex without condom and it was vaginal, never have anal. Thank you again for fast responding.
@@DrBretPalmer New symptoms is a little pain in testicle. Discharge is very low amount ( only noticed in morning and when milking)& itching from time to time.
as a result none of theese were afective I showed my doctor your video as a result he gave me 400 mg moxifiloxacin I am using it now. If I don’t see results i will try minicycline and postinamycin together is this right? on the other hand theese two medicine I mentioned last is not avaliable in the country I live how can I get thoose? thank you I am waiting for your response
I had a treatment with 5 days of azithromycin but it didn’t work. I still had symptoms. (I’m from the Netherlands). I had sex with my partner unprotected after 4 weeks of treatment but we both still had symptoms… so yeah… not the smartest thing to do but I don’t know if it matters or not. Wanted to tell you anyways… Now I’m going to start moxifloxacin for 10 days. Thinking about doing 14. What do you think doc?
Or you both can take doxycycline for 7 days followed by azithromycin for three. If that doesn't work then both of you go on to Moxifloxacin, if symptoms are severe then take for 14 days. Your partner should take the same antibiotics as yourself. No sex for 5 weeks and your test of cure is returned as negative. Hope that helps. Good luck. Dr Bret Palmer
@@DrBretPalmer thanks for the reaction!!! I got prescribed moxifloxacin for now, is it also okay to try that one first and if that doesn’t work do the doxy and azithro you mentioned? Or is it better to do it the other way around?
If you've already got moxifloxacin then use that. Remember the precautions about if you get tender tendons to stop the meds...... no heavy exercise while taking them, no gym, light swimming should be fine as not weight bearing. Hope that is helpful Kind regards Dr Bret Palmer
Is 3 months of untreated mgen resulting in PID usually long enough to cause infertility? Is ciprofloxacin a viable alternative in treatment? Thank you for this video
Ideally you should have Moxifloxacin which would be better as would treatment Mgen and PID. Then repeat test 5 weeks after to make sure you are clear of infection. Also need to make sure partner is treated. The longer you have PID the increase in chances of infertility but everyone is different. Make sure you have recovered from PID then try for children. If no luck in falling pregnant after a year then speak to your GP and/or your fertility service (depends on which country you live in). But must make sure you have cleared the Mgen and PID first. Good luck
There are alternatives. Moxifloxacin is a last resort. Tendon damage is a rare side effect which I talk about in the video. If people take any form of this type of tablet then they need to rest and not do any exercise which can effect then tendons.
I know the video is about mycoplasma. But I was diagnosed in September with ureaplasma urealyticum. As a result I had a cervicitis, which I have already been treated for. Then in January I tried to contact the sexual health clinic that referred me to the GP. I went to the GP, and he said not to worry about ureaplasma, devalued the infection and said that everything was fine with me, even though I said I had pain (similar to menstruation pain). Unfortunately the costs for a private gynecologist are extremely high for me. I do not know what else to do.
Hi Filipa, Thank you for getting in contact. Usually ureaplasma urealytium is completely harmless and guidelines say not to treat it unless there is no other cause. I'd go back to the sexual clinic and talk to them about the pain your in. If you've had a full sexual health screen including mycoplasma genitalium and its all negative and you have been cleared for PID, then go back to GP to discuss further investigation of the pain you are in.
If you were told of ureaplasma then got treated for cervicitis this could of treated the ureaplasma... depending what you was given. In short do you still have symptoms? If so what are you experiencing?
I was tested negative to mycoplasma. Last week like i said i went to my GP and told her about the pain, she did some exams and i receive a message from my GP telling me that i was everything ok with my exams
I was diagnosed with Mgen 1 week ago, been having clear/white discharge for 3 months already. Receiced prevention meds for chlam/ghon 2x before the diagnosis (azitro and ceftri / 7 days of doxy). Both trestment helped but then symptoms came back 2 weeks after. Now 3rd treatment is 7 days of doxy followed by 7 days of moxi, hopefully it works. I was wondering if I should ask for 10 days of moxi instead, to make sure. Still waiting for the resistance test, should take 1 month, I’m in Canada. If treatment fail, next one should be Pristinamicyn if I follow Canada’s guide. I’ve also heard of minocycline and clarith have a good success rate. If people wants more info, there is a nice subreddit for mycoplasma.
Thank you for the info. The guidelines in Canada are different from the UK. I'd advise to stick to your doctors current plan and see what they then suggest. I tend to give 10-14 days of Moxifloxacin but that is following the UK guidelines. There has been studies comparing different regimes. The main thing is that you will have dome Moxifloxacin. You can ask if you want, but if your doctor has had lots of success with this regime then they will stick to it. Good luck Dr Bret Palmer
@@klopplegend4520 hello, it’s been 1 weeks after I finished my 2 weeks med(doxy+moxi). Discharge as stop, but I still get little tingling 4-5 times per day. It’s most likely normal, urethra needs to heal from it’s « scar » from the infection. You can ask me back in 2-3 weeks and I’ll answer. Good luck
This is very informative, so glad I came upon this video. Just had a screening and im clear for all STDs, have discharge that is clear/white. They put me on doxy for 7 days. Symptoms went away for 10 days and came back. Before it was just discharge, now it's irritation in my urethra, slight irritation when urinating. They said they are sending my urine sample out for advanced screening but im not sure If it covers Mgen or not... thanks again for this video
Sorry to hear that. Hopefully they have looked at a sample under a microscope as well as send off a sample for Mgen. If they think it is Mgen then they could treat you for it regardless. And your partner. Good luck.
@@DrBretPalmer Hi Dr Palmer, Does MG eventually go away on its own? My Dr said it eventually does? Also how many courses of antibiotics can you potentially go thru before it's completely out of your system? Thanks for that.
Yeap it can go on its own. Can take 3-9 months. Some individuals it stays for longer. Usually one course of antibiotics should clear it, but your sexual partners also need to be tested & treated otherwise you will catch it again. Does take 4-5 weeks to clear from your system. If you test too soon the test will pick up dead bacteria. Hope all goes well. More info in the video. Take care
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Thanks very much for the explanations.
Ok I have been diagnosed as having mycoplasma genitalium and prescribed Levotop500 (levofloxacin tablets) for a duration of 30days. What can you advise me? Thanks
@@brigitteebombo6131
In the UK, we advise doxycycline 100mg twice a day for 7 days followed by azithromycin 1gram on day 8 then 500mg of azithromycin on day 9 an 10.
If you have symptoms then this can be changed to Moxifloxacin 400mg once a day for 14days.
But depending which country you are in, resistances may be different. Levofloxacin is a different choice from the UK, but if your doctor has had previous success then see how it goes.
You will need a test of cure 5 weeks after starting treatment.
In the UK guidelines we don't use Levofloxacin.
But which ever you use levo or moxi, do not do heavy lifting and if your joints or tendons ache then stop using and report back to your doctor ASAP.
Hope this is useful.
Take care
Dr Bret Palmer
Thanks for your help
Pleasure 👍
Hello doctor im 7 months pregnant and got diagnosed with this two months ago. OBGYN was only able to give me azithromycin since all other antibiotics to treat this aren’t safe during pregnancy. I’ve taken this medication twice already and I’m still testing positive: what other medication can I take? Or do I have to wait until after pregnancy?
What your doctor has done I agree with I'd do the same. You doctor may treat you again.
After pregnancy you should be treated again but if you are breast feeding you must not use doxycycline as can cause discolouration of the babies teeth.
Any antibiotics you take check with your doctor that ups safe to take either in pregnancy or during breastfeeding.
I hope all goes well with the pregnancy.
Take care and hope the advice above is helpful.
was everything well with your baby?
So Doc, I tested positive about a 2 month ago’s, Did treatment (partner did also) tested again and was having symptoms (dysuria). The results came back negative for mgen and other routine tests. I then had intimate moment with partner, tested again two weeks later and it came back negative for mgen and also other routine test. The symptoms of dysuria are still going on. Is this a lingering effect?
Hi Kreed,
Thank you for your question.
Dysuria can stay for a while. Apart from STIs, other simple bacteria from the body can also cause dysuria.
As its the summer simple dehydration can also cause it as well..... something I've recently rediscovered in the hot weather!
My advise is what is the colour of you urine... is it dark? Or worse in the morning. If so up your fluid intake and see if it clears up.
Guys can also cause dysuria due to over self examination, too tight a grip when masturbating, and over interpretating pain signals then would have previously ignored.
You have good reason to be concerned as you've just cleared an STI, but that's the past. Drink lots of water, stop all self examination and milking and it should resolve itself...... easier said then done.
Hope this is helpful and your symptoms resolve.
Kind regards
Dr Bret Palmer
I was on doxycycline and moxifloxacin with an initial 3 day dose of azithromycin after a failed treatment using moxifloxacin alone for 2 weeks. After the doxy-moxi combo for a month it came back negative but I still have some discharge in the mornings and slight but diminishing testicular pain. My infectious disease doctor prescribed another 3 months of doxycycline and azithromycin as my test was negative. Thoughts on some lingering symptoms while others have disappeared?
May need supportive underwear to help with testicular pain. Can take a few months for inflammation to fully calm down after treatment
I was too
Did you test positive from urine test?
Hi Doctor,
I am about 12 days post my doxy/moxi treatment.
The symptoms are no where near as bad as they were, but they certainly haven't dissappeared fully.
Still get a few random pains during the day, and it's embarrassing to say, but masturbation really flares it up and causes burning.
Do you think it sounds like it has gone? How long do residual symtpms generally last?
Thank you.
Thank you for the question.
Sounds like it is going. But aches and pains may last for 4-6 weeks.
As long as the pain isn't staying and getting worse then should hopefully settle with time.
Take care
@@DrBretPalmer thanks doc.
Would doing Kegel exercises be beneficial?
@lachycummings3765 hi there, if it is helping, then yes I would continue, treat it as part of a gym workout, do it regularly.
Interesting!
Hi dr Bret, can mgen be contracted via other ways besides penetration? Like touching the genital area etc
Hi there, generally it is contracted by penetration with a penis. Unlikely to be passed on through kissing, but can be probably can passed via oral sex. Usual route is via penetrative sex.
Doctor, please help me with this question… would the presence of MGEN in a male who has a rare variant of Glucose-6-phosphate dehydrogenase (G6PD) deficiency be dangerous or deadly?
MGEN showed in my blood test (I have no symptoms and must have had it for a year now) and I’m worried I past it to my new partner who has the G6PD deficiency.
Nope it doesn't.
Also a blood test will not tell you anything apart from you have or had it in your life. You will need to do a urine test or swab test to see if you have it now.
Question for doctor: MGEN was tested negative after first having symptoms for 4 months. Now it has been 2 months from the negative urine test but the opening of my penis urethra is still red and too sensitive to touch. How can the urethra still be inflamed if MGEN has been negative for 2 months? The redness around urethra opening doesnt react to any hydrocortisone or tacrolimus so it seems to be an urethra issue and not just skin redness. Is it possible MGEN caused permanent damage to urethra and that is why its showing symptoms? Is there any medication that can heal the urethra?
Thank you for the question. MGen is negative so we know its not that. From what you have said, it sounds like there maybe a fair bit of self examination going on, would this be correct?
If so, then stop all self examination for 2 weeks and see what happens.
Also stop all coffee and alcohol as these can irritate the urethra and don't use any soap, just use water, can use an emollient.
Take care
The tests for the mycoplasma might not be sensitive enough
Doctor me detectaron Mg, mis síntomas son mínimos solo ligero ardor al orinar, me dieron docixilina 14 días y el día 15 , 2 pastillas de azitromicina 250mg lo ve bien?
Not sure of the question but I'm sure someone will answer.
Take care
Hi doctor. Thank you for your time spent helping in the comments section.
I was tested positive for gonorrhea and m.g.
After a getting 7 days doxycycline and a 500mg shot of ceftriaxone the gonorrhea was cleared. But the m.g did not.
.My doctor put me on ciprofloxacin 14 day
What do you think of the effectiveness of this protocol?
Should I ask for moxifloxacin?
Should I evoid excersice with ciprofloxacin as well?
Thank you in advance
You can try the ciprofloxacin, Depends on the resistance profile of your country. However many places now recommend moxifloxacin.
You can exercise but just go easier than usual.
Good luck
Ciprofloxacin has extremely dangerous side effects. Please do not risk it. Please go for doxy+azitrmycin, please
Hello Dr. How would they test for Oral/mouth Mgen? say if you were worried your partner caught it from you that way?
Very rare to have oral MGen. Studies have shown that its not worth being worried about.
If you had the urine or swab tests (different labs test for it differently) and you are negative then I'd believe the result.
Hi there, I am a male currently on treatment for MG taking a week course of doxycycline and then a week of moxifloxacin. Unfortunately I have transmitted this to my female partner. I will be seeing my long distance partner 2 days after I finish my full treatment. My partner may still be on treatment for her MG. My question is, if we use condoms for safe sex will be okay to give unprotected oral sex to one another? As it’s mycoplasma GENITALIUM I assume the bacteria is only in the genitals and not in the mouth? So my partner wouldn’t be able to give me MG again through oral sex? And I wouldn’t be able to contract MG by giving her oral sex despite her potentially still being positive. Only through vaginal sex? Please could you clarify thanks.
Hi there, this is a common question. We usually advise to not have any sex at all. While what you suggest is logical, usually most oral sex acts lead onto other different sex acts as our rational brain gets cut off.
I'd recommend that you guys do something else.
Sorry, I know this isn't what you want to hear.
Kind regards
Dr Bret Palmer
Hello doc
Nice to see you on CZcams, This gave me a little hope and let me know that I'm not alone
I have been suffering from mycoplasma infection for two years and did not receive any drug treatment for the first half year.
It was only later that I started to receive drug treatment, and now the doctor prescribes the drug with 10 days of Doxycycline, then with 7 days of Moxifloxacin , But I still haven't cured it, and the test is still positive, My symbol is that every morning when I go to the toilet and squeeze the glans, a drop of yellowish liquid will come out.
What is the wrong with me? Is this （MG) disease completely curable?
Hi there.
It can be cured but can also be difficult to cure.
If your doctor can run a resistance test on you result, this would help.
Also was you tested 5 weeks after treatment. Takes time to clear out the dead bacteria.
Try to to express as this can damage the inside and end up causing a discharge anyway.
I hope this helps
I have mgen and have been prescribed doxycycline for 14 day and ciprofloxacin for 7 days and still have symptoms. My pain is mostly in my testicles and ive been referred to a urologist . Can i be cure still? Im very worried about this because sometimes its painful to walk.
The Urologist saw you. What did he say, what were the findings of the Ultrasound scan?
@@DrBretPalmer i havent seen the urologist yet but i have had a ultra sound done about a month ago and everything came back good no cancer or anything abnormal. Is there any other medication i could ask my doctor for that would work i just scared because my i getting worse and i dont want to not be able to have kids ? I also have be prescribed fosfomycin tromethamine i took that yesterday
@josephhinton6579 you can ask for a 2 week course of moxifloxacin, depending on allergies etc. Supportive underwear and do kegal exercises. Has your prostate been checked as well?
Take care
@@DrBretPalmer no i havent had my prostate checked yet but i will on my next doctor appointment and i will as my doc for moxi next time i see him but will i have to do doxycycline again with the moxi or just the moxi by itself?
Hello Doc,
My partner and i got treated with 7 days of moxi, we had unprotected sex 4 days after completions of treatment, i was doing a TOC for gonorrhea that i got just before that when the nurse told me that they dont test again for Mgen and that it is ok to have unprotected sex after treatment, 99 % of my symptoms are gone but i still occasionnaly feel a stinging sensation on the tip of my penis, is there a risk of reinfection ( my partner has been asymptomatic all the time ) ? How long does it take for the treatment to fully eradicate the bacteria in the case the treatment worked ? Because i heard that it could be lingering effects from the infection
I also have an appointment with the doctor in 3 days to ask for a cure test
Thanks !
And it now has been 2 weeks since completion of treatment, is it too soon to get tested again ? And if a reinfection occured during this time, will it show on a test ?
Hi there.
The antibiotic, moxifloxacin, will treat Mgen. It should kill all of the bacteria. However, the body take a little time to clear the dead bacteria from your system.
So any test of cure for MGen, should be done ideally 5 weeks after the start of your treatment. There can be residual inflammation which may last longer. But also important to stop self examining and keep hydrated.
I hope this is useful
@@DrBretPalmer Thank you for your answers, I live in Canada and the tests here are limited so they don't test you again except if you are showing symptoms
Hi there.
Reviewing the treatment guidelines, for Canada, you should retest (test of cure), 3 weeks after the completion of treatment for people who remain symptomatic or who reside in regions with high prevalence.
UK guidelines state everyone gets a test of cure.
If you live in a city, your doc should retest you. Otherwise, have to see what they say.
Good luck
Is postgonoccocal urithritis after ceftriaxone/azithromycin treatment caused by mGen?
Not necessarily, it can just be irritation post infection but always worth getting it checked.
Thank you Doc Palmer. I had recurred clear penile discharge but no pain 4 months after treatment. Got me worried. I already informed my doctor but NAAT in my area is unavailable.
NAATs are in short supply at the moment. But yes you do need a full screen. If family doctor doesn't have the test can always ask a sexual health center.
Good luck
Hello doctor
I live in Spain and I was disgnosed with Mycoplasma genitalium this January (2024) and I got it via oral sex because the person has it in the pharynx( or somewhere in the neck I don't really know).
The symptoms were pain when peeing, discharge and inflamation on the prepuce (I still have a scar from it).
After 4 months I am still fighting with it and the urologist told me that most probably I will have to live with it and this makes me feel really bad!
So far I had 3 treatments:
22 Jan-28 Jan 》moxifloxacino 400 mg 1/day
After 3 weeks and 2 days:
21 Feb- 1 March ( 10 days) 》 doxiciclina 100 mg 2/day
After 6 weeks and 4 days:
17 April-30 April (14 days)》 moxifloxacino 400 mg 1/zi
I don't know if I still have the mycoplasma but I still have pain when peeing (not all țhe time) and I have discharge in the pee ( like a white liquid).
I made an appointment for the next week to redo the analysis/tests.
The urologist told me that the next tratament (if I still have the mycoplasma) will be moxifloxacino for 1 month.
Do you think that the Mycoplasma already has resistance to these antibiotics?
What should I do?
I am feeling really frustrated and I hope to cure it!
I hope you will give me your opinion!
Thank you!
Hola amigo,yo también he contraído el MG este año,ha sido y es muy desesperante,si te apetece que compartamos opiniones escríbeme,yo acabo de terminar otro tratamiento y sigo con síntomas.un saludo
Is there any information on how effective condom usage is in preventing the spread of m.gen? Is the efficacy different if the female is infected versus the male?
Yeap it is estimated that condom usage should decrease most STIs by 90% if used correctly. Unprotected sex, the chances of passing on any bacterial STI is higher from male to female as for males everything goes via the urethra.
@@DrBretPalmer So the fact that m.gen is so small doesn't increase the likelihood of transmission even with condom use? Is there a difference between latex and non-latex condoms?
@xfaultyxlogisticsx both are barrier methods and will work to reduce the chances of infection
I have no discharge or no pain on peeing. Had some dysuria and tingling in the tip of my penis. Took doxcycyline for 14 days now on day 15 taking Azithromycin 500 MG for 5 days. Doxycycline got rid of a lot of my symptoms, but some mild urgency and discomfort on the tip still remains. All my tests were negative (including mgen) but the doctor took a precaution and treated me anyways. My symptoms are 70% better. The doctor said some Symptoms linger after treatment and it's normal. Is this correct?
Yes that is correct. If the tip was inflamed then can take a month to settle.
If you have a bruise on the arm or leg then can then can take many weeks to get better.
Don't use soap to wash.
Hope all goes well.
Dr Bret Palmer
@@DrBretPalmer thank you for your response. Have a nice weekend :)
Thank you.
You to. 👍😃
@@klopplegend4520 Can I ask if your symptoms have recovered yet?
@@ucvan4941 mostly. What are yours leftm
Moxifloxacin works but it's dangerous. I had to two stop after 2 doses because I was getting muscle weakness down my left side.
Pls tell me which sytoms and which std you have
Moxifloxacin and ciprofloxacin, is very dangerous. Please dont use it
Hi doc, I caught Mgen from Thailand and its resistant to Azithromycin and also Moxifloxacin. My clinic has me on 10 days Moxi, and ive been on 10 days of doxicycline. What should I do going forward, I'm really worried so any advice would be helpful right now.
If in not much pain, then don't be worried.
Good that you've taken some treatment.
The majority of people can clear it naturally within 6 months, so hopefully you will get rid of it.
Don't smoke, drink water..... stay hydrated, eat healthy, exercise and have a good night's sleep. You will be alright.
Kind regards
Dr Bret Palmer
@Dr Bret Palmer thank you for your reply doc, it's much appreciated. I'm 4 days into my moxi treatment, but my achillies area and my knees ligament are tender, so I'm ringing up tomorrow to say I can't continue this treatment. This is why I am worried.. I'm from the UK, so will I be able to get another treatment to combat the resistant mgen? Also, how long after the moxi treatment will it take for my ligaments to get better again? I really appreciate any advice or help here as like I said I'm really worried about the whole situation, to be honest and a tad scared.
No problem.
The absolute risk of tendon rupture is very small and rare, and more common with other antibiotics.
I'm assuming your not going to the gym and just done legs and calfs?
They may just stop it and see how you go. Tenderness should go after a couple of weeks, may be prolonged 6 weeks but if you rest and swim, should recover quickly.
Must discuss with your doctor, see what he says. Not many other treatments, may just wait for 5 weeks and retest. Other meds I'm the same class may also make the tendons tender.
No gym, cycling, running. Swimming should be okay as takes the weight off the tendons.
Hope all goes well.
Kind regards
Dr Bret Palmer
@Dr Bret Palmer no I haven't been to the gym and it's just started being tender on my achillies area on both legs plus my knee today.
I'm just so worried as when my results came in the doctor at the clinic said it was resistant to moxi and also azithermycin so if this doesn't work I don't know what they will do. Do you have any idea what they may do or say? Sorry for all the questions I'm just really concerned right now and a tad scared in all honesty.
Did you say this can clear it 6 months? Thank you for your replies.
Hi Steve,
No problem.
Most people can natural clear it, this is most acceptable to people who don't have a partner and not in pain.
You could go onto an extended course of Doxycycline. Various reasons why they have put you on moxifloxacin. They are probably hoping the Doxycycline will get rid of the ones resistant to moxifloxacin, then given moxifloxacin to get rid of the ones resistant to Doxycycline.... thats the idea. Of course what do you do if some is resistant to both!
From what you have said, I'd suggest speak to your clinic straight away, give them a call.
You should stop the moxifloxacin if causing tendonitis, you may be called in to be examined.
Let me know how it goes.
Moxifloxcin gives me anxiety side effect any other alternatives?
Yes there are depends on the symptoms and infection you are treating.
Most people can use on of the following:
Doxycycline
Azithromycin
Ofloxacin
Hope this helps.
Dr Bret Palmer
Do you think vancomycin would work in this matter?
Dont take ofloxacin, it has the same side effects as moxi or ciprofloxacin. Google floxed
Hi doc I have had This problem for a long time I have tried many medication but it all fails please help
I hope the video was useful.
Can I send my samples to you
Very sorry but no. What country do you live in.
Zambia giving me your WhatsApp line
please DO NOT TAKE MOXIFLOXACIN/CIPROFLOXACIN. THE SIDE EFFECTS ARE TOO MUCH
Question : DOES THE MICOPLASMA PENETRATES THROUGH THE BODY SKIN ( HANDS, FOOT)??
Nope. Goes via genital or oral route.
Yes it does it did it to me and I Completely had MGen.
How was you tested?
Thanks for the information, very helpfull, i have a question. I am now 4 weeks pregnant and i have mycoplasma Genitalium. My doctor already gave me azitromycine antibiotica, but it didn't work, now he wants me to use moxifloxacin 400 mg for 10 days. I am so scared to use it , because of my pregnancy. My midwife says do not use moxifloxacin, but my doctor says mycoplasma Genitalium will damage the fetus more then moxifloxacin. I really do not know what to do. Please can you help me. If the mycoplasma wont damage the fetus i would rather take no antibiotica. What do you think? Is it more harmfull if i took the antibiotica in my first trimester?
You are in a difficult position.
I wouldn't use moxifloxacin and there are alternatives.
Which country do you live in?
Is your doctor a family doctor or a sexual health specialist?
Kind regards
Dr Bret Palmer
@@DrBretPalmer thanks for your fast response. I live in Holland. My doctor is a family doctor. He said there is no other antibiotica that i can use. What other alternatives can i use as a pregnant woman?
Okay, in the UK moxifloxacin is not used in pregnancy and most guidelines around the world say it is contraindicated as can cause arthropathy. However some medication websites say it can be used if the benefits out weigh the risks.
The UK guidelines tend to just use Azithromycin and then leave it at that.
Also general advice is if no symptoms then leave until after the birth.
If you are in Holland the do have sexual health centres.
I'd advise to contact:
The Centre for Sexual Health (Centrum Seksuele Gezondheid Haaglanden) offers tests and check-ups for STD free of charge. A referral by your GP is not necessary and they should be able to assist.
In the UK the harms of mycoplasma genitalium to the baby are not considered great as the evidence is very poor for such a common infection.
I hope this is useful.
Let me know how you get on.
Kind regards
Dr Bret Palmer
@@DrBretPalmer thank you so much for your advice!! I will contact Centrum Seksuele Gezondheid Haaglanden. One more question. My partner probably also have it, if we don't treat it and still have sex, would it make the mycoplasma worse? Like more bacteria and maybe in that way, it can harm the baby? I hope you understand what i mean. Hahha my English is very poorly.
Nope your English is better than my Dutch.
Some people have extended Azithromycin course for 6 days.
You won't make it worse but you are probably giving back to one another.
There is also a possibility of naturally clearing the infection if no sex but this can take 6 or so months.
The evidence is weak about mycoplasma genitalium affecting your baby, but there is a risk of pre-term deliver and a low weight baby.
I hope this is useful
Kind regards
Dr Bret Palmer
hello doctor i cured mg before 3 months ago. rarely i see very little discharge like water. is this normal ??
As rare, probably normal. If doubts then go for a repeat sexual health screen, to make sure all clear.
@@DrBretPalmer❤
Thank you doctor
Hello doctor i tested fo mycoplasma genitalium and it is positive again😢. Is this hard to curd ??
@chanakamadusanka3696 yes, can be very hard. Take time for it to go, test 5 weeks after treatment completed. As early testing can give a false positive.
I am doing treatment with doxycycline 100mg twice a day for 7 days and Moxfloxacin 400mg for 10 days. Currently on my day 6 of Moxfloxacin. I don’t have symptoms but still can see some weird pigments in my urine. But not having discharge...is that comum?
What colours are you getting?
If you have started to bleed or urine has become very dark, this could be a side effect of moxifloxacin so you should return to your doctor to ask if okay. Your doctor should review you.
@@DrBretPalmer today I woke up with discharge...it is like pre-cum! There’s no signs of blood...and an uncomfortable sensation in the tip of my penis. I have been worried about this bacteria! Worried to be untreated and there’s no much information about.
Have you had a mycoplasma genitalium test?
@@DrBretPalmer yes! And the test says it is sensitive to moxifloracin. I finish the treatment on Friday. My doctor told me yesterday that moxifloracin is very efficient and I shouldn’t worry. Sometimes even if the bacteria was killed some symptoms can remain for a while cause of the infection. He asked me to watch and if after 2 weeks after the treatment I am still having symptoms I should contact him again.
Hi. I am Vietnamese, I have been taking moxifloxacin 400mg for 14 days. Then in the morning, there was no more pus discharge, the symptoms were almost completely gone. I have been off the drug for 13 days now. but see inside the urethra there is still a little fluid, not much. Can I ask if this is normal?
If you have to open the end with your fingers to see fluid then yes this is normal.
Don't open up the tip as this can irritate the penis.
Leave along, if no pus, no discharge and no pain on peeing and your sexual partners have also been treated then that's all done. Please go for a repeat sexual health screen in about 5 weeks.
Have a great week and hope that's helpful.
Kind regards
Dr Bret Palmer
@@DrBretPalmer I took Moxifloxacin 400mg for 14 days, stopped for 15 days, but now the symptoms of pus discharge at the tip of the penis have returned.
Hi there, thank you for your question. If you are sexually active did your partner get treated?
Does it hurt when you pee?
Have you been milking your penis or is the discharge so strong that its there is no need to milk (milking is not a good thing to do, as you can create you own discharge).
Kind regards
Dr Bret Palmer
@@DrBretPalmer My girlfriend treats like me. During treatment I use safe sex method. But when ejaculating is still a bit burning. I urinate without pain. During the treatment, I sometimes used my hand to examine the urethra and could not express milk.
@@DrBretPalmer I have stopped taking the drug for 23 days now. New symptoms reappeared 7 days ago. Morning discharge, slightly itchy. slightly painful ejaculation. There is no pain while urinating.
Will you have slight discharge after treatment
Hi there, after treatment, you should be back to normal with no discharge and a resolving pain on peeing. If not improving, then you may need to head back to your clinic for a review.
Dr Bret Palmer
@@DrBretPalmer does this infection last forever
No not at all, when you have been successfully treated it is cleared from your system. But its very common so you can catch it again. That's why it's very important to inform your partners.
thanks for the informative content. i’m impressed how responsive you still are to new comments. one question. will taking levofloxacin increase bacteria resistance to moxi? i was prescribed levo but would rather take moxi as i’ve read of better results with the later
Thank you.
Resistance usually comes from incomplete courses. Levo and Moxi are both good antibiotics and resistance in one may not guarantee resistance in the other but this also depends on the bug as well. The smaller the bug the quicker resistance can form (very general rule and depends on how many proteins are on the outside compared to the inside, gonorrhoea easily becomes resistant, syphilis with no outside proteins is still sensitive to the same antibiotic discovered in the 1940s).
Important note always finish the whole course.
Hope this helps.
Thank you
Hey how is it going? Are you cured now?
@@ochirsumgankhuyag2361 just finished moxifloxacin 1x daily for 14 days. no symptoms anymore. hopefully fully eradicated
@@coltonstogner4363 Have you checked again? and is it stable now?
@@ucvan4941fully cured
Sup Dr. Palmer! I have taken moxi now for 14 days after a failed azithro treatment. I just took my last moxi pill. My pee is a lot clearer, I still saw 1 little organism floating in there just now. Still have some symptoms. You think everything is going ok?
Should be. What do uou mean when you say you saw 1 little organism?
What did you see?
I wonder if you've recovered yet?
I'm desperate. I am Mgen positive, test showed that I have NO resistance (Austria/Europe).
My doctor still prescribed me moxifloxacin. An antibiotic that is very dangerous. I told the doctor that my resistance test was NEGATIVE. He said that I still have to take moxifloxacin. I didn't take it. I was diagnosed at the beginning of June 24, and for three days I have had a burning sensation when peeing. But not always. I have an appointment with another doctor in August and we will discuss treatment options. I won't take moxifloxacin until I'm admitted to the hospital :( I'm terrified of moxifloxacin :(.
If it has no resistances can do doxycycline 100mg twice a day for 7 days, some do 14 days, followed by azithromycin 1 gram (day 8, or 15, depending on length of doxycycline course), then azithromycin 500mg on day 9 and 10.
I hope that makes sense.
Alternatively can do minocycline 100mg twice a day for 2 weeks. This is want our clinic switched to due to the problems of moxifloxacin.
Obviously all depends on allergies.
I hope that helps.
Dr Bret Palmer
@@DrBretPalmer Thank you soooo much! One last question: is it true that MG often will clear on its own (if you dont have symptoms) and you will not be prescribed treatment? Thx a lot!
@tiber44 yeap, that's true, usually within 6 months.
What is Sexually Acquired Reactive Arthritis, and what are the symptoms?
Reactive arthritis is a condition that causes redness and swelling (inflammation) in various joints in the body, especially the knees, feet, toes, hips and ankles.
It usually develops after you've had an infection, particularly a sexually transmitted infection or food poisoning.
In most cases, it clears up within a few months and causes no long-term problems.
Men and women of any age can get it, but it's more common in men, and people aged between 20 and 40.
Symptoms of reactive arthritis
The most common symptom of reactive arthritis is pain, stiffness and swelling in the joints and tendons, most commonly the knees, feet, toes, hips and ankles.
In some people it can also affect the:
genital tract - causing pain when peeing, or discharge from the penis or vagina
eyes - causing eye pain, redness, sticky discharge, conjunctivitis and, rarely, inflammation of the eye (iritis).
You should get a sexual health screen ASAP, if you think you may have SARA.
I think I'll do an episode on this in March.
Thank you
Dr Bret Palmer
Salam, mən sizə Azərbaycandan yazıram. Mən evliliyə hazırlaşırdım və müayinə olunarkən təsadüfən mikoplazma aşkar olundu, lakin mən müqavimət testi vermədim, həkim mənə səfbaktam iynə yazdı 7 ədəd ancaq mən bunu araşdırdım və indidə sizin videonuzdan xeyli şərhlər oxudum və belə qənaətə gəldimki mənə yazılan səfbaktam tamamən səhvdir, mən doksisiklin və moksifloksasin qəbul etmək istəyirəm
Did anyone just get a redness on the head and around the peehole? I tested positive for Mgen but this is my only symptom, no painful peeing or discharge. I did doxy 10 day course and halfway through Moxi 14 day course. This redness has been here for 2 months now though
Redness can be a cause of many problems.
Are you using soap to wash for example?
MGen can cause a slight redness as well so lets see if the moxifloxacin clears the infection.
Thank you
Dr Bret Palmer
@@DrBretPalmer Thanks. I use soap but I'm not exactly scrubbing it. It was never red like this before. I will wait 5 weeks after I finish meds to do another test. Then il let you know ✌️
Hi Tristan,
Only use water from now on or an emollient if you really need to use anything.
Once you have inflammation soap can continue to aggregate.
Should improve with the absence of soap.
Best of luck
Dr Bret Palmer
@@DrBretPalmer Well I appreciate your advice and you obviously care about helping people. Thanks 🙏
Thank you. 😊
I fight with myko and ureoplasma mooren than 1 y.hard to tread😭
I need to do a video on ureaplasma. Will try to put one out soon.
What does 'do not develop disease' actually mean?
Great question
You may have an infection but have no symptoms.
Disease is where you have symptoms but may not know the cause of the symptoms e.g. an infection.
That's why medics changed from using the terms Sexually Transmitted Disease (STD) to Sexually Transmitted Infection (STI).
May do a video on that. Thank you
Dr Bret Palmer
@@DrBretPalmer thanks for explaining.. Theres a lot of articles ive read and ive been on the mycoplasma reddit and it seems theres a lot of confusion.
I read it as 'your immune system clears the disease from your body and its gone'
Perhaps if you have time, you could jump on the reddit and clear up some confusion :)
Hello doctor I contracted MGEN from a female partner I had urethritis from it but after taking moxifloxacin it has gone away but I still get some light nerve sting around the pelvic area and have noticed occasional dryness in the rectum area. Is this a symptom of MGEN and can it spread to the rectum? Did not have any anal sex
Hi Andre, you can have mycoplasma genitalium in the rectum but usually you have to do some form of anal play. In any case the moxifloxacin would of treated it.
Dryness isn't usually associated with mycoplasma genitalium, so feel free to moisturise the area as needed.
I hope this helps.
Kind regards
Dr Bret Palmer
@@DrBretPalmer one last question. I have my test for cure in a few days after taking 7-day moxi. It cleared my ureathritis but I occasiobaly get slight sting around groin and pelvic area an couples time a day. That horas after after a second. Could this be nerve damage from Mgen/antibiotics or just a lingering symptom. Also moisturizing help my bum hole.
That goes away*
Hi there, no problem.
It is likely just a lingering symptom. Should clear in a few weeks.
Good luck 👍
@@DrBretPalmer still awaiting test for cure but been noticing my anus becoming irritated and sore after hard stool bowel movement. Could this be mgen in rectum or something else like after effects of antibiotics?
Hello Doctor. Thanks for all this exhaustive vidéo and for all the help you provide. I have persistant mucopurulent urethritis since 1 month. First, my doctor was thinking about chlamydia and gave me 10 days of doxy. It makes stop all symptoms, except a veryyyy discret White discharge only after multiple penile milking. Infection was starting Alain 1 week after and I was tested m.g postive. I took 1g of azithro thé first day, then 500mg days 2,3 and 4 and then 14 days of josamycin. What do you think about this protocol ? Is that smart to continue with à C16 macrolide in order To avoid acquired treatment résistance with azithro ? Is it normal to see a persistant minimal clean discharge after pénis milking (résult of irritation even if m.g is eradicated) ? Best regards
First of all sorry to hear you are having a difficult time.
I wouldn't advise continually milking as you will end up getting a discharge regardless.
Different countries have different protocols, the UK and many other countries tend to use doxycycline followed by azithromycin for three days or 14 days of moxifloxacin.
You will need a test of cure for mycoplasma genitalium in about 4-5 weeks.
Good luck
@@DrBretPalmer thank you so much for this so fast answer and kindness. Doxy has been selected because I just ended used it 1 week before without success and because I was having a purulent discharge and string discomfort in just one night (all ôter STD's tests are négative). I Will just milk one time à day, at morning. You're right, it induces anxiety. I Will do a control test 5 weeks after thé start of this new treatment. As nutritionist and working in research, I can just recommand To complete antimicrobial therapy by highly dosed probiotics (idealy 80 billions of microorganisms dailly) in order To préserve our microbiome... and To add natural fresh plants extracts supplements (only during thé time of treatment) as uva ursi and calluna, which have traditional use and évidence based facts for urinary tract infections. It could surely be a good synergy. Never Forget To add bioavailable magnésium (as citrate or bisglycinate) To your regimen when on antimicrobial, especially quinolone which are known for potential myo tendino toxicity. If someone starts To Feel muscular and tendon pain while taking it, adding silicium and type 2 collagen could be usefull. Drink a lot of water. Take care and be safe guys. And thanks you again dear Doctor. Wé are Lucky To have you🤘🤗
@@corsicaviva4693 Hey how is it going? Are you cured now?
@@ochirsumgankhuyag2361 this protocol doesn't work. After improvment, pus discharge came back. So I take 10 days of Moxifloxacin. I've seen a great improvment, but I was still having a discrète discharge deep in thé uretra, only visible by milking on morning or when getting hard, while blending with pre-seminal sécrétions. I'm still worried because thé color is White. So, I've done a first TOC day5 after moxi and I just complète 15d of minocycline. White mucus is still there. So I don't know if I have To use pristinamycin in order To be sure to eradicate m.g. it would be thé last weapon against it...
@@DrBretPalmer , what do you think about it ? Is this discrète White mucus normal ? Have I To wait and do a TOC in 2 weeks or more, or to take pristinamycin ?
Hello, this is a good video.
I have a question
DO YOU HAVE TO TAKE DOXICLINE TOGETHER WHITH MOXIFLOXACINE OR MOXIFLOXACINE IS AFTER YOU FINISH THE DOXICICLINE?
Thank you.
Doxycycline 100mg, twice a day for 7 days should then be followed by Azithromycin for three days.
OR
Moxifloxacin 400mg OD for 10days.... 14 days if more complex infection.
I hope that makes sense 🙂
@@DrBretPalmer ok, thaks you. Good video.
@@DrBretPalmer I just took moxi for 14 days, I hope it is enough treament. On day 14 now, still have some symptoms.
@@MartijnHouttuinhello! Did you cure it?
DO NOT TAKE MOXIFLOXACIN. THE SIDE EFFECTS ARE NOT GOOD. PLEASE GOOGLE FLOXED
Is ejaculation discouraged while having mgen?
No. Masturbation is fine as you won't pass it on to anyone else. Get treated znd have a repeat test in 5 weeks to make sure out of your system. Partners aldo need to be treated otherwise just get it back again.
Enjoy.
@@DrBretPalmer thank you doc.
I'm partner free, STD panels negative but in U.S. they don't test for mgen. It's just my best guess that I've got mgen. Some dang clinics here just throw antibiotics at you before you even get test results (happened to me, got the rocephin in the bum and 7 days 2x daily 100mg doxy...didn't do anything, and tests were neg for gon, chlam anyway).
Lost insurance due to the pandemic mandates forcing my employment to terminate me ;/.
Heck, can it be e. coli UTI from unprotected backdoor sex with my previous female partner? Idk but it's stressful 🤣
Could be, but what exactly are your symptoms?
The antibiotics you had should resolve most things.
Could you go to a family planning centre, in the US they should be free, can go for a second opinion but yes I've heard M.Gen tests are difficult to get in the US.
@@DrBretPalmer no burning, no chills, no fever.
- Just minimal white looking but actually yellow tinged discharge (using toilet paper as white background) in the morning. Would represent itself on my boxer briefs after a full night sleep. Not much during waking hours.
- testicular ache like someone lightly tapped it and has the dull ache sensation
- possible groin area ache a few times but very minimal, can't tell if I'm just hyper aware of every little thing now making me assume it's related
Planned Parenthood was the one who shot me up with antibiotics without a diagnostic confirmed diagnosis. Still waiting on a call back from another health clinic that did a repeat test and mentioned microscopic viewing of urine catch (however appt was at afternoon, it was not first void first catch)
Yeap you will need microscope examination, ideally from a sample direct from the penis.
Genitourinary Medicine only seems to be a specialty in the UK and Australia. I'm surprised US doesn't do these examinations.
Would be good to test for MGen, didn't if just ruling out.
You need more volume Doc …
Thank you.
I'm redoing my videos. It's been a steep learning curve! 👍
Is tence between analyzing human and genital mycoplasma? I hope someone can answer me
All humans have genitals, so being investigated for mycoplasma genitalium (if you have a discharge or pelvic pain), it is important to rule this and other infections out.
Kind regards
Dr Bret Palmer
@@DrBretPalmer
Is there a difference between human and reproductive mycoplasma tests?
@user-dk9kw3qg8z I'm not sure what you mean?
@@DrBretPalmer
There are countries that only have two tests Mycoplasma huminis and ureaplasma But I discovered that there are many other types, such as Mycoplasma genitalium, Ureaplasma genitalium, and Ureaplasma parvum. The question is whether eliminating the first two types means eliminating the rest of the types or not
@user-dk9kw3qg8z nope. You shouldn't really be interested in these tests as some are and should, be found in humans. Provided everything is normal and you are negative for Chlamydia, gonorrhoea, syphilis and HIV, then don't be concerned.
If you have symptoms then your doctor should treat you accordingly.
Hello doctor,
I had a chlamydia/gonorrhea test in 14/3/2022. My doctor prescribe an injection of ceftriaxone and azythromycin orally 4 tablets for 1 time, after 2 weeks the symptoms don’t go away, I went again to the doctor and he prescribed doxycycline 100 mg twice a day, and after 4 days of suffer from symptoms I call another doctor and he prescribed metronidazole 500mg twice a day, i am now in day 8 of doxycycline and i have a discharge just in the morning ( when getting up ) and also feeling uncomfortable in the penis for all the day. Please i want your advice about my situation.
I forgot to tell that the chlamydia/gonorrhea test comes negative in the next day.
Thank you for your question.
You are having a tough time.
Good that your tests are negative. Is the discharge starting to ease with the doxycycline?
Did you get a follow up test for mycoplasma genitalium? As well as syphilis and HIV? Important to get everything ruled out.
Which country are you based in? Can you get to s sexual health clinic for a review?
You will need to get a mycoplasma genitalium test though.
With regards to sexual history, many partners in last few months, with condom or without? Also any anal intercourse? But the metronidazole hasn't helped by the sounds of it.
Let me know some of the answers above.
Take care
Dr Bret Palmer
@@DrBretPalmer thank you for fast responding. The discharge now only when i milking in the morning, and a very litle amount when i milking before pissing. ( before taking doxy i can notice the discharge in my underwear )
Actually I didn’t test for mycoplasma genitalium yet.
I had syphilis and hiv test and all are negative.
I am Saudi Arabian, it is hard to go to a sexual health clinic.
I had tsex without condom and it was vaginal, never have anal.
Thank you again for fast responding.
@@DrBretPalmer New symptoms is a little pain in testicle. Discharge is very low amount ( only noticed in morning and when milking)& itching from time to time.
@@DrBretPalmer please i need your advice
as a result none of theese were afective I showed my doctor your video as a result he gave me 400 mg moxifiloxacin I am using it now.
If I don’t see results i will try minicycline and
postinamycin together is this right?
on the other hand theese two medicine I mentioned last is not avaliable in the country I live how can I get thoose?
thank you I am waiting for your response
Hello can u tell me if u cured !
@@zero-ss5kq i will
I’m on day 10 of minocycline. It helps a lot.
@@zero-ss5kq Hello again mate, i am still positive, i am starting today minocyclin twice a day for 14 days under a guidance of my doctor.
@@MrJamesrg1987 i am starting today minocyclin 👍
I had a treatment with 5 days of azithromycin but it didn’t work. I still had symptoms. (I’m from the Netherlands). I had sex with my partner unprotected after 4 weeks of treatment but we both still had symptoms… so yeah… not the smartest thing to do but I don’t know if it matters or not. Wanted to tell you anyways…
Now I’m going to start moxifloxacin for 10 days. Thinking about doing 14.
What do you think doc?
Or you both can take doxycycline for 7 days followed by azithromycin for three. If that doesn't work then both of you go on to Moxifloxacin, if symptoms are severe then take for 14 days.
Your partner should take the same antibiotics as yourself. No sex for 5 weeks and your test of cure is returned as negative.
Hope that helps.
Good luck.
Dr Bret Palmer
@@DrBretPalmer thanks for the reaction!!! I got prescribed moxifloxacin for now, is it also okay to try that one first and if that doesn’t work do the doxy and azithro you mentioned? Or is it better to do it the other way around?
If you've already got moxifloxacin then use that. Remember the precautions about if you get tender tendons to stop the meds...... no heavy exercise while taking them, no gym, light swimming should be fine as not weight bearing.
Hope that is helpful
Kind regards
Dr Bret Palmer
@@DrBretPalmer ok, thanks so much!
Hey Martin! Did you fully recover?
I caught mycoplasma hominis in Vagina but also in the Throat, it’s still there after three years of Treatment.
Is it causing any symptoms?
Is 3 months of untreated mgen resulting in PID usually long enough to cause infertility? Is ciprofloxacin a viable alternative in treatment? Thank you for this video
Ideally you should have Moxifloxacin which would be better as would treatment Mgen and PID. Then repeat test 5 weeks after to make sure you are clear of infection. Also need to make sure partner is treated. The longer you have PID the increase in chances of infertility but everyone is different.
Make sure you have recovered from PID then try for children. If no luck in falling pregnant after a year then speak to your GP and/or your fertility service (depends on which country you live in).
But must make sure you have cleared the Mgen and PID first.
Good luck
There are alternatives. Moxifloxacin is a last resort. Tendon damage is a rare side effect which I talk about in the video. If people take any form of this type of tablet then they need to rest and not do any exercise which can effect then tendons.
@@DrBretPalmer Can u retest sooner than 5 weeks? If so what's the soonest
I know the video is about mycoplasma. But I was diagnosed in September with ureaplasma urealyticum. As a result I had a cervicitis, which I have already been treated for. Then in January I tried to contact the sexual health clinic that referred me to the GP. I went to the GP, and he said not to worry about ureaplasma, devalued the infection and said that everything was fine with me, even though I said I had pain (similar to menstruation pain). Unfortunately the costs for a private gynecologist are extremely high for me. I do not know what else to do.
Hi Filipa,
Thank you for getting in contact.
Usually ureaplasma urealytium is completely harmless and guidelines say not to treat it unless there is no other cause.
I'd go back to the sexual clinic and talk to them about the pain your in. If you've had a full sexual health screen including mycoplasma genitalium and its all negative and you have been cleared for PID, then go back to GP to discuss further investigation of the pain you are in.
If you were told of ureaplasma then got treated for cervicitis this could of treated the ureaplasma... depending what you was given.
In short do you still have symptoms? If so what are you experiencing?
I was tested negative to mycoplasma.
Last week like i said i went to my GP and told her about the pain, she did some exams and i receive a message from my GP telling me that i was everything ok with my exams
@@DrBretPalmer pain in the stomach area. And a little bit of discharge, but minimal
Is the pain worse on sexual intercourse?
I was diagnosed with Mgen 1 week ago, been having clear/white discharge for 3 months already. Receiced prevention meds for chlam/ghon 2x before the diagnosis (azitro and ceftri / 7 days of doxy). Both trestment helped but then symptoms came back 2 weeks after. Now 3rd treatment is 7 days of doxy followed by 7 days of moxi, hopefully it works. I was wondering if I should ask for 10 days of moxi instead, to make sure. Still waiting for the resistance test, should take 1 month, I’m in Canada. If treatment fail, next one should be Pristinamicyn if I follow Canada’s guide. I’ve also heard of minocycline and clarith have a good success rate. If people wants more info, there is a nice subreddit for mycoplasma.
Thank you for the info.
The guidelines in Canada are different from the UK. I'd advise to stick to your doctors current plan and see what they then suggest.
I tend to give 10-14 days of Moxifloxacin but that is following the UK guidelines.
There has been studies comparing different regimes. The main thing is that you will have dome Moxifloxacin.
You can ask if you want, but if your doctor has had lots of success with this regime then they will stick to it.
Good luck
Dr Bret Palmer
@@DrBretPalmer thanks for your time
U okay now?
@@klopplegend4520 hello, it’s been 1 weeks after I finished my 2 weeks med(doxy+moxi). Discharge as stop, but I still get little tingling 4-5 times per day. It’s most likely normal, urethra needs to heal from it’s « scar » from the infection. You can ask me back in 2-3 weeks and I’ll answer. Good luck
@@xxyanskatexx thanks bro. I also feel way better. We in this together. Good to here take care 💪🏽
This is very informative, so glad I came upon this video. Just had a screening and im clear for all STDs, have discharge that is clear/white. They put me on doxy for 7 days. Symptoms went away for 10 days and came back. Before it was just discharge, now it's irritation in my urethra, slight irritation when urinating. They said they are sending my urine sample out for advanced screening but im not sure If it covers Mgen or not... thanks again for this video
Sorry to hear that.
Hopefully they have looked at a sample under a microscope as well as send off a sample for Mgen.
If they think it is Mgen then they could treat you for it regardless. And your partner.
Good luck.
@@DrBretPalmer thanks for the response, I just wish more doctors would explore more possibilities instead of just throwing antibiotics at people.
Completely agree
@@DrBretPalmer Hi Dr Palmer, Does MG eventually go away on its own? My Dr said it eventually does? Also how many courses of antibiotics can you potentially go thru before it's completely out of your system? Thanks for that.
Yeap it can go on its own. Can take 3-9 months. Some individuals it stays for longer.
Usually one course of antibiotics should clear it, but your sexual partners also need to be tested & treated otherwise you will catch it again. Does take 4-5 weeks to clear from your system. If you test too soon the test will pick up dead bacteria.
Hope all goes well. More info in the video.
Take care