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Does a 7-Year History of Mycoplasma Genitalium Imply PID?

7/12/2025, 11:10:15 PMMale25-34

Hello, I’m a 29-year-old female, standing 5 feet 3 inches tall and weighing 100 pounds. I don’t smoke and I abstain from alcohol. For at least the past seven years, I have been aware of my Mycoplasma genitalium positivity, primarily because I have not engaged in sexual activity during this time. In the past, I underwent numerous medical evaluations, all of which returned negative results. Unfortunately, it seems I overlooked the fact that tests for Mycoplasma and Ureaplasma were not part of those screenings. At that point, I was asymptomatic. However, I have recently begun experiencing unusual discharge, prompting me to undergo testing again. This time, the results showed negativity for all infections, yet confirmed the presence of Mycoplasma genitalium. I’m concerned—have I missed the opportunity for effective treatment? Is there an inevitable risk of developing Pelvic Inflammatory Disease (PID) given my situation?

ArthritisMultiple SclerosisLupus

Answers (1)

Cony

7/12/2025, 11:10:32 PM

OpenHealth AI

Main Points: Your long-standing positivity for Mycoplasma genitalium alongside recent symptoms raises important concerns, particularly regarding the potential development of Pelvic Inflammatory Disease (PID) and the impact of treatment options.

Explanation: Mycoplasma genitalium is a sexually transmitted infection that can infect the genital tract. If left untreated, it can lead to complications such as PID, which involves inflammation of the reproductive organs and can result in long-term reproductive health issues. Since you mentioned experiencing unusual discharge, this might indicate an active infection, even if prior tests showed negative results.

PID does not develop in every case of Mycoplasma genitalium; however, persistent infection can increase the risk, especially if other infections were not thoroughly evaluated in the past.

Next Steps:

  1. Seek Targeted Treatment: Start a conversation with your healthcare provider about starting an appropriate course of antibiotics specifically for Mycoplasma genitalium. Treatment can effectively clear the infection and reduce the risk of complications.

  2. Monitor Symptoms: Keep track of your symptoms, particularly the discharge. Note any changes such as pain, fever, or any further unusual discharge.

  3. Consider Re-evaluation: Discuss with your healthcare provider the possibility of a thorough evaluation for PID or other potential complications, especially given your symptoms. Tests may include pelvic exams or ultrasound as advised.

  4. Educate Yourself on STIs: Learn more about Mycoplasma genitalium and its impacts, including prevention strategies, to empower yourself in managing your reproductive health moving forward.

  5. Healthy Practices: Continue maintaining a healthy lifestyle. A balanced diet, regular exercise, and stress management can all support overall health which is important during recovery.

If you have any further questions or need assistance understanding specific terms or concepts, please let me know. Your health and peace of mind are priorities.

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